Social Work (from the smartest person in the room – Dee Wilson from the Casey Foundation)

I had the honor of sitting next to Dee Wilson when he delivered the Casey Family Assessment of Hennepin County’s Child welfare system to the Hennepin County Commissioners (Minnesota’s Child Endangerment Model). Dee drew attention to damage being done by the toxic atmosphere in the Child & Family Services system, the inability of St Joseph’s home for children to manage the level of trauma their young clients were living with and pointed out the red herring that HIPPA laws have created by forbidding almost any public discussion of the conditions within the homes of abused children and the institutions of child protection. I resonated with how social workers are traumatized by their work and how community based solutions involving stakeholders and redefining what we want for outcomes.

All a part of why turnover is high in social work and terrible policies doom children and families to more cyclical trauma and failure.state child welfare systems

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When reading Dee’s recapping of County screened out rates remember that when 4 year old Eric Dean died after 15 reports of child abuse by mandated reporters, there were 4 MN counties that screened out 90% of all child abuse calls.

Dee keeps a blog and wrote something recently that every social worker needs to read. He is the smartest person in the room on the topic.

All Adults Are the Protectors of All Children

Punishing Traumatized Children (the beatings will continue until the morale improves)

Thank you Chris Serres & Star Tribune for identifying how severely the St Cloud Children’s home for children fails abused and neglected kids.

Children live here because a judge found their birth homes so dangerous that the child needed to be removed from the home and placed at the St Cloud Children’s Home.

Instead of providing a safe haven, this facility has been tagged repeatedly with multiple violations over many years. Children having sex in the presence of a staff member, head banging to the point of black eyes, swollen faces and abrasions.

To put a human face on what these violations look like;
As a volunteer CASA guardian ad litem, one of my 11 year old child protection boys (call him John) was misbehaving at a Cambridge Children’s Home.

John was forced outside by a low paid, undertrained staff member, on a ten degree MN night and told that he would be allowed back inside in an hour.

Instead, John walked home, in a T shirt, on the highway from Cambridge (35 miles). 11 year-old traumatized youth don’t often make good decisions (especially children on multiple psychtropic medications).

John was in child protective services (and this group home) because his father tied him to a bed and left him alone for days without food or water from the ages of four to seven.

John was regularly sexually abused, beaten & starved over 4 years living with his dad. When I met him, this 7 year-old boy was covered in bruises from head to foot and on both sides of his body.

Mental Health Shortages, Sheriffs & Children

I attended Syl Jone’s play BECAUSE at the Mixed Blood Theatre last week. It’s a moving piece that explores living with mental health issues from multiple perspectives leaving the audience with a personal sense of what it’s like to be this person, live with this person and understand this person. Syl is now the Resident Fellow for Narrative Health at HCMC (I think every hospital should have such a position – how else can these stories be told?)

I asked Syl at the play if he would consider writing about the mental health issues of children in child protective services, he seemed interested. If you know Syl Jones, please let him know how important this topic is.

Back to Sheriffs and Children (the title).

At the end of the play, Syl Jones & a panel (moderated by Eduardo Colon, the new Psychiatry Chief at HCMC) of professionals & one very articulate person living with serious mental health issues further explored the realities of mental health and mental health services in our community.

Today’s Star Tribune continues Dr Colon’s discussion about the shortage of beds for psychiatric emergencies and draws attention to how the problem is being compounded by the law that inmates take priority over everyone else for emergency psych beds (the 48 hour rule).

This newly enforced rule is a result of the sheriff’s (Washington, Ramsey and Hennepin Counties) threat to sue because their departments had become mental health service providers as a result of the state’s failing to honor the 48 hour rule.

While I’m all for providing services to inmates in need of psychiatric beds, I am appalled that the children in need of protection are suffering because of the shortage of beds and the use of psychotropic medications in place of therapy. I have attended multiple children on hours long trips outside of the metro because services were not available for them here.

The depth and scope of children’s mental health in this community is profound. As a long time CASA guardian ad-Litem I have accompanied many children on long trips for mental health services because there were no services here & I know that much of what is provided here is inadequate (this was referred to by Dee Wilson from the Casey Foundation).

Thank You Dr Colon, HCMC and Syl Jones for starting this conversation – it may be the only way our community can begin to understand the profound depth and scope of mental health issues and their impact on our quality of life.

Please share this post with policy makers and contacts in foster/adoption, education, health, policing and social workers.

ALL ADULTS ARE THE PROTECTORS OF ALL CHILDREN

Child Protection Oversight Committee Meeting Nov 23rd

It hurt me to hear it suggested that Brandon Stahl’s reporting on Child Protection in Minnesota is somehow a cause of the troubles within the system today. It is precisely the lack of reporting, accountability, and access to information that has grown our child protection failures to where they are.

The thing missing from last night’s Child Protection Oversight Committee meeting was the voice of someone that experienced child protective services (to put a human face on the conversation) and a fearless front line worker or CASA guardian ad-Litem to describe the depth and scope of the issues on the table.

People speaking in a roomful of professionals find it difficult to use the words or employ a passion that puts urgency and humanity into the facts that rule the fabric of our community and the lives of at risk children.

We also avoid topics that can’t be dealt with in our current institutional paradigm.

When Dee Wilson delivered the report on the Casey Foundation’s investigation of Child Protection to the County Commissioners he referenced the fact that St. Joe’s Home for Children was the primary resource for the most troubled children entering Child Protective Services.

The Foundation reported that the home was not able to deal with the level of trauma and behavioral problems it is forced to manage on a daily basis.

The truth underlying Dee’s statement needs to be recognized as the tip of the iceberg it is (we don’t).

The Foundation reported that the home was not able to deal with the level of trauma and behavioral problems it is forced to manage on a daily basis.

Dear Social Worker (a note from the Casey Foundation, KARA and Daniel)

You have chosen one of the most challenging jobs on the planet. Saving children from toxic homes & helping them heal and develop the coping skills necessary to live a functioning life. How do you manage to deal effectively with so many families (and children) at one time?

We all live with the troubled institution that is Child Protection and the lack of awareness, concern and resources our community makes available to abused and neglected children.

Burnout in your profession is high, salaries low & as the Casey Foundation pointed out when Dee Wilson delivered his report to the Hennepin County Commissioners, not much trust for your co-workers or management. Dee Wilson painted a pretty negative picture of the working atmosphere for most social workers.

It hurts me that the 90 minute audio session has been removed from the Hennepin County Commissioners website. I listened to it once and it was gone. I did attend the session, but it’s hard to remember all that was said – and some very blunt truths were delivered to our commissioners.

Minnesota’s Child Endangerment Model (from the Casey Report briefing for Hennepin County commissioners today)

I was moved today when Steve Olson (from Knowledge Management) delivered the Casey Foundations 8 month report and recommendations for Hennepin County child protection at the County Commissioners briefing at the courthouse (listen to it here)

Steve made multiple references to Hennepin County’s “child endangerment” model and how it differs from a “child protection” model. He presented data demonstrating our negative outcome across a broad range of criteria and strikingly, how the County ignores child neglect (unlike the rest of the nation).

I understand the commissioners frustration over how much money (120 million dollars was stated) is spent on CP and how bad the results are. This is a complex set of issues that need thinking at a higher level.

With little measurability, less collaboration, almost no transparency there is only a vague idea of where to put resources and what’s really not working.

Bad results are about all that can happen the way things are today.

Mr Olson spoke of a perceived fear and lack of trust (distrust of peers and staff) within child protection reminding me of the high turnover in this industry in general and just how bad morale and turnover are on both the east and west coasts are.

Defining success and how we measure child safety and killing the current County child endangerment model was a top recommendation.

More community based solutions, involving community stakeholders and redefining what we want for outcomes all make perfect sense to me.

I also resonated with how social workers are also traumatized by their work and by the system and how this undermines the well trained, experienced and committed workers that we need so badly. It’s hard work and we should be striving to make things work better.
It was good to hear it spoken of that allot of the problem is that people don’t talk about the issues due to fear of litigation (and that much of this is overblown). The heart of the matter is that we don’t talk about it and very few people have a clear perspective of the issues.

Now, if policy makers would just get their brain around how important crisis nurseries, quality daycare and other early childhood programs are, we might just begin to break the cycle of abused children becoming problem youth with no parenting skills, trauma based behavioral problems often made worse with drug and alcohol addictions and three or four of their own very young children that will soon be allot like them in so many ways.