How Will Texas Implement FFPSA?

Texas has moved one step closer to creating a state plan that leverages federal funding to prioritize prevention and family preservation.

In February 2018, Congress passed the Family First Prevention Services Act (FFPSA) which makes available a federal match for state investments in evidence-based and trauma informed supports to families at risk BEFORE a removal occurs. These services address the core drivers of child abuse and neglect including substance use, mental health, and parenting challenges. However, in order to successfully leverage this opportunity, state leaders have a number of crucial decisions to make.

Last legislative session, TexProtects championed Senate Bill 355 authored by Senator West which required the Department of Family and Protective Services (DFPS) to develop a strategic plan outlining how they intend to implement the provisions of FFPSA. That plan was released earlier this week.

DFPS’ strategic plan highlights the alignments between the goals of the Department and the goals of FFPSA and offers information and implementation options to support the budgetary decisions in the 87th legislative session that will largely determine the scope of FFPSA’s transformational potential. We applaud the prioritization of prevention and support of kinship caregivers in the state’s plan; however, the plan leaves many critical questions unanswered and may not do enough to target populations at risk of entering foster care.

For a quick overview of the top three items of good news in the plan and the top three areas of concern – see below.

First the good news:

  1. DFPS was awarded $50.3 million in Family First Transition Act funds to help implement the provisions of FFPSA and they intend to utilize $33.9 million of those dollars on prevention. They will be spending the rest of the funds on a Qualified Residential Treatment Program (QRTP) pilot and on IT changes.
  2. DFPS is investing in efforts to better serve informal kinship placements who don’t have as many supports. To ensure caregivers in informal kinship placements know what is available and can be better linked to services, DFPS has issued grants to four providers to complete needs assessments, evaluations, and pilots to support the development of a kinship navigator program. DFPS has also invested in training for 2-1-1 staff on the needs of kinship caregivers they plan to create a marketing campaign designed to ensure kinship caregivers are aware of the resources available to them through 2-1-1.
  3. The DFPS plan includes seven options for expanding prevention services, each with varying degrees of complexity and cost. Approximately half of these options capitalize on and expand the innovative and effective community networks that have been built through the Prevention and Early Intervention (PEI) division of DFPS. This is a smart solution that will enable Texas to quickly build on existing infrastructure to better support families.

Areas of concern within the DFPS plan include the following:

  1. The state stands to lose $26 million in Title IV-E eligible dollars per year unless there are increased placements available in family-like settings or a QRTP. This will need to be accounted for somewhere in the budget but must not be taken from children and families who are already receiving effective prevention services.
  2. 43% of families who have had an open Family Based Safety Services (FBSS) case have another case of child maltreatment within five years of completing services. DFPS’ definition of who is eligible for prevention services includes families participating in FBSS. While the children and families served by this stage of service naturally and most closely fit the broad federal eligibility criteria of children who are at imminent risk of entering foster care, DFPS acknowledged in this plan that many of the provided services are not evidence-based and do not meet the FFPSA standards. To use this funding as intended will require a significant shift in mentality and accountability for the quality and outcomes of services offered to families in FBSS.
  3. DFPS can define who is eligible for prevention services; however, their suggested definition only captures families who are already engaging with the system. Their definition includes families with an open FBSS case, children who have already been in care but are now are at risk of placement disruption or re-entry, and pregnant and parenting youth in Child Protective Services (CPS) custody. There is room for improvement here to consider other populations at risk as well as more upstream options that support families BEFORE they have an open case and CPS involvement.

Now, it is up to lawmakers to decide the best way to move forward, and the potential impact on children and families will largely be decided on their willingness to prioritize prevention and family preservation. Be on the lookout for the release of our FFPSA Brief that will outline this federal legislation and the Texas plan in more detail later this month.

FRONTLINE FOR CHILDREN | JULY 2020

CHILD PROTECTION POLICY – NEW AND NOTEWORTHY

Maternal and Child Health Inequities Emerge Even Before Birth (Child Trends)

Highlighting findings from the State of Babies Yearbook: 2020, this brief focuses on the evident disparities in maternal health and birth outcomes among babies and families of color: “To have a healthy pregnancy and positive birth outcomes, women and their infants require access to appropriate health care services, before, during, and after birth.”

TexProtects’ Takeaway:  Black and Indigenous babies have a much higher risk of birth complications, low birthweight, and death within their first year of life in comparison to white babies. To achieve the strongest possible outcomes for all, we must meaningfully address health disparities in our communities, beginning with the earliest days of each child’s life.

Tracking COVID-19’s Effects by Race and Ethnicity (Urban Institute)

To work toward an equitable recovery for all U.S. citizens, policymakers and practitioners should pursue solutions that acknowledge and account for COVID-19’s disparate impact on communities of color. “To design these race-conscious policies, policymakers need data to gauge how the pandemic may be affecting people’s health, housing, and livelihoods. This tool uses the near-real-time Household Pulse Survey data to track a set of measures for US households as the pandemic and recovery unfold.”

TexProtects’ Takeaway: The onset of this health crisis has further exposed how systemic racism is creating harmful disparities between white communities and communities of color. The Texas Health and Human Services Commission (HHSC) is taking the first step and has recently announced that it is seeking to remedy the lack of information about how Black and Latinx/Hispanic communities are affected by the virus. All labs that test for COVID-19 are now required to collect information on race, ethnicity, and other factors.

Start with Equity: From the Early Years to the Early Grades (Bipartisan Policy Center & The Children’s Equity Project at Arizona State University)

“Millions of young children are disproportionately underserved, over-punished, and barred from high-quality education in American schools…. The Children’s Equity Project and the Bipartisan Policy Center have come together to create an actionable policy roadmap for states and the federal government—as well as for candidates at all levels of government vying for office—to take meaningful steps to remedy these inequities in early learning and education systems.”

TexProtects’ Takeaway: More than half of the children in the United States are children of color. COVID-19 is exacerbating the inequitable distribution of opportunity in our education system. This policy agenda supports fully funding programs like Head Start, requiring states to report plans on who they will work to make learning systems more equitable, supporting and funding equitable educator training, and ensuring all education legislation prioritizes racial, ethnic, linguistic, socioeconomic, and ability-based integration.

Health Care Access for Infants and Toddlers in Rural Areas  (Child Trends)

“While many public reports provide indicator data on rural health care access at the national level, this brief uses data from the State of Babies Yearbook: 2020 to examine state-level differences in how infants and toddlers living in rural areas are faring. Equipped with these data, state policymakers can explore strategies to support the needs of very young children and their families.”

TexProtects’ Takeaway:  Only 0.5% of infants and toddlers in Texas who could benefit from evidence-based home visiting (HV) programs are receiving those services. This upcoming legislative session, policymakers in Texas must identify why there are gaps in how existing HV programs serve rural children and families.

As schools reopen, addressing COVID-19-related trauma and mental health issues will take more than mental health services (Child Trends)

To address COVID-19 related trauma and mental health concerns amongst students, Child Trends recommends that decision-makers in education take a comprehensive approach that extends beyond offering school-based mental health services. Such an approach includes (but is not limited to) educating all school staff about trauma and mental health; acknowledging that not every community has experienced the pandemic in the same way; and ensuring that school staff know how to connect students to community-based mental health resources.

TexProtects’ Takeaway: Through the passage of HB 18, the Texas Legislature took a step last session to ensure that all school staff are adequately trained to understand the impact of trauma on students, implement strategies to minimize the negative impacts, and maximize academic opportunities in an environment of safety and connection, making referrals when needed and with parental consent. Policymakers and organizations like TexProtects must hold school districts accountable and ensure that these mandatory trainings are taking place in a timely fashion.

To support infant development, states can encourage parents to read, sing, and tell stories with their children (Child Trends)

“Here’s an easy, evidence-based, and low-cost investment for early childhood leaders and policymakers to promote young children’s development, empower parents, and strengthen families: Encourage parents and other caregivers to read, sing, and tell stories to their children. It’s that simple.”

TexProtects’ Takeaway: Building the caregiver-child bond through singing, reading, and telling stories contributes to strengthening resiliency and encouraging literacy skills and cognitive and socioemotional intelligence in young children.

CHILD PROTECTION RESEARCH – NEW AND NOTEWORTHY

Different brain profiles in children with prenatal alcohol exposure with or without early adverse exposures (Andre, Q., McMorris, C., Kar, P., Ritter, C., Gibbard, B. Tortorelli, C., & Lebel, C.)

“Prenatal alcohol exposure (PAE) has been linked with widespread brain abnormalities including reduced brain volume, altered cortical thickness, and altered white matter connectivity. Fetal alcohol spectrum disorder (FASD), the neurodevelopmental disorder associated with PAE, is the most common cause of preventable developmental disabilities in children… The goal of this study was to determine how PAE in the presence or absence of postnatal adverse exposures is associated with brain structure and mental health symptoms in children.”

TexProtects’ Takeaway: This research contributes to a long line of research on adverse childhood experiences (ACEs) and how they shape the physical and mental brain health of children. TexProtects is working with policymakers on legislation that would create a framework in Texas on how to mitigate and treat ACEs on a statewide level to ensure the health of every child.

Father-child play: A systematic review of its frequency, characteristics and potential impact on children’s development (Amodia-Bidakowska, A., Laverty, C., & Ramchandani, P.)

This paper reflects a systematic literature review of publications in psychological and educational databases (until the year 2018) to “characterize the nature and potential impact of father-child play” for children ages 0-3. Given their findings, the authors suggest that father-child play can substantially benefit children’s development, which “provides a clear imperative for policy makers and practitioners to facilitate and support fathers, as well as mothers, in developing more positive and playful interactions with their infants.”

TexProtects’ Takeaway: Fathers matter! Encouraging strong father-child relationships is part of building protective factors for resiliency in children. This report enforces that early father-infant play is linked to positive social, emotional, and cognitive outcomes.

CHILD PROTECTION IN PRACTICE – NEW AND NOTEWORTHY

African American, American Indian, and Alaska Native children are all more likely to live in grandfamilies – “families in which grandparents, other adult family members or close family friends are raising children with no parents in the home” – than other racial or ethnic groups. The following two reports by Generations United are intended to support child welfare or other government agencies, as well as nonprofits, to better serve the grandfamilies with which they work:

TexProtects’ Takeaway: Children of color are dramatically overrepresented in kinship care both within and without the formal foster care system. Historically, there has been a severe lack of support and services for these families – especially those that are culturally appropriate.

Road to Resilience: Raising Healthy Kids (Mayo Clinic Health System)

“This six-week virtual program will help you and the youth in your life combat the effects of Adverse Childhood Experiences (ACEs). There are a variety of resources in linked pages on this site that you and your youth should review at your own pace. You can read content, watch videos or do activities.”

TexProtects’ Takeaway: Adverse childhood experiences (ACEs) can lead to negative mental and physical health effects later in life. This tool is a great way to help build resiliency against these potential negative outcomes so that ACES do not dictate a child’s future.

Using Media Effectively with Young Children and Virtual Visitation (Youth Law Center & Quality Parenting Initiative)

“While in-person visitation is the best way to support families, it isn’t always possible during this emergency. Now more than ever, it is critically important that birth and foster parents partner together to ensure that children experience continuity of relationships and can maintain contact with the people they love.” This brief shares research and practical suggestions from Dr. Rachel Barr, an expert in media and young children, to help parents navigate and make the best of virtual visitation with their young children.

TexProtects’ Takeaway:  Virtual visitation can be used to maintain and strengthen relationships for young children. Learn how to navigate difficulty holding a child’s attention, problems with eye contact and sharing attention, loss of physical contact, technical problems, and toddler independence.

TexProtects Stands Up | Disproportionality in Maternal and Child Health Care

TexProtects’ vision is one where every child is safe, nurtured, and resilient — no matter the color of their skin. This vision cannot be realized while families of color continue to be wounded by systemic racism and injustice. As part of our effort to speak out and stand up against injustice, this blog is part of a series to highlight existing inequalities in our child protection systems. A deepened understanding of these issues can help us know better and do better so that Texas is a safe place to be born – where families can thrive and where every individual is seen and valued equally.

TexProtects takes a comprehensive approach to the prevention of child abuse and neglect and recognizes the Center for Disease Control’s Essential for Childhood framework which includes the following strategies: strengthening economic supports for families, changing social norms to support parents and positive parenting practices, providing quality care and education early in life, enhance parenting skills to promote healthy child development and intervening to lessen harm and prevent future risk and occurrence.

As our communities have been challenged by COVID-19, Texas families of all kinds have had to find enormous strength and resilience. This moment is an opportunity to reflect upon how our own wellbeing is related to the health of everyone in our community.

Evidence shows that children and mothers of color have long faced stark health disparities, which now may be worsened by the effects of COVID-19. Black and Native American babies have a much higher risk of birth complications, low birthweight, and death within their first year of life in comparison to white babies. Black mothers face even more pronounced health disparities: maternal mortality among Black mothers is more than three times higher than among their white peers. These disparities are driven in part by the fact that families of color often have less access to healthcare. According to Zero to Three’s 2020 State of Babies, 7.7% of Latinx/Hispanic women and 9.9% of Black women in the United States receive late or no prenatal care whatsoever compared to 4.5% of white women. In Texas, these disparities are particularly pronounced: 15.1% of Black women and 10.5% of Latinx/Hispanic women receive insufficient prenatal care compared to 6.3% of white women.

Racial discrimination is a distinct factor that drives both low healthcare access and poor health outcomes for families of color. Researchers from Zero to Three affirm that racism accounts for huge differences which cannot be explained by other contributing factors such as poverty, lack of local resources, or low education levels. As a result, mistrust of medical systems is common among people of color. According to Zero to Three’s State of Babies, nearly 1/3 of Black Americans report that they have personally experienced racial discrimination during a healthcare visit and 22% report sometimes avoiding care because they fear discrimination. These fears are warranted. Rates of maternal mortality and delivery complications demonstrate that minority women and children often receive lower-quality hospital care. Racial health disparities have persisted over multiple decades and are not improving over time. In fact, the racial health divide may actually be deepening because of COVID-19.

New mothers often rely upon a trusted network of family and friends. Robust social supports such as these are a crucial protective factor for families of color. Unfortunately, due to social distancing, mothers of color currently have less access to social support. Black women in particular have an elevated risk of postpartum depression and more severe postpartum conditions including postpartum post-traumatic stress disorder (PTSD), which can develop if childbirth is especially traumatic. Low social support is a significant risk factor for such conditions and isolation has negative impacts on overall health. These facts suggest that pregnant women and mothers of color have a heightened risk of serious physical and mental health complications during this pandemic.

As communities come together to take care of each other, we must ensure that Black, Latinx/Hispanic, and Native American families are not left behind. To achieve the strongest possible outcomes for all, we must meaningfully address health disparities in our communities, beginning with the earliest days of each child’s life. TexProtects is proud to be a part of the Prenatal to Three (PN-3) Collaborative which works to ensure more young Texas children benefit from effective and well- funded programs that promote healthy beginnings, supported families, and quality early care (learn more).

COVID-19 has forced us all to reimagine what normal looks like on an individual level. Our health systems are also reimagining how they will protect us through and beyond this health crisis. Although that process will be challenging, it has the potential to foster new innovations. Now is the time to overturn the status quo of a system which has failed to provide equal care to all children. TexProtects is committed to a future where equality in child and maternal healthcare is the new normal. 

FRONTLINE FOR CHILDREN | June 2020

CHILD PROTECTION POLICY – NEW AND NOTEWORTHY

State of Babies Yearbook 2020 (Zero to Three & Think Babies)

“The State of Babies Yearbook: 2020 compares national and state-by-state data on the well-being of infants and toddlers. The current state of babies tells an important story about what it is like to be a very young child in this country, and where we are headed as a nation. By nearly every measure, children living in poverty and children of color face the biggest obstacles, such as low birthweight, unstable housing, and limited access to quality child care.”

TexProtects’ Takeaway: Texas state ranked 43rd on the list for child wellbeing and our ranking for economic wellbeing, family & community, health, and education were not much higher on the list. With one in ten American children living here in Texas, we MUST do better. Our Prenatal to Three (PN-3) Collaborative has an ambitious policy agenda to improve services for 300,000 low income infants and toddlers in Texas.

Integrated data can help states better respond to and recover from crises like COVID-19 (Child Trends)

“State policymakers and program administrators need access to reliable and continuous data about early childhood services to understand what services have been disrupted, where services are most urgently needed, and how to deploy resources during and after the crisis to best support children and families.” Early childhood integrated data systems afford states access to comprehensive data, which may assist them in more efficiently responding to and recovering from crises like the global pandemic.

TexProtects’ Takeaway: The early childhood work in Texas is fragmented across multiple state agencies including TEA, HHSC, TWC, DSHS, and DFPS. To understand the way forward will require integrated data systems in order to better identify gaps and needs and coordinate and deliver services efficiently and effectively.

States Are Using the CARES Act to Improve Child Care Access during COVID-19 (Child Trends)

“The Coronavirus Aid, Relief, and Economic Security (CARES) Act included $3.5 billion in emergency funds for the Child Care and Development Block Grant, and the federal Administration for Children and Families issued guidance to allow states more flexibility in meeting Child Care and Development Fund (CCDF) requirements to mitigate the effects of the pandemic.… A new policy scan from Child Trends shows that states are using these emergency funds to improve the affordability of care and increase provider compensation.”

TexProtects’ Takeaway: As the nation continues to struggle with the COVID-19 pandemic, child care plays an even more vital role for working parents and caregivers needing respite. Texas is one of the states continuing to pay child care providers who accept subsidies, which is especially crucial due to closures of care centers and low attendance and enrollment in programs. Texas is also providing additional funding to providers who are taking care of the children of essential workers so that they will continue to serve families in need.

 CHILD PROTECTION RESEARCH – NEW AND NOTEWORTHY

Addressing Racial Disparity in Foster Care Placement (National Child Welfare Workforce Institute – NCWWI )

This resource summary examines a recent case study in county-level public child welfare practices that attempt to address racial disparity in foster care placement. NCWWI concludes: “Child welfare systems need case-level strategies and community-supported interventions to reduce racial disparities in removal decisions and disproportionality in foster care systems. Child welfare administrators should consider development and training on case-practice and decision-making processes that reduce racial bias and increase racial equity. Additionally, it is critical to create collaborative community partnerships to develop systems of care that impact racial disparity within the larger community.”

TexProtects Takeaway: Tackling disproportionality in the child protection system cannot be done in isolation. It is crucial we collaborate across systems when addressing this disproportionality. There must be increased dedication, support, and resources toward both describing and solving the problem. Stay tuned for an upcoming blog series on disproportionality in our child protection systems.

A Review of the Literature on Access to High-Quality Care for Infants and Toddlers (Child Trends)

“While we know that high-quality early learning experiences that begin early in life can promote young children’s development and help reduce achievement gaps, much of the literature has focused on child outcomes related to attendance in early care and education programs for preschool-age children; less is known about how quality child care contributes to the development of infants and toddlers.” This literature review examines the existing research on access to high-quality care, specifically for infants and toddlers.

TexProtects’ Takeaway: Quality matters and access and affordability are continued challenges. COVID-19 has made the problems clearer than ever. If we want to do better and do something different, the time is now.

Resident Hispanic Fathers Report Frequent Involvement in the Lives of Their Children (Child Trends)

“To date, limited research has examined father involvement among Latinos — the largest racial/ethnic minority group in the United States today. Documenting levels of father involvement for Latino fathers, as we do in this brief, provides one important piece of the story needed to understand contemporary patterns of Hispanic fathering…. This brief uses data from the 2013-2017 NSFG [National Survey of Family Growth] to look more closely at levels of involvement for Hispanic fathers who live with their children.”

TexProtects’ Takeaway: Information on how fathers of color are involved in their children’s lives is important to providing community resources to further support families in caring for their children. Protecting kids mean supporting their families (and that means mothers AND fathers AND other caregivers)

Home Visiting Career Trajectories: Snapshot of Home Visitor’s Qualifications, Job Experiences, and Career Pathways (Office of Planning, Research & Evaluation – Administration for Children & Families)

Research on home visiting staff and the opportunities available for their professional development is relatively scarce. The study highlighted in this report sought to assess “the home visiting workforce in MIECHV Program-funded local implementing agencies (LIAs) to gather needed information about home visitors’ backgrounds and career paths. This snapshot highlights findings on home visitors’ qualifications, job experiences, and career pathways.”

TexProtects’ Takeaway:  Home visiting is a critical community service and proven prevention strategy for families with young children. Home visitors in MIECHV Program-funded agencies have strong educational backgrounds and job-related experience and the majority of home visitors are likely to continue their jobs for the next two years. This is good news for communities who have access to these programs!

Not in the Same Boat – The Pandemic Is Reducing Childcare Availability for Lower-income Families (University of Oregon Center for Translational Neuroscience – UOregon CTN)

As part of their Rapid Assessment of Pandemic Impact on Development Early Childhood Household Survey Project (RAPID-EC Project), UOregon CTN is updating this site weekly with new reports on survey findings that assess how COVID-19 is impacting young children and their families across the US. In addition to this report, the project has recently published findings on the decline of well-child visits and young children’s mental health difficulties during COVID-19.

The full list of RAPID-EC Project reports can be found here.

TexProtects’ Takeaway: We must do more to ensure lower-income families get the child care resources they need during the COVID-19 crisis. We must take action through policy change in order to prevent child care providers who serve lower-income families from shuttering. Stay connected with our PN-3 Collaborative to be part of the solution.

 CHILD PROTECTION IN PRACTICE – NEW AND NOTEWORTHY

Resources to Support Children’s Emotional Well-Being Amid Anti-Black Racism, Racial Violence, and Trauma (Child Trends)

In this resource, Child Trends offers “… several steps that caregivers can take to support all children, and especially those who have experienced direct or secondary racial trauma. While the evidence strongly suggests that caregivers need a holistic understanding of how, and in what ways, racial trauma impacts children and youth of all races and ethnicities, our recommendations focus primarily on anti-Black racism and the racial trauma experienced by Black children and families. These recommendations can provide caregivers with a foundation for speaking with children about racism and racial trauma.”

TexProtects’ Takeaway: Learning to be anti-racist and unlearning systemic oppression of Black individuals must start at an early age. Parents and children can use these resources to learn together what it means to move past changing beliefs into taking action to ensure a safer and more just world for people of color.

Healing and Supporting Fathers: Principles, Practices, and Resources for Fatherhood Programs to Help Address and Prevent Domestic Violence (Child Trends)

“Domestic violence (DV) is a widespread problem in the United States. Experiencing and/or witnessing violence in relationships can negatively affect the health of parents and their children. Therefore, any program that works with families should play a part in preventing and addressing domestic violence. Fatherhood programs provide an opportunity to engage fathers in these efforts. This document includes: Background information to help fatherhood programs better understand DV; Foundational principles fatherhood programs can adopt to address and prevent DV; Descriptions of promising practices already being used by some fatherhood programs; Recommended future directions for fatherhood programs, based on current challenges in the field.”

TexProtects’ Takeaway:  Family violence is correlated with poor outcomes for children. Fathers who may be perpetrators and/or survivors of violence need a safe space to educate themselves and unlearn these behaviors. Families and children are stronger when fathers are engaged and healthy.

FRONTLINE FOR CHILDREN | MAY 2020

Where Science Meets Policy

Child Protection Policy – New and Noteworthy

COVID-19 recovery presents an opportunity to fill critical gaps in knowledge about equipping schools to address trauma

“Many students will return to school having experienced increased adversity and trauma related to COVID-19, including increased risk of child maltreatment, domestic violence, food insecurity, and homelessness. With timely investments in evaluation, we can leverage this experience to determine the best ways to equip teachers and other non-clinical staff to support students experiencing trauma.”

TexProtects’ Takeaway: 60% of schools were not offering mental health treatment services before COVID-19. House Bill 18, a bill championed by TexProtects last session, will help ensure that school staff have training to understand the effects of trauma as well as strategies and supports to help struggling students be healthy and continue learning.

Nationwide Survey: Child Care in the time of Coronavirus (Bipartisan Policy Center)

A new survey conducted by Bipartisan Policy Center and Morning Consult explores child care needs amidst COVID-19 in terms of balancing work and the need for care; parents’ caregiving activities and approaches; the search for and return to care as states reopen; provider closures; and child care as an essential service.

TexProtects’ Takeaway: While work situations have changed for 86% of surveyed families, the need for child care has not. Just 22% of essential workers have been able to maintain their previous child care placement since COVID-19, 60% of programs are closed, and 21% of those still doing in-person work have reduced their hours to care for children. In order for families with young children to get back to work, Texas must invest in a child care infrastructure that increases access and affordability.

Child Protection Research – New and Noteworthy

Evaluating an Enhanced Home Visiting Program to Prevent Rapid Repeat Pregnancy Among Adolescent Parents (Family & Youth Services Bureau, OPRE, and Mathematica)

“A small but growing body of evidence suggests a combination of individualized support services and improved access to effective contraception can promote healthy birth spacing among adolescent mothers. To build on this promising research, the Administration for Children and Families partnered with Mathematica to conduct an evaluation of Steps to Success.” Steps to Success is a home visiting program in San Antonio, Texas.

TexProtects’ Takeaway: Innovations in the field of home visiting allow programs to better ensure that the program is tailored to the needs of unique communities and clients for maximum impact. In this example, program elements and intensity were adjusted to increase a specific outcome. Stay tuned for our upcoming report on Innovations and Future Directions in Home Visiting for more on precision home visiting approaches.

Researchers Find Association between Participation in Extended Foster Care and Reduced Risk of Homelessness (Chapin Hall at University of Chicago)

Extended care — allowing foster youth to stay in care beyond 18 years old — is intended to improve foster youth’s outcomes as adults. Because foster youth face disproportionate rates of homelessness as compared to other youth, providing them with stable housing while in extended care is crucial. This memo highlights a study to better understand “youth’s homeless experience and predictors of homelessness after the implementation of extended care” so that we may support policymakers and practitioners in securing appropriate housing for older foster youth and keep them from homelessness.

TexProtects’ Takeaway: The number of foster youth who face homelessness during their transition to adulthood is unacceptable. However, staying in care past age 18 decreases the odds of experiencing homelessness, as does increasing protective factors such as strengthened relationships and tangible community supports. In policy and practice, we must do more to ensure that foster youth have access to housing and programs that can better ensure their safety and successful transition to independence.

Exploring New Research on Pre-K Outcomes (Education Commission of the States)

“This Policy Brief analyzes 15 research studies on the effectiveness of pre-K outcomes in programs across the country and finds evidence of sustaining effects beyond kindergarten.”

TexProtects’ Takeaway – Pre-K return on investment is between $2 and $13 (depending on quality) with short- and long-term effects on not only academics but social emotional skills. This reduces grade level retention and increases on-time graduation rates. Investing in children early in their lives makes dollars and sense.

Being Healthy and Ready to Learn is Linked with Socioeconomic Conditions for Preschoolers

“Families’ social, demographic, and economic circumstances can have direct and indirect effects on children’s development.… The question addressed in this brief is whether children ages 3 to 5 from families of different backgrounds differ with respect to their health and readiness to learn.”

TexProtects’ Takeaway – A child’s environment and access to resources affect their development and ability to be school ready. To support our youngest Texans, we must support their families.  

Being Healthy and Ready to Learn is Linked with Preschoolers’ Experiences

“A preschool child who is healthy and ready to learn demonstrates the ability to regulate their behavior and emotions, key social and emotional competencies, motor skills, health, and early learning skills…. The analyses in this brief examine the associations between a young child’s experiences and the extent to which parents report that the child is healthy and ready to learn.”

TexProtects’ Takeaway: Experiences in the early years shape biology, behavior, and health across the lifespan. Preventing adverse childhood experiences while increasing positive parenting behaviors like reading and singing together, limiting screen time, and ensuring adequate sleep would increase the number of children who are healthy and school ready. 

Child Protection in Practice – New and Noteworthy

How to Help Families and Staff Build Resilience During the COVID-19 Outbreak (Center on the Developing Child at Harvard University)

This guide uses the science of child development to suggest three ways in which we can build up and strengthen resilience to improve current conditions and plan ahead for future times of crisis.

TexProtects’ Takeaway – Resilience is not something we are born with – it is something that is built over time and in relationship with a healthy community. With the increasing stress on many families right now, it is more important than ever that we “tip the scales” by offsetting those negative experiences with safe communities, supportive relationships, and access to care when needed. If that balance is not maintained, chronic stress can have negative impacts on child development, safety, and health.

New tools released by Chapin Hall help health care providers address social needs (Chapin Hall at University of Chicago)

“Health care providers are increasingly serving families whose economic and social needs are escalating due to COVID-19. Today, Chapin Hall is releasing two Practice Bulletins with evidence-based tips on how health care providers can sensitively and effectively engage families about their social needs and referrals to ensure that they get the services they need.”

TexProtects’ Takeaway – Pediatric primary care is one of the strongest access points for families with young children. The opportunities of a doctor’s visit extend beyond vaccinations and check-ups. When physicians are able to engage with their patients about their social needs and refer to community providers if appropriate, that visit can decrease childhood adversity and better impact long-term health outcomes for families and their children.

Providing Input to the DFPS Legislative Appropriations Request

TexProtects collaborated with the Child Protection Roundtable to provide budget input to the state

TexProtects has been working with our partners as part of the statewide Child Protection Roundtable to understand the effects of this pandemic on children and families, the possible fiscal implications, and the history of legislative budget cuts and their impacts in the past during times of economic challenges.

The Department of Family and Protective Services (DFPS) Legislative Appropriations Request (LAR) is the budget request made from the Department to the Legislature which details the funds that will be needed to continue their services for the next biennium. This LAR includes the projected budgets for Prevention and Early Intervention, Statewide Intake, Child Protective Investigations, Child Protective Services, and Adult Protective Services. One of TexProtects’ main focuses on providing input for the LAR was looking at prevention dollars.

Historically, when child abuse and neglect prevention funding has been cut, more money has ultimately been spent longer-term and there have been more confirmed child abuse victims. This is not wise-investment and not right for the children TexProtects aims to protect. We know there are strategies that work, and we worked thoughtfully and carefully with our partners to lay those out in our recommendations for the DFPS LAR.

Read the full Child Protection Roundtable DFPS LAR input below.

May 29, 2020

On behalf of The Child Protection Roundtable (CPRT), a consortium of statewide advocates, research organizations, health and education interests, direct service providers and other key stakeholders from over 50 organizations with child protection expertise, we greatly appreciate the opportunity to provide recommendations for the FY2022-2023 biennium Legislative Appropriations Request (LAR) of the Texas Department of Family Protective Services (DFPS).

The Child Protection Roundtable serves as a convener for member organizations engaged in child welfare which share a child-centered, common vision and leverage data, resources and strategy to achieve more progress collectively than could be achieved individually. The Child Protection Roundtable works in partnership with DFPS, the state legislature, and other stakeholders to improve the safety, health, and well-being of children.

More specifically, the goal of the Child Protection Roundtable is to be the leading voice and driving force in child protection public policy and governmental action in Texas that:

  • Helps prevent child abuse and neglect before it occurs;
  • Ensures protection and well-being of children and youth who come into state care; and
  • Heals the ongoing trauma and other adverse consequences experienced by children and youth as the result of maltreatment.

In light of the public health crisis that has left so many in our state economically unstable, investment in the safety of our children at risk and in vulnerable situations must remain a priority. Please consider the following LAR recommendations for prevention and early intervention, supports for transition-age youth and young adults, children with developmental disabilities, Community-Based Care (CBC), CPS workforce, implementation of a trauma-informed system, and the Family First Prevention Services Act (FFPSA). In several instances, we have recommended increased investment; however, we would not want any of these increases to come at the expense of reduced investment in any of the other areas as they are all important to the overall system and the infants, toddlers, and children of all ages, and families, being served.

Prevention and Early Intervention

To break the cycle of child abuse and neglect and reduce the long-term strain on our child welfare system, we need to break the cycle of cutting child abuse prevention funds under DFPS’ Prevention and Early Intervention (PEI) division in times of fiscal challenge. Given the depth and breadth of the economic recession underway, coupled with stay-at-home orders and recommendations, we know from history that child abuse is likely occurring at higher rates even though reports may temporarily be down.

When the FY2004-2005 prevention budget was cut in 2003 by 35%, we saw a 20% increase in confirmed child abuse victims between 2004 and 2005. Once again, after the Great Recession in 2008-2009, we saw a 44% increase in confirmed victims in 2011. Maintaining our investment in prevention and early intervention is our best hope for avoiding yet another spike in abuse, associated costs, and strain on the CPS system.

Given the social isolation and increasing stress and risks for families due to COVID-19, the work of strengthening families and ensuring child safety must begin before a crisis occurs. Economic instability, domestic violence, substance use, and mental health challenges are highly correlated with increased risk for child abuse and neglect.  While mitigating the health effects of the virus is primary, these longer-term risks will continue to affect families and child safety for years to come. As such, investment in the front end of the system is needed now more than ever.

The investments made in these prevention networks are critical lifelines of support during this crisis and should continue to be rolled out through existing contracts with community providers. These prevention services will keep children safe now and save the state money later, with an average return of investment between $1.26-$8.08. Further investment in family preservation, or secondary prevention, also saves money.

As noted by the DFPS 2018 Prevention Task Force Report, “Diverting 5% of families from Family Based Safety Services (1786) would save the state more than $9.4 million. Preventing 3% of removals (593) would save upwards of $20.3 million.”

The Child Protection Roundtable encourages the state to continue to increase investment in primary prevention programs through PEI to prevent child abuse and neglect, strengthen and support families, increase connections to community resources, and decrease truancy and delinquency for older youth. The current PEI strategic plan indicates that to adequately protect families, a 20% increase in prevention funds is needed every biennium. Currently, DFPS allocates 5% of their budget to the PEI division.

To preserve families and decrease the number of children entering the child welfare system, the state should preserve and increase investments in the following:

  • Healthy Outcomes through Prevention and Early Support (HOPES)
  • Helping Through Intervention and Prevention (HIP)
  • Texas Nurse-Family Partnership (TNFP) and Texas Home Visiting (THV)
  • Family and Youth Support (FAYS)
  • Military Families and Veterans Pilot Prevention Program (MFVPP)

These programs have established infrastructure and community contracts/networks that can be leveraged to quickly and efficiently deliver proven programs to families who choose to enroll. To cut these programs would result not only in increased risks for children and long-term costs to the state, but local nonprofits and networks would be threatened, leaving even more Texans out of work and the state without a system by which to empower community family support and prevention programs.

Transition-Age Youth and Young Adults

The Child Protection Roundtable encourages DFPS to increase support for transition-aged youth and young adults. As DFPS has noted in the LAR for the current biennium, “[w]ithout such consistent services, youth are more likely to be involved in the criminal justice system, are at higher risk of teen pregnancy and parenting, have lower reading and math skills and high school graduation rates, are more likely to experience homelessness, and have higher rates of unemployment and likelihood of long-term dependence on public assistance.” Most services for older youth are federally funded through the Chafee program, which requires a 20 percent state match. The Chafee program allows DFPS to offer services that help youth and young adults pursue their education and employment, secure housing, and meet many other needs they have as they transition into adulthood. Unfortunately, DFPS has not had the funding to meet the projected needs of this population and those needs have increased substantially with the COVID-19 pandemic. The state should invest more in these youth and ensure youth who age out of care are able to succeed and receive support when they face crises.

Children with Developmental Disabilities

The Child Protection Roundtable supports ensuring access to long-term services and supports to children with developmental disabilities and their families in lieu of relinquishment of custody. These vital long-term services and supports include Medicaid-funded Community First Choice, behavioral supports, personal care services and Medicaid waivers. For its part, DFPS should provide access to training for families on how best to support the mental health needs of their children with developmental or intellectual disabilities, ensure Prevention and Early Intervention (PEI) programs assist families of children with developmental disabilities to access needed long-term services and supports, and comply with the Texas Promoting Independence Plan by seeking funding for Medicaid waivers for children currently living in DFPS-funded General Residential Operations so children with developmental disabilities can either return home, or move to a family-based alternative setting. Further details on these requests are set forth in EveryChild’s separate submittal of input to DFPS.

Community-Based Care

The Roundtable encourages DFPS to request full funding for continuing Community-Based Care (CBC) operations and contractual commitments in the present CBC catchment areas and to support the continued expansion of CBC during the upcoming FY2022-23 biennium. CBC has demonstrated early promise during Phase I service delivery and recently began to move into Phase II case management in the first of the four catchment areas under contract. As CBC moves forward into further phases and additional catchment areas, it will be important for DFPS to have the necessary resources to advance multi-contractor system characteristics such as data management and interoperability. It will also be important for DFPS to have the resources and supports to assure accountability and transparency to all system stakeholders, building further confidence that CBC is achieving its promise, as we all hope will prove to be the case. To the extent the present level of available resources is not sufficient to achieve these vital needs, the Child Protection Roundtable encourages DFPS to request those resources and will support those requests.

CPS Workforce

CPS workers perform selfless work for children and families in the child welfare system, even under normal circumstances. However, in the midst of COVID-19, CPS workers have had to make dramatic adjustments in how they work with families. When the rest of us have been told to stay home and stay safe, CPS workers have been asked to go out and keep other families and children safe. In addition to adjusting their practice, CPS workers are facing some of the most challenging cases of their career as COVID-19 has only amplified the stressors and challenges in many families who were already struggling. To effectively ensure child safety, the CPS workforce must be adequately supported, including the provision of appropriate supports to address their own mental health needs resulting from secondary trauma.

Texas has worked hard to improve salaries and reduce caseloads the past few years. It is vital that caseworkers have the ability to provide families and children in care with targeted case management.  Cuts to CPS funding and salaries will result in more turnover and retention issues and will directly equate to declining outcomes for children and youth in care. The Child Protection Roundtable urges DFPS to continue investing in the CPS workforce by maintaining funding for their salaries and benefits and expanding secondary trauma services such as counseling complimented by debriefing with trained supervisors who can recognize the signs of secondary trauma and can refer for help when needed.

Trauma-Informed System

The Child Protection Roundtable supports DFPS’ continued leadership efforts to transform the Texas child welfare system into a trauma-informed and trauma-responsive system. DFPS was a leading partner in helping to develop the report Building a Trauma-Informed Child Welfare System: A Blueprint as part of the Statewide Collaborative on Trauma-Informed Care (SCTIC). There is broad support among Child Protection Roundtable membership and other stakeholders for ongoing efforts to improve training and use of trauma-informed practices throughout the child welfare system. There is also a clear understanding of the benefits of trauma-informed practices for children, families, and other system participants. The work of the SCTIC continues with the Implementation Taskforce, including the adoption of a DFPS rule to define trauma and trauma-informed care, and the creation of a website as a centralized location for information on trauma. The Child Protection Roundtable supports DFPS maintaining this priority in planning and budgeting for the next biennium.

Family First Prevention Services Act

The Child Protection Roundtable recommends that DFPS include adequate funding for successful implementation of the Family First Prevention Services Act (FFPSA) in its LAR Request. This funding should maximize opportunities to keep more children safely with their parents, prioritize placing more children in family-based foster care settings, and improve the quality of congregate care, especially in Residential Treatment Centers.

The DFPS LAR should include a placeholder for state funds needed to pull down a federal match to cover services that will prevent children from entering the Texas foster care system. DFPS should ask for state funds needed for more evidence-based substance use disorder, mental health, and in-home parenting skill building services. About 1.6 million Texans have lost health insurance during COVID-19 so far, meaning they might have lost access to mental health medications or other critical services that support children and their caregivers. During this difficult budget time, we encourage DFPS to maximize FFPSA dollars to help families at risk of having their child removed and placed in foster care. These investments will not only help families get through these difficult times, but they will also save money down the road in the budgets for CPS and other state services.

While crafting its LAR, DFPS should protect existing federal reimbursement for foster care placements by prioritizing strategies that would move children out of congregate care into family-based settings. When the FFPSA takes effect in Texas on October 1, 2021, Texas is at risk of losing federal reimbursement for its congregate care providers. The Child Protection Roundtable especially encourages three strategies:

  • Establish a kinship navigator program using FFPSA dollars to enhance support for kinship caregivers, who accounted for more than half of Texas’ placements during FY19;
  • Request funding to recruit more foster homes and anticipate increases in licensed foster homes resulting from the FFPSA requirement to align Texas’ minimum standards with the new model licensing standards, which may remove or reduce some barriers to licensure; and
  • Shift funding to Treatment Foster Family Care to serve more children with high needs in family-based settings. The Roundtable also encourages DFPS to ask the legislature to expand eligibility for Treatment Foster Family Care to older youth. Treatment Family Foster Care is only available to children under 10, and about 90 percent of children and youth in Residential Treatment Centers were 10 and older in FY19.

DFPS should also protect existing federal funding by elevating the quality of Residential Treatment Centers by requesting funds for enhanced provider rates and start-up grants to incentivize providers to meet the FFPSA’s Qualified Residential Treatment Program standards.

Federal Pandemic Emergency Assistance

We acknowledge the considerable recent and ongoing federal activity directed toward providing emergency aid and support to states in responding to the global pandemic, and we hope DFPS will take full advantage of these supplemental resources for their intended purposes as they are enacted and thereafter disbursed. Most if not all of the areas of concern addressed in this letter have been impacted by the pandemic, and our hope is that these supplemental resources will help Texas make continued progress across the child welfare system, building on the momentum of the past three sessions.

Conclusion

Thank you again for the opportunity to provide input on the DFPS LAR for the FY2022-2023 biennium and for the dedication of DFPS to the safety, health, and well-being of the children and families of Texas. We look forward to our continued partnership and a productive 87th Texas Legislature. For any questions or concerns, please contact Knox Kimberly at knox.kimberly@upbring.org or (512) 567-6929.

Partnering to Bring Family Connects to North Texas

The time around birth—whether it’s your first or fifth, you’re adopting or fostering a baby, you’ve just given a baby up for adoption, or you’ve lost your baby—is an immensely vulnerable time for all families. Parenting, however it looks for you, doesn’t come with an instruction manual. But what if it came with a study buddy? Someone who could check in on you, answer your questions, point you in the right direction, and share this moment with you?

This is Family Connects, a short-term evidence-based program in which registered nurses visit families in the first few weeks after a birth, adoption or foster care placement of a newborn, or pregnancy loss, to check in and see how families are adjusting, and connect families to community resources they need. Family Connects comes at no cost to the family and is available to all —it sets the expectation for how a community cares for its families, regardless of their personal circumstances. It is also short-term—Family Connects aims to connect families to the right services for them at the right time, rather than duplicate or replace those services. Most families only need one visit, but nurses can provide up to three visits, if necessary. All families receive a follow-up call one month after their last visit to confirm that they have connected with their referrals and  had their needs met or are receiving services.

During the home visit, a Family Connects nurse assesses the family to identify their needs. Overwhelmingly, families do need information and resources: Family Connects has found that 95% of families have at least one nurse-identified risk or need. Some parents may need help finding a pediatrician, managing postpartum depression or anxiety, or getting connected to housing or food resources. Others may need referrals to programs and services for family members or a link to support groups for parents in similar situations.

Nurses are not case managers and Family Connects does not duplicate existing services. Based on the individual family’s needs, the nurse uses a searchable database to identify a community resource or service provider, such as a diaper bank, home visiting program, or early childhood intervention, that addresses the family’s need, makes a warm handoff to a local service provider, and follows up with the family to close the loop and make sure the family was connected to the resource or service. In so doing, Family Connects strengthens the web of community resources and referrals. The data collected by Family Connects helps inform community leaders and stakeholders of emerging trends, gaps in resources, and successful connections, which can be used to make decisions about community priorities and resource allocation.

Much like Family Connects brings the community together around families, the program itself is strengthened by the partners who make it up. As TexProtects began looking for partners to support the program in Dallas, we learned that MHMR of Tarrant County and the Early Learning Alliance were also looking at bringing the program to Fort Worth. 

At this moment, we realized two critical things:

  1. Our programs may start and end at Highway 360, but our families don’t. North Texas is one community made up of not only Dallas and Fort Worth, but also Arlington, Plano, Cleburne, Forney, Frisco, Mansfield, and other cities and towns. We need to be forward thinking about how we can structure our programs to meet families where they are and how they live, rather than to easily fit our administrative structures.
  2. We are stronger when we work together. It didn’t make sense to have two separate Family Connects programs in North Texas when we could go through the process together, learn from one another, leverage each other’s strengths, and build one infrastructure that could support both counties and the region as a whole.

Since May of 2019, our Family Connects North Texas team has set itself up to provide one North Texas structure with two parallel branches—east (Dallas) and west (Tarrant). Based on a community needs assessment of North Texas, implementation began first in Arlington and Cleburne (west) in November 2019. During COVID-19, Family Connects has transitioned to providing virtual services. Isolated from their families, friends, and traditional support networks, parents are more eager than ever to receive these virtual connections.

As we all navigate this period of reopening our state and rebuilding our economy, we know there are so many competing needs, but our families must come first. We believe Family Connects can play an important role by helping new families get connected to the resources and services they need, so that parents and their newborns can get off to a strong start. As parents quickly find out, none of us can do it alone and we can all benefit from connections. Similarly, our organizations can’t do this alone. As we continue with our planning in the east (Dallas), we are grateful for the many partners who are working with us on funding and implementation planning to make a Dallas Family Connects pilot a reality.

Frontline for Children | April 2020

Where Science Meets Policy

Child Protection Research

Touchpoints for Addressing Substance Use Issues in Home Visiting: Phase 1 Report (Office of Planning, Research & Evaluation – OPRE)

 “Minimal research has focused on the ways home visiting programs can effectively engage and support families affected by substance use issues. This report describes what is known and what needs to be learned about this topic based on a literature review and review of current practices around six ‘touchpoints’ and four ‘implementation system inputs.’”

TexProtects’ Takeaway: The Family First Prevention Services Act (FFPSA) presents unprecedented opportunity to expand home visiting programs to better meet the needs of families at risk of entering the foster care system. By preventing, identifying, and addressing behavioral health, these programs can put families on a safer and more secure trajectory. With 68% of removals linked to substance use, we must do better at providing families with help before a crisis occurs.

Being Healthy and Ready to Learn is Linked with Family and Neighborhood Characteristics for Preschoolers

This brief uses a new pilot, National Outcome Measure of Healthy and Ready to Learn, to “understand how family characteristics, the activities in which families engage, and their neighborhood circumstances are associated with preschool children’s health and readiness for learning.” The authors found that strong family characteristics, healthy parents, and supportive neighborhoods all play a role in being ready to learn.

TexProtects’ Takeaway: Protecting children means supporting the families and neighborhoods in which they live! A parent’s physical health and mental health as well as the presence of anger, routine, or family strength all impact a child’s health and school readiness.

Continuity and change in the home environment: Associations with school readiness (Korucu, I. & Schmitt, S.)

“This study examined the continuity and change in the level of the quality of the home environment across ages 3 and 5 and its association with school readiness outcomes (i.e. attention regulation, language skills, social–emotional skills) at age 5.”

TexProtects’ Takeaway: The quality of the home environment influences a child’s development and learning. Even during change and instability, families with protective factors and responsive relationships can help children develop healthy social emotional skills and executive function for success in school and life.

Child Protection Policy

Top Federal Child Welfare Officials: Family is a Compelling Reason (Chronicle of Social Change)

This article, by Jerry Milner, associate commissioner of the U.S. Children’s Bureau, and David Kelly, special assistant to the associate commissioner, describes the importance of strong continued family connection for children in foster care during the COVID-19 crisis. “As we struggle to develop responses and adapt [to social distancing], we cannot forget the simple fact that children miss their parents, parents miss their children, and that absent aggravated circumstances, they deserve a fair shot to be together or get back together as soon as there is not a safety risk. Further, it is not merely a matter of longing for contact, it is a matter of healthy brain development, maintaining critical bonds, and prevention of trauma that can persist for generations.”

TexProtects’ Takeaway: Now, more than ever, we must protect and support parent-child relationships which are so primary for resilience and health. We have been presented an opportunity to innovate and reimagine systems that will better reflect our values to protect children, preserve families, and prevent trauma. May we use the teachings of this crisis to do better for our children.

The State of Preschool 2019 (National Institute for Early Education Research – NIEER, Rutgers Graduate School of Education)

In partnership with Rutgers University Graduate School of Education, NIEER covers the national state of preschool in 2019, including enrollment, access, quality, and important developments across all 50 states. The report also offers recommendations for federal and state governments to support preschool programs through the current economic crisis.

TexProtects’ Takeaway: Students are eligible to participate in the Texas Public School Prekindergarten program if they meet at least one of the following conditions: qualify for free or reduced-price lunch (185% of Federal Poverty Line), are homeless, are in foster care, have a parent on active military duty or who was injured or killed on active duty, are unable to speak or comprehend English, and/or have a parent eligible for the Star of Texas Award. Only 9% of 3-year-olds and 49% of 4-year-olds are enrolled in public Pre-K in Texas. Based on the Child Maltreatment Risk Mapping done by UT Population Health, community rates of school enrollment for 3- and 4-year-olds can be protective – one factor that may contribute to decreased risk for child abuse and neglect in a community.

Child Protection Practice

Ways to Promote Children’s Resilience to the COVID-19 Pandemic

This fact sheet explores the ways in which families and communities can jointly promote protective factors to buffer children from harm and increase their chances of adapting positively to adversities like COVID-19.

TexProtects’ Takeaway: Protective factors like meeting basic needs, social connectedness, and support for caregiver well-being may be especially difficult during COVID-19. That’s why it’s important to remember that it’s ok to ask for help. Protective factors grow with connection and support.

Frontline For Children | March 2020

Where Science Meets Policy

In light of the urgent and staggering impacts of COVID-19, this month’s Frontline for Children includes a new “Practice” section aimed at parents as they navigate new challenges with their own children.

Child Protection Research

During the COVID-19 pandemic, telehealth can help connect home visiting services to families

“Research shows that child abuse, intimate partner violence, and substance abuse increase during times of crisis, so it is now more important than ever to provide support to families who may face barriers to accessing services.” This resource summarizes research-supported technological outreach strategies for home visiting programs.

TexProtects’ Takeaway – Home visiting programs, Early Childhood Intervention, as well as physical and behavioral health services are quickly expanding their telehealth capacities in light of the challenges of COVID-19. Learnings from the field should ensure high quality adaptations that can better serve families with challenges to access both now and in the future and include cost considerations.

Scaling Evidence-Based Programs in Child Welfare (IBM Center for the Business of Government)

This report illustrates how policymakers might scale a pilot program that has been successful in its early stages, using three different child maltreatment prevention services as examples: home visiting, mental health services, and substance use services.

TexProtects’ Takeaway – As Texas develops a comprehensive and effective plan for implementation of the Family First Prevention Services Act (Family First), it’s critical that evidence from the field is considered. Successful scaling requires active and targeted support from lead agencies and sufficient resources to ensure fidelity to core quality components.

A New Way to Talk about the Social Determinants of Health (Robert Woods Johnson Foundation)

“This guide discusses why we need a better way to talk about the social determinants of health, and best practices to assist in conversation with different audiences around the topic.”

TexProtects’ Takeaway – Our health is influenced by where we live, learn, work, and play so we need to invest not only in where health ends, but where it begins! To do that, it’s essential that we communicate in ways that connect with leaders and voters across the political spectrum. This report has great advice on how to do so!

Preventing and Addressing Intimate Violence when Engaging Dads (PAIVED): Challenges, Successes, and Promising Practices from Responsible Fatherhood Programs

This report addresses how responsible fatherhood programs prevent and address intimate partner violence.

TexProtects’ Takeaway – A father’s role in promoting safety and well-being for children cannot be underestimated; however, there are numerous barriers to effective fatherhood engagement in programs that could offer support. When offering support to fathers who use violence, it’s important to help them understand the impact of violence on their children and to help them process their own trauma. Trauma-informed approaches are critical.

Child Protection Policy

Coronavirus (COVID-19) Information, News, & Resources for Child Welfare Professionals and Others (Child Welfare League of America; CWLA)

This link features tips, sample (state) policies and protocols, and resources that CWLA has collected regarding the outbreak.

TexProtects’ Takeaway – Child Welfare agencies, including our own Texas Department of Family and Protective Services, are having to rapidly respond to the changing environment as a result of COVID-19 while still ensuring child safety. TexProtects is closely monitoring and offering recommendations along the way and will continue to keep you updated on important developments and concerns as they arise.

Child Care is Essential and Needs Emergency Support to Survive (National Association for the Education of Young Children; NAEYC)

This position statement describes NAEYC’s response to COVID-19 and 10 steps for states and districts to support child care during this time.

TexProtects’ Takeaway – The COVID-19 crisis has highlighted how essential and under-resourced our early childhood systems are. Now more than ever, we need to ensure that these centers and staff are supported and protected to ensure their sustainability during this crisis and beyond it.

State Fact Sheets: How States Spend Funds Under the TANF Block Grant (Center on Budget and Policy Priorities)

“In 2018, states spent only about a fifth of the funds on basic assistance to meet essential needs of families with children.”

TexProtects’ Takeaway – In contrast, Texas only spent 6% of their TANF funds on basic assistance. TANF funds provide essential funding for not only basic assistance, but also childcare, child welfare, and Pre-K. However, the TANF block grant has been frozen since its creation and has lost 40% of its value due to inflation.

New Recommendations Released – Historic Opportunity for Reform in Child Welfare: Quality Residential Services (FosterClub)

The National Foster Care Youth & Alumni Policy Council recently released a statement with six priorities, including Quality Residential Treatment Centers (QRTP) and moving towards “a 21st Century Child Welfare System”.

TexProtects’ Takeaway – The Family First Prevention Services Act offers unprecedented opportunities to increase quality in congregate care settings. The voice of youth with lived experience should be a driving force in the process of determining the most impactful improvement to the child welfare system.

Child Protection Practice

Parent/Caregiver Guide to Helping Families Cope with the Coronavirus Disease (National Child Traumatic Stress Network)

“This resource will help parents and caregivers think about how an infectious disease outbreak might affect their family – both physically and emotionally – and what they can do to help their family cope.”

TexProtects’ Takeaway – In addition to physical health and safety, families have a unique challenge in helping themselves and their children deal with the stress of the isolation and anxiety due to COVID-19. Remember to take care of yourself, take a break, and offer yourself and your children more room to breathe and relax than normal. And stay connected! Your presence and calm will be the largest determinant of how they experience this time.

Coronavirus Resources & Tips for Parents, Children & Others (Prevent Child Abuse America)

This webpage offers tips on staying emotionally and socially connected while physically distancing during the COVID-19 crisis.

TexProtects’ Takeaway – Even when we are apart, we can get creative and stay connected to family, friends and neighbors, our culture, and ourselves. Our connections are protective and will be the ties that hold us together during challenges. Find ways to make this time fun when you can. We are in this together.

Resources for Supporting Children’s Emotional Well-being during the COVID-19 Pandemic

… research on natural disasters makes it clear that, compared to adults, children are more vulnerable to the emotional impact of traumatic events that disrupt their daily lives. This resource offers information on supporting and protecting children’s emotional well-being as this public health crisis unfolds.”

TexProtects’ Takeaway – Reassurance, routines, and regulation can do so much for supporting children’s emotional health. And remember that reactions and behaviors will likely vary depending on the day.

The Coronavirus (COVID-19) Emergency: Information and assistance for young people in and from foster care (FosterClub)

This website provides links to resources, information, and opportunities for young people who experienced or are experiencing foster care to find support during the pandemic.

TexProtects’ Takeaway – Older youth in the foster care system as well as those who have aged out are especially vulnerable during this emergency. Access to information and resources will be critical to help them establish safety plans during this time.