How Did Child Protection Fare in the 86th Texas Legislature?

The 86th Texas Legislative Session is now history – lawmakers gaveled out to finish the session on May 27.

While this session did not see child protection take center stage the way it did two years ago (when Governor Greg Abbott named it an emergency priority), there was nonetheless important work to be done. At the beginning of the session, TexProtects laid out our top priorities, and we’re happy to report that we were successful on most of them … and made great strides forward even on issues that didn’t result in bill passage.

video capture
Senator Royce West, Representatives Tan Parker and John Zerwas and TexProtects CEO Sophie Phillips at our beginning-of-session press conference

As with every legislative session, it was a long and challenging 140 days, and we could not have done it without your help.

For our part, we provided 16 written and oral testimonies before legislative committees, registered support for 117 bills, and made 461 visits to the lawmakers’ offices.

That was bolstered by you: In response to the 12 advocacy alerts we sent out, you sent a total of 13,189 emails to lawmakers. Nothing gets a lawmaker to take action quicker than an email, call or office visit from the Texans they represent! Thank you!

Here’s our round-up of what happened with our top-priority bills:

jennifer senate finance
Public Policy Director Jennifer Lucy testifying for additional state investments in home visiting

Priority: Strengthen investments in community-based, primary child abuse prevention programs for children in their most critical neurodevelopmental years

Result: $4.3 million more in funding for Nurse-Family Partnership (NFP) and HOPES (Healthy Outcomes through Prevention and Early Support)

Attaining and maintaining legislative support for evidence-based home visiting and other family support programs is at the core of TexProtects’ mission, and yet again, we were able to reach lawmakers and convince them of how crucial it is to increase state investments.

However, this was a mixed success. While investments did increase, they were not at a level that we believe will result in meaningful change statewide. The Department of Family and Protective Services requested an additional $15.5 million and TexProtects was even bolder, asking that investments be bumped up by $30.5 million between NFP and HOPES.

In the end, HOPES only received an additional $1.5 million and NFP got an extra $2.9 million. (Please note: TexProtects does not receive any of this funding. We are an independently funded nonprofit.)

This is actually better than it could have been. The Senate’s original budget proposal added only $2 million for NFP and $0 for HOPES. However, thanks to action you took in response to our advocacy alerts, the conference committee tasked with reconciling the differences between the House and Senate versions of the budget settled on the higher amounts.

Pamela at Senate HHS 3-5-19
Vice President of Public Affairs Pamela McPeters testifying in support of SB 355, with bill author Sen. Royce West

Priority: Create a Texas strategy (via Senate Bill 355) to leverage funds from the federal Family First Prevention Services Act, thus improving coordination and effectiveness of services for children at risk of entering foster care

Result: Passage – sent to the Governor on May 26 UPDATE: will become law without Governor’s signature

When Congress passed (and the president signed into law) the Family First Prevention Services Act in 2018, it signaled a landmark shift in funding priorities for child protection. For the first time, states can take funds previously reserved only for foster care (in other words, after a family has fallen into a bad situation) and now invest them in prevention services (before a family reaches a crisis).

Although the DFPS could have begun leveraging Family First as early as September, the Department decided to hold off until September 2021. Family First places limits on what kinds of programs are eligible for funding and requires a written plan for implementation.

SB 355 authorizes the development of that strategy, and the delay will allow DFPS to build up the eligible programs.

Priority: Integrate trauma- and grief-informed practices into the school environment (via House Bill 18)

Result: Passage – sent to the Governor May 17 UPDATE: Signed by Governor Abbott, effective on December 1

HB 18 will institute training to educate school staff on the impact of trauma and empower them with practical tools to ensure that children who have a trauma history feel safe and connected at school and are able to engage productively in the classroom. Implementing trauma informed strategies can increase academic and behavioral outcomes for all students and minimize the likelihood that they will be dependent on state programs later in life. Thanks to lead author Rep. Four Price and Senate sponsor Kirk Watson for this proactive legislation.

Priority: Make available proper information to pregnant and parenting foster youth on providing safe environments for their children (via HB 475)

Result: Passage – sent to the Governor May 29 UPDATE: Signed by the Governor, effective on September 1

Foster youth who become or are about to become parents may have limited access to parenting education resources. Such a lack of information can perpetuate the cycle of child abuse and neglect. This bill directs DFPS to ensure that such youth receive information about safe sleeping arrangements, childproofing the home, methods to cope with challenging behaviors and similar parenting skills. Thanks to author Rep. Donna Howard and Senate sponsor Kirk Watson.

tan parker
HB 4183 author Rep. Tan Parker

Priority: Develop and implement a statewide strategic plan to address causes and symptoms of Adverse Childhood Experiences (ACEs), via House Bill 4183

Result: House passage, left pending in Senate Health and Human Services Committee

Increasing awareness of Adverse Childhood Experiences and the lifelong damage they can cause to both mental and physical health – as well as strategies to mitigate or prevent such damage, building resiliency in children and families – was a major priority for TexProtects this session.

We did accomplish that through a well-received press conference at the beginning of this session and in one-on-one interactions with legislators and their staff, but ultimately, we were unsuccessful in final passage of HB 4183, Rep. Tan Parker’s bill that would have implemented a cross-systems strategy for tackling ACEs.

Thanks especially to emails that you sent, HB 4183 enjoyed solid support in the House, passing on a 131-14 vote. However, once in the Senate, the bill became stuck in the Senate Health and Human Services Committee. While frustrating, it’s important to acknowledge a great truth about the Texas legislative system – it is designed to kill bills, not pass them, and there are numerous hurdles along the way.

It is not unusual for bold ideas, no matter how good they may be, to take multiple sessions before finally becoming law. We are grateful for the staggering amount of work that Rep. Parker put into crafting and shepherding this legislation through the House, and to Sen. Charles Perry for sponsoring it in the other chamber. This effort only strengthens our resolve to educate the public and lawmakers on the science of Adverse Childhood Experiences.

Thanks again for your support this session, and we look forward to hearing from you as we develop an agenda for the 87th Texas Legislature.

TexProtects applauds passage of SB 355 (re Family First Prevention Services Act)

FOR IMMEDIATE RELEASE
May 22, 2019
Contact: Lee Nichols
512-796-9877
Lee@texprotects.org

Austin, Texas — Earlier today, the Texas House passed Senate Bill 355 by Sen. Royce West (sponsored in the House by Rep. Stephanie Klick). This bill directs the Department of Family and Protective Services to develop a strategic plan for the coordinated implementation of community-based care and foster care prevention services that meet the requirements of the federal Family First Prevention Services Act.

TexProtects (the Texas chapter of Prevent Child Abuse America) applauds the passage of this bill by both chambers, resulting in SB 355 being sent to Governor Greg Abbott to be signed into law. Statement from TexProtects Vice President of Public Affairs Pamela McPeters:

We applaud the House for swiftly passing this key piece of legislation and sending it to the governor. The Family First Prevention Services Act marked a major shift in federal spending priorities, allowing money that previously was reserved solely for foster care to now be invested in crucial prevention programs that keep children from ever being removed from their families in the first place – safely protected in their homes. Senate Bill 355 will allow the state to develop a Texas strategy to leverage and maximize these funds for services that empower families to be resilient and self-reliant. FFPSA is a landmark recognition that we must support families before tragedy can occur, not just after it happens.

The Perfect Mother’s Day Gift: Home Visiting

By Sophie Phillips, CEO, TexProtects

Six Mother’s Days have passed since I’ve been with TexProtects, the Texas chapter of Prevent Child Abuse America. All were meaningful, because mothers are central to our mission, but this one deepened my perspective – it’s my first as a mother.

In our efforts to prevent trauma from abuse and neglect, TexProtects promotes and builds effective policies and programs helping new mothers and families deal with the life-changing stresses that come with newborns and young children.

Now, through seemingly never-ending late-night feedings, cries you just can’t soothe and frantic internet searches looking for answers to unanticipated questions, I understand how crucial this is. This precious little gift is a great responsibility that would be difficult to handle alone.

I am fortunate and grateful to have my husband at my side every step of the way, family nearby, a supportive church, steady income and paid leave, and good health during my life’s most meaningful and joyful, yet challenging experience. I spent years meticulously planning for this moment, including a wealth of knowledge gleaned from my career.

I thought I was prepared.

These first weeks of my baby’s life have shown me how fortunate I am. The resources and supports shown to me during this transition are not something I take for granted, because I know there are many new mothers across Texas in very different circumstances.

Some are very young. Many are alone – maybe kicked out of their homes or fleeing from an abusive situation. Some are struggling with postpartum depression or mental illness or fighting their way out of addiction. They may lack confidence, parenting knowledge, or reliable relationships to help, especially if their own parents abused or neglected them.

Abuse and neglect are cyclical. These mothers’ situations do not predetermine that their children will be abused or neglected – but they dramatically raise the odds. Helping these mothers is key to breaking that cycle.

One of the best ways to do this is through evidence-based home visiting programs. These are nonprofit programs in the community, in which a family with newborns or young children can invite a nurse, social worker or other trained professional into the home to provide support and make referrals when needed.

Home visiting has proven benefits: fewer pregnancy complications; reduced incidences of domestic violence, child maltreatment, and interaction with the judicial system; better educational and health outcomes (both for the parent and child); and a greater likelihood that the parent(s) will become or remain employed. In other words – stronger, more resilient, self-sufficient families.

The programs have another beneficiary – taxpayers. Helping these families avoid tragic situations and stay out of the Child Protective Services and foster care systems relieves pressure on the emergency services, judicial, health, and education systems.

In the current Texas Legislative session, which ends May 27, the competing House and Senate versions of the proposed Fiscal Years 2020-21 budget both have very modest increases in state investments in home visiting – but not nearly enough to substantially increase the number of families served.

Of 423,000 Texas families we estimate could benefit from home visiting, having young children with multiple risk factors, Texas currently can serve only about 15,000.

The actual need is much greater. On paper I may not look like I need home visiting, but following my son’s birth, I most certainly did. All new mothers could use some help.

With the $30.5 million legislative investment increase requested by TexProtects, we could help another 3,600 families. Home visiting programs have demonstrated returns ranging from $1.26 to $8.08 per dollar invested – failure to reach those families means lives lost and tax savings missed.

Please urge lawmakers negotiating the final budget bill to substantially increase home visiting investments. Mother’s Day shouldn’t be a reminder of traumatic childhoods or maternal inadequacies. Help us cement Mother’s Day as a celebration of strong families and abundant love for our children.

Sophie Phillips is CEO of TexProtects – Champions for Safe Children. www.texprotects.org.

This op-ed was published May 10 in the San Antonio Express-News.

Learn more:

Information about Home Visiting

TexProtects’ Agenda for the 86th Texas Legislature

Reasons I’m HOPEful…

Why are you hopeful for Texas children and families? That’s the question we’re asking as we launch our #TexProtectsHOPEful social media campaign during Child Abuse Prevention Month – and continuing well beyond April! This campaign celebrates the efforts of good people all over the state working to prevent and protect children from abuse and neglect!

We got a great answer from Michelle Heflin of Buckner International, the nonprofit that administers the Project HOPES program in Gregg, Upshur and Harrison Counties. So great, in fact, that it deserves more than just a Tweet, so we present it here as a full blog post. Enjoy!

In July 2014, I welcomed my first child into the world and quickly realized that for the past 10 years of my professional career in social services I may have been giving impractical parenting advice to parents and foster parents. It was not intentional, but when you’re in the parenting trenches and the 2am wake-up cry has you sleep-deprived, you quickly learn it’s a whole other ball game – theory versus practice.

Shortly after my initiation into motherhood, the nonprofit I work for, Buckner International (www.Buckner.org), was awarded the Project HOPES contract in September 2014 for the Texas counties of Gregg, Upshur and Harrison from the Prevention and Early Intervention Division of the Department of Family and Protective Services. We selected the Parents as Teachers home visiting (0-5 yrs.) program, which focuses on parents being the first teacher of the child through developmental milestones and school readiness.

Through the program, I found that the information delivered to families really pertained to being a new parent and parents confirmed their feeling of support by having a plan for those 2am wake-up cries. Accurate information about child development and appropriate expectations for children’s behavior at every age helps parents see their children in a positive light and promote their healthy development.

Why is parent education so important for the prevention of child abuse or maltreatment? Because having (1) Knowledge of Parenting and Child Development is just one of the Five Protective Factors within families.

The other Protective Factors include:

(2) Parental Resilience – No one can eliminate stress from parenting, but a parent’s capacity for resilience can affect how a parent deals with stress.

(3) Social Connections – Networks of support are essential to parents and also offer opportunities for people to “give back,” an important part of self-esteem as well as a benefit for the community.

(4) Concrete Support in Time of Need – Meeting basic economic needs like food, shelter, clothing and health care is essential for families to thrive.

(5) Social and Emotional Competence of Children – Challenging behaviors or delayed development create extra stress for families, so early identification and assistance for both parents and children can head off negative results and keep development on track.

There is a correlation between low Protective Factors within families and the prevalence of child abuse or neglect. If we are going to prevent or lower the child abuse rates in our communities and therefore potentially decreasing the need for children to be removed from their home, this is the key.

I’m hopeful for the children in our community because parents that engage with Buckner Project HOPES (www.Buckner.org/Project-HOPES) to increase Protective Factors have also taken on tasks of reaching goals within their family. Goals like obtaining an associate’s degree then moving onto a bachelor’s degree, securing more stable housing, moving from underemployment to a living wage and feeling better prepared to parent.

It has been my observation that many of these goals are accomplished because they first felt successful as a parent! When families are strengthened and are mutually responsible for better outcomes for their children, that is the essence of the meaning of our slogan at Buckner International: “Hope shines here.”®

For more information on Project HOPES, click here.

Tell us in the comments – why are you #TexProtectsHOPEful?

86th Texas Legislature Update: Mid-April

The 86th Texas Legislature is almost two-thirds complete. Here is the status of the major bills TexProtects is supporting:

The Fiscal Years 2020-21 Budget (House Bill 1)

Our major goal for the 86th Legislature is to secure increased investments in family support home visiting programs – specifically an additional $12 million for Nurse-Family Partnership (NFP) and $18.5 for the HOPES (Healthy Outcomes through Prevention and Early Support) program. The majority of child maltreatment occurs in the most formative years for children and 75% of child abuse fatalities over the past five years were children under age 3. Texas needs these most proven and effective programs for reducing child maltreatment for children between the ages of 0-5. Currently both the House and Senate versions of the budget fall short of those goals.

Prevention

For Nurse Family Partnership, the Senate included an additional $2 million dollars. The House, thanks in large part to the efforts of Representatives Button and Meyer, added $5.8 million dollars to NFP. For Project HOPES, however, the House only included $1.5 million new dollars and the Senate didn’t appropriate any. The differences between the two versions will have to be ironed out in a conference committee between the two chambers. House conferees are Reps. John Zerwas, Greg Bonnen, Sarah Davis, Oscar Longoria and Armando Walle; Senate conferees will soon be appointed.

TexProtects will monitor negotiations between the House and Senate and will advocate for larger investments (thus reaching more families who would benefit) in the final budget.

Child Protective Services

Overall, the House version of the 2020-2021 biennial budget includes $3.9 billion (an increase of $311.8 million from 2018-2019) in Child Protective Services funding, while the Senate version includes $3.8 billion (an increase of $271.7 million from 2018-2019).

Included in these amounts is $2 billion in the House version and $1.9 billion in the Senate version for client services programs, including foster care, adoption subsidies, permanency care assistance payments, relative caregiver monetary assistance payments, and day care. The House appropriated funds for rate increases for certain foster care providers. Both the House and Senate included $1.6 billion for CPS direct-delivery staff, including services provided through Community-Based Care. This amount includes increased funding to maintain lower caseloads for most caseworkers – the House version would reduce caseloads for conservatorship caseworkers, and the Senate version would reduce caseloads for conservatorship, kinship, foster and adoptive developmental home (FAD) and residential child care investigators. The House version expands Community-Based Care into two new regions and into stage 2, which includes case management, in Region 3B. The Senate version expands Community-Based Care into two new regions and into stage 2 in Regions 3B, 2, and 8A.

Behavioral Health Services

The House appropriated $4.1 billion (an increase of $665.4 million) while the Senate included $3.1 billion (a decrease of $275.9 million) for behavioral health services at the three health and human services agencies, which includes funding for community mental health services; mental health services for veterans; inpatient mental health services at state-owned and community hospitals; and substance abuse prevention, intervention, and treatment services.

Early Childhood Intervention (ECI)

Finally, funding for Early Childhood Intervention services totals $372.8 million (an increase of $83.4 million) in the House version for the 2020–21 biennium. The Senate appropriated $313.1 million for ECI services, representing an increase of $23.7 million.

For additional details related to the funding amounts for the Department of Family and Protective Services throughout the legislative process, please review this table.

Non-Budget Bills

HB 3718 (Rep. Tan Parker with Reps. Zerwas, Huberty, Miller, and Senfronia Thompson): This bill would require school districts and open-enrollment charter schools to implement a trauma-informed care policy (including staff training) and incorporates trauma-informed training into the existing continuing education hours teachers complete each five years. This bill is part of TexProtects’ call for a statewide strategy to mitigate and prevent trauma from Adverse Childhood Experiences and other sources of trauma. On April 11, HB 3718 was reported favorably from the House Public Education Committee, and now, it should head to the full House for a vote.

HB 4183 (Rep. Tan Parker with Reps. Zerwas, Miller, Sanford and Senfronia Thompson): This bill is key to our Adverse Childhood Experiences campaign, requiring multiple state agencies across the child protection, justice, education and health care systems to create a statewide strategy for preventing and mitigating ACEs. Testimony on HB 4183 was heard in the House Public Health Committee on April 3 and was voted out favorably on April 15.  We look forward to a House vote on the bill soon.

Senate Bill 355 (Sen. Royce West with Sens. Kolkhorst, Lucio and Menéndez): SB 355 tasks DFPS with creating a strategic plan to maximize prevention funds available through the Federal Family First Prevention Services Act. Family First marks a key shift in federal policy, allowing money that was previously reserved strictly for foster care (in other words, after a tragedy has occurred) to be directed toward programs designed to prevent children from ever needing foster care (before tragedy occurs). Funds can be used for evidence-based substance use prevention and treatment, mental health care, and in-home parenting programs to strengthen families so that children can remain safely at home. SB 355 passed the Senate on March 20 and is currently in the House Human Services Committee.

HB 12 (Rep. Sarah Davis): This bill strengthens the Early Childhood Intervention Program by streamlining processes to receive services, requiring health benefit plans to cover services, creating a tele-health pilot to increase access, and requiring the ombudsman office to collect data on complaints and make recommendations on how to improve the provision of services. HB 12 received a hearing in the House Human Services Committee on April 9 and was left pending in committee.

HB 18 (Rep. Four Price and others): In response to ongoing concerns with school safety as well as recommendations from the House Select Committee on Mental Health, HB 18 provides students and educators with training and resources on mental health and substance use. Included in this very comprehensive bill is language that would ensure that trauma-informed practices are integrated into school environments and included in teachers’ continuing education. HB 18 has made it through the House and is on its way to the Senate.

HB 474 (Rep. Donna Howard): HB 474 will expand the data that is available as part of the  foster care needs assessment to better understand where there are service gaps affecting pregnant and parenting foster youth. In addition to collecting information on prenatal, postpartum, or parenting supports for youth, it also collects information on placements that will be reimbursable under the Family First Prevention Services Act, including: licensed residential family-specialized substance use treatment facilities; qualified residential treatment programs; supervised independent living; and settings specializing in serving survivors of human trafficking. HB 474 will be considered by the House Human Services committee this week.

HB 475 (Rep. Donna Howard): Ensures pregnant and parenting youth in care receive basic parenting education and services that will help strengthen and preserve their young families. HB 475 specifically will make available to these youth information on: safe sleeping arrangements; recommendations for safety childproofing their home; methods to manage crying infants; the selection of appropriate substitute caregivers; early brain development; the importance of meeting an infant’s developmental needs by providing positive experiences and avoiding adverse experiences; the importance of paternal involvement; the benefits of reading and talking to young children; and the impact of perinatal mood disorders. HB 475 will be considered by the House Human Services committee this week.

HB 1110 (Rep. Sarah Davis): This bill expands Medicaid coverage for pregnant women from 60 days after the birth of a child to 12 months after delivery. This ensures that new mothers have access to critical health care in the postpartum period to increase health outcomes for moms and children. HB 1110 received a hearing in the House Human Services Committee on April 9 and was left pending in committee.

HB 2030 (Rep. John Turner): This bill provides that if a child is eligible for pre-K at 3 years old, they remain eligible at 4 years old. The House Public Education Committee passed a committee substitute version of the bill and reported it favorably to the full House.

HB 2832 (Rep. Dade Phelan): This bill requires the Health and Human Services Commission to work with the Department of Family and Protective Services to promote and track referrals to Nurse-Family Partnership programs. HB 2832 received a hearing in the House Human Services Committee on April 2 and was left pending in committee.

SB 708 (Sen. Judith Zaffirini with Sen. Campbell)This bill ensures that HHSC and other stakeholders have access to critical data on child safety. This bill directs the commission to collect data on caregiver-child ratios and group size standards as well as serious violations and injuries. This information will allow leaders to better understand if state minimum standards are sufficient to ensure that enrolled children are being cared for in supportive and safe environments. HB 708 received a hearing on April 16 and was left pending.

The 86th Texas Legislature is heating up

The Texas Legislature has a rule: Bills may not be considered for floor debate in either the House or Senate during the first 60 days of the 140-day session unless designated an emergency by the Governor. This allows members to spend adequate time in committee meetings vetting them.

That 60 days is up! We have reached the second half of the session and we can expect things to start moving quickly now – in fact, some of bills are already rolling along, and we could use your help with a key budget request.

  • Our key budget request – $30.5 million to expand evidence-based home visiting programs to reach an additional 3,600 families – is thus far not reflected in the budget bill. At the moment, an expansion of only $5.2 million is included in the House version. Fortunately, it is still early in the budgeting process and we will continue advocating for a much larger investment. We encourage you to do so as well by reaching out to Senate Finance Committee members. Key senators working on health and human services budget decisions include: Chair Lois Kolkhorst, Kirk Watson, Donna Campbell and Pete Flores. (For a deeper look at our budget requests, read here.)

 

  • Senate Bill 355 by Sen. Royce West, another of our top-priority bills, was passed unanimously by the Senate last week! SB 355 would lay out a Texas plan for implementation of the federal Family First Prevention Services Act, a landmark bill that will direct more federal dollars toward keeping children out of foster care. When SB 355 was in committee, TexProtects Vice President of Public Affairs Pamela McPeters testified in favor of it. Now the bill goes to the House.

 

  • House Bill 3718 by Rep. Tan Parker, which would require public schools to develop and implement a trauma-informed care policy, is scheduled for a hearing on Tuesday (March 26) in the House Public Education Committee.

 

  • House Bill 123, by multiple authors, made it out of the House Human Services Committee and has been placed on the General State Calendar for Monday, March 25. This bill will make it easier for foster children to obtain forms of state identification that are crucial for youth aging out of care.

 

  • Our Public Policy Director Jennifer Lucy spoke in support of House Bill 18, which would ensure teachers, principals and counselors are equipped with evidence-informed training on how trauma affects our students and then how to respond in ways that will de-escalate stressed responses, avoid retraumatizing our students, and create an environment of safety. The trainings also help school staff understand which students may need opportunities to access resources outside of the school setting. This supports our efforts to highlight the role of Adverse Childhood Experiences in lifetime health.

 

  • Speaking of Adverse Childhood Experiences, the bill number for Rep. Tan Parker’s legislation to study a cross-systems plan to prevent and address such experiences has been updated. In our previous communications we identified it as House Bill 822. However, after making revisions, Rep. Parker decided to reintroduce it as a new bill: HB 4183. Passage of this bill is one of TexProtects’ major goals of the 86th Legislative Session.

To get status updates on the many bills we are following or supporting this session, bookmark our Bill Tracker.

2018 Child Abuse Data Shows Deaths on the Rise

This past week, the Texas Department of Family and Protective Services made two important releases: An update of Fiscal Year 2018 Data Book information and its Child Maltreatment Fatalities and Near Fatalities Annual Report.

Below are some of the most significant numbers and trends that will be useful to you as a child protection advocate.

DFPS Data Book Trends (Fiscal Year 2018)

Between FY 2017 and 2018 in Texas:

  • The number of child abuse victims increased to 66,352 in 2018 from 63,657 in 2017. Nearly 42% of the victims were under the age of 3.
  • The number of children removed from their biological homes increased by 9.7%.
  • There were increases in the number of children placed in foster care (1.48%) and emergency shelters (4.13%), but more children also being placed in kinship care (4.06%).
  • There were increases in children entering care with higher levels of need: psychiatric (17%), intensive (17.4%), specialized (6.83%).
  • The number of families that entered Family Based Safety Services decreased by 19.8%.

Long-term trends:

  • Children entering foster care increased about 5% on average each year in the past decade.

DFPS Child Fatality Report

  • Texas had 211 confirmed child abuse and neglect-related fatalities in FY2018, an increase of 22.7% compared to FY2017 (172). 36% of the victims were infants and 69% were under the age of three.
  • The increase in child maltreatment fatalities in FY2018 is predominantly due to physical abuse fatalities which grew by 58% over FY2017.
  • In FY2018, Texas had 82 confirmed abuse and neglect-related near-fatalities, a decrease of 11.8% compared to FY2017.
  • The largest decrease was in non-fatal drownings, which dropped 33.3% compared to FY2017.
  • Vehicle-related deaths continue to decline and did so by 42% in FY2018. Examples of vehicle-related deaths include a child left in a hot car, a child unsupervised and struck by a vehicle, and a child riding in a car where the parent or caregiver driving was intoxicated or under the influence.
  • From FY2017 to FY2018 there was a 25% increase in child fatalities caused by abuse or neglect involving a parent or caregiver actively using a substance and/or under the influence of at least one substance that affected the ability to care for the child.
  • Abusive head trauma accounted for 45.1% of the total number of near-fatalities.

causes

Obviously, the increase in fatalities deeply troubles us, especially after the attention lawmakers paid to child maltreatment in the 2017 legislative session.

The 2017 session must not be viewed as an end point in the struggle against child maltreatment, but rather as a beginning. There are still profound challenges ahead in the ongoing 2019 session.

While the focus two years ago was heavily on Child Protective Services and foster care – the systems that pick up the pieces after tragedy has occurred – this session there needs to be an even greater emphasis on strengthening families before a crisis can happen.

age at death

The increase in fatalities are alarming and a call to action for greater emphasis on prevention and early intervention, especially at the youngest ages.

A combination of numbers that stands out to us:

  • Unlike fatalities that occurred the previous year, in 2018 the majority of fatalities due to abuse and/or neglect included families with no prior CPS history.
  • Additionally, the number of fatalities occurring from newborn to age 3 is on the rise, and so are the deaths caused by blunt force trauma – and those youngest ages are when children are most vulnerable to such violence, including abusive head trauma.

These are ages when new families can be under the most stress and have the least understanding of early childhood development – and the ages at which most home visiting (prevention) programs are targeted. If we can reach more of these families with home visiting and other parent education and tools, we can avert such tragic incidents.

To this end, these are TexProtects’ top priorities at the Capitol this spring:

  • Strengthening investments in community-based, primary child abuse prevention programs – specifically, a combined increase of $30.5 million toward Nurse-Family Partnership and the HOPES (Healthy Outcomes through Prevention and Early Support) Program to reach 3,600 additional eligible families
  • Developing a Texas plan to implement the provisions of the federal Family First Prevention Services Act, which would shift state investments toward services and resources that keep children out of foster care (Senate Bill 355)
  • Developing and implementing a statewide, strategic public health approach to address causes and symptoms of Adverse Childhood Experiences (House Bill 4183)
  • Implementing trauma-informed care training and policies in public schools (House Bill 3718)

TexProtects will continue to be at the Capitol, making the case for prevention to lawmakers every day, meeting them in their offices, providing them with research, and testifying in committees. Thank you for the support you’ve provided to our mission, including the emails you’ve sent to legislators this session. Check your inbox for future advocacy opportunities!

The State Budget: Building Upon Success

By Pamela McPeters
TexProtects Vice President of Public Affairs

The budget is one of the most significant responsibilities of the Texas Legislature. The Senate Finance and House Appropriations Committees of the 86th Legislature will soon be underway crafting the fiscal years 2020-2021 General Appropriations Act. As these committees work on competing interests, including school finance, Hurricane Harvey obligations and many others, it is imperative they prioritize the safety and well-being of Texas children. The child protective services system is experiencing increased pressure which requires investments to continue and build upon the progress made in the 85th Legislative Session. Pressure includes:

  • Abuse/neglect reports are projected to increase by 2.1% in FY 2020 over FY 2019 and 2.3% in FY 2021 over FY 2020.
  • Investigations are projected to increase by 2.5% in FY 2020 over FY 2019 and 2.6% in FY 2021 over FY 2020.
  • The number of confirmed findings of child abuse and neglect is projected to increase by 1.2% in FY 2020 over FY 2019 and 0.9% in FY 2021 over FY 2020.
  • Client Services Adoption Subsidies and Permanency Care Assistance caseloads are projected to grow 4.2% in FY 2020 and 8.6% in FY 2021 above FY 2019.
  • Day Care is projected to increase 7.1% children served in FY 2020 and a 13.5% in FY 2021 above the projected FY 2019 levels.
  • Purchased Client Services are projected to increase 5.0% in average monthly client caseloads in FY 2020 and 10.0% in FY 2021 above FY 2019.
  • Foster Care caseloads (FTEs) are projected to grow by 0.3% in FY 2020 and by 0.4% in FY 2021 relative to FY 2019 projected caseloads.

Below are some key priorities for funding:

#1 Expand Prevention Services (DFPS Exceptional Item 8)

Additional Details may be found on pages 534-536 of the Department of Family and Protective Services (DFPS) Legislative Appropriations Request (LAR)

$18.5 million to expand HOPES program into additional counties and increase families served from 4,660 families expected to be served in fiscal year 2019 to 7,060+ families served in fiscal years 20 and 21, an expansion of 26%.

Healthy Outcomes through Prevention and Early Support (HOPES) is a flexible, community-based approach to child abuse and neglect prevention in high-risk counties by increasing protective factors of families served. Currently serves families in 55 Texas counties with children ages 0-5 at risk for abuse and neglect. Families are commonly referred to HOPES by community organizations, clinics, school districts, or self-referral. Families generally participate in HOPES services for 3-12 months.

$12 million provide for a targeted expansion to increase the number of families served through Texas Nurse-Family Partnership from 2,725 families in fiscal year 2019 to 3,975+ families in fiscal years 2020 and 2021, a 20% increase.

Texas Nurse Family Partnership (TNFP) is a voluntary program in which registered nurses regularly visit the homes of low-income women pregnant with their first child. Families must start services with TNFP by their 28th week of pregnancy and can receive services until the child reaches two years of age. TNFP Serves expecting parents, new parents, and caregivers of children under the age of 2. Families are commonly referred by WIC, community clinics, school districts, and health plans. Families generally participate in TNFP services for two years.

In addition we have additional background on HOPES and TNFP here.

#2 Maintain Client Services (DFPS Exceptional Item 2)

Additional Details may be found on pages 516-518 of the DFPS LAR

 $79.3 million for Day Care Services to address growth for fiscal years 2020 and 2021.

Day care services for children while biological parents are receiving services to preserve the family and/or when a child is placed with a relative, along with while a child is in foster care, increase safety. These services may provide for immediate or short-term safety from abuse and neglect; prevent the child from being removed from the home; allow the child to be reunited with the family; address the developmental needs of a child whose physical, social, emotional, cognitive, or language developmental delay is a significant factor in the risk of abuse or neglect in the home; and help stabilize the family.

 $52.3 million for Client Services for children and their families starting from intake, relative caregiver homes, foster and adoptive homes and post-adoption.

These services may include evaluation and treatment services, parent/caregiver training, and substance abuse assessments and treatment (individual, family and group counseling).

#3 CPS Initiatives and Operations (DFPS Exceptional Item 5)

Additional Details may be found on pages 525-530 of the DFPS LAR

$17.8 million to support CPS initiatives including, preparation for adult living skills assessment for older youth, determine eligibility, improve permanency and other frontline staff, case management for certain youth in extended foster care, services for children post-adoption and post-permanency, and medical services staff.

In addition, funding will support case management for youth with complex needs in extended foster care, behavioral health services to promote permanency, and support medical wellbeing.

 #4 Maintain Caseloads (Exceptional Item 1)

Additional Details may be found on pages 513-5515 of the DFPS LAR.

 $106 million to maintain average daily caseloads at manageable levels for CPS Investigations (13.9 cases), Conservatorship (23.1 cases), Foster/Adopt (17.3 cases), and Kinship (31.4 cases) and reduce statewide intake hold times by about half.

Here is a side-by-side comparison of key Child Protective Services line items from the House and Senate proposed budgets. After each chamber passes its respective version of the budget, they will then have to agree on a final version to send to Governor Greg Abbott.

House Bill 1 Senate Bill 1 Difference in SB1 from HB1 DFPS LAR Base Request DFPS Exceptional Item Request
2020-21 2020-21 2020-21 2020-21 2020-21
STATEWIDE INTAKE 45,903,260 45,903,260 0 45,903,260 16,868,045
A.1.1. Statewide Intake Services 45,903,260 45,903,260 0 45,903,260 16,868,045
CHILD PROTECTIVE SERVICES 3,702,740,868 3,698,484,378 (4,256,490) 3,629,796,180 323,927,022
B.1.1 CPS Direct Delivery Staff 1,478,091,278 1,536,903,280 58,812,002 1,517,333,763 143,204,700
B.1.2 CPS Program Support 89,541,930 90,159,264 617,334 90,508,294 12,444,948
B.1.3 TWC Contracted Day Care 197,539,038 197,539,038 0 140,245,446 84,278,580
B.1.4 Adoption Purchased Services 19,563,842 19,563,842 0 19,563,842 7,056,161
B.1.5 Post – Adoption/Post-Permanency 6,976,442 6,976,442 0 6,976,420 5,854,961
B.1.6 PAL Purchased Services 17,987,420 17,987,420 0 17,987,420 386,672
B.1.7 Substance Abuse Purchased Services 16,344,380 16,344,380 0 16,344,380 24,234,694
B.1.8 Other CPS Purchased Services 78,271,948 78,271,948 0 78,271,948 10,640,296
B.1.9 Foster Care Payments 779,127,440 1,041,748,299 262,620,859 1,049,176,063 29,108,240
B.1.10 Adoption/PCA Payments 612,413,881 612,413,881 0 615,753,103
B.1.11 Relative Caregiver Payments 80,576,584 80,576,584 0 77,635,479 6,717,770
B.1.12 Community-Based Care Payments 326,306,685
PREVENTION PROGRAMS 209,424,985 209,424,985 0 209,424,985 31,242,687
C.1.1 STAR Program 48,624,721 48,624,721 0 48,624,721 9,228,000
C.1.2 CYD Program 16,845,117 16,845,117 0 16,845,117 4,083,600
C.1.3 Child Abuse Prevention Grants 6,574,786 6,574,786 0 6,574,786 800,000
C.1.4 Other At-Risk Prevention 59,179,881 59,179,881 0 59,179,881 9,955,634
C.1.5 Home Visiting Programs 63,319,104 63,319,104 0 63,319,104 5,530,800
C.1.6 At-Risk Prevention Program 14,881,376 14,881,376 0 14,881,376 1,644,663

TexProtects report, lawmakers call for statewide strategy on Adverse Childhood Experiences

FOR IMMEDIATE RELEASE
January 16, 2019
Contact: Lee Nichols
512-796-9877
Lee@texprotects.org

Photos of the press conference available upon request. See video of the press conference here.

Science Meets Policy

ACEs Uncovered: Powerful preventative strategies to promote resilience and brain health for a better Texas tomorrow

Austin, Texas — Adverse experiences early in life, known as Adverse Childhood Experiences or ACEs, can result in trauma that potentially affects the brain architecture of developing children. In 2016, an estimated 3.4 million Texas children had one or more ACE. Child maltreatment in its many forms makes up half of the recognized ACEs. Advocacy group TexProtects, Champions for Safe Children, estimates child maltreatment cost Texas over $55 billion in 2017.

A coordinated, statewide strategy across the healthcare, child welfare, early childhood education and justice systems can prevent and mitigate the impact of trauma, and equip children, families and communities with the resilience to have healthy futures.

That’s the conclusion of ACEs Uncovered: Powerful preventative strategies to promote resilience and brain health for a better Texas tomorrow, a new report by TexProtects, unveiled Wednesday at the Texas State Capitol. Flanked by Texas lawmakers, TexProtects CEO Sophie Phillips said that building a statewide collaboration will take the support of the 86th Texas Legislature.

“Chronic health problems, criminal or risky behaviors, and poor academic and workforce performance can all result from ACEs – but with the right support structures and prevention strategies, it doesn’t have to be that way,” Phillips said. “With the help of our lawmakers, Texas can build a cross-systems, preventative approach that leads to self-sufficient families, healthier children and taxpayer savings.

“TexProtects will push for this coordinated system throughout the legislative session, especially on February 12, when we will bring child protection advocates, including 125 seventh-grade students from Dallas, from across the state to the Capitol for a day of action,” Phillips added.

Katherine Snyder, Child Abuse Pediatrician for the CARE Team at Dell Children’s Hospital, provided some expert perspective on ACEs: “Stress is a normal part of life, but exposure to chronic stress has important consequences on the short and long term physical and psychological health of the child and the adult they become. Intervening as early as possible to create safe environments, healthy and protective relationships and empower healthier coping mechanisms for the child and caregiver is paramount to the overall health of the community and society.”

Phillips and key lawmakers laid out three priorities for the session, which began on January 8:
• Develop and implement a statewide strategic plan to address causes and symptoms of adverse childhood experiences (ACEs).
• Strengthen investments in community-based, primary child abuse prevention programs like home visiting.
• Improve coordination and effectiveness of services for children at risk of entering foster care.

Rep. Tan Parker, R-Flower Mound, said that the emerging science of Adverse Childhood Experiences must be thoroughly ingrained into Texas’ care of children who have been abused and neglected. On Tuesday, he introduced House Bill 4183 which will facilitate coordination of agencies in developing a statewide strategic plan.

“In the past, when children or adults have engaged in high-risk or socially unacceptable behaviors, our reaction was to ask, ‘What’s wrong with you?’ Today, we realize the better question is, ‘What happened to you?’ If the adults in their life helping them on that journey don’t understand what they’ve endured and how it still affects them, then those children have higher odds of falling short in education, in health – including mental health – and in personal relationships,” Parker said.

State Rep. John Zerwas, R-Richmond and a physician who served as Chair of the House Appropriations Committee in the 85th Legislature, spoke of the value of making prevention programs available to families:

“Evidence-based, voluntary prevention programs such as home visiting produce stronger, more self-sufficient families, and save taxpayers money. But Texas is reaching only 5% of the 423,000 families with children under 6 who can benefit from prevention services. We can do better! Investments in proven programs, such as Nurse-Family Partnership (NFP) and Healthy Outcomes through Prevention and Early Support (HOPES) prevent negative outcomes and avert costs in the criminal justice, health care and educational systems,” Zerwas said.

In its legislative appropriations request, the Department of Family and Protective Services is asking for $5.5 million to help NFP reach an additional 550 families in each year of 2020 and 2021, in turn saving Texas taxpayers over $31 million by preventing negative outcomes. DFPS is also requesting to expand the community-driven HOPES program by $9.4 million to reach an additional 1,200 families.

Sen. Royce West, D-Dallas and a TexProtects Advisory Board member, emphasized the need for the Legislature to leverage new federal funds made available by the Family First Prevention Services Act. Tuesday, he introduced Senate Bill 355 to enable this.

“Family First provides flexibility for states to use money previously reserved only for foster care and channel it toward programs that prevent children from ever being removed from their homes. But the Legislature will need to strengthen the infrastructure and effectiveness of programs eligible for Family First funds,” West said.

“Last session, the Legislature and Governor identified child abuse and neglect as a key issue and took historic steps in changing how our state deals with it. But it is critically important that state leaders and the public realize: The efforts in 2017 did not mark an end point in Texas’ fight against child abuse and neglect – it marked a beginning,” Phillips said.

Advocates wishing to RSVP for TexProtects’ Child Abuse Prevention Day at the Texas Capitol on February 12 (including a free, round-trip bus ride between Dallas and Austin) may do so at http://bit.ly/2019PCATDay.

ACEs Uncovered: Powerful preventative strategies to promote resilience and brain health for a better Texas tomorrow may be accessed any time at http://bit.ly/acesuncovered

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TexProtects, Champions for Safe Children, was created to tackle issues of Child Protective Services (CPS) reform, prevention and public awareness to bring a collective, organized voice representing the needs of children at risk of abuse and survivors of child abuse and neglect. TexProtects is the Texas Chapter of Prevent Child Abuse America. TexProtects is autonomous, nonpartisan and nonpolitical, designed to educate decision makers, private funders and the public at large. To date, it is the only Texas organization that has a dedicated focus on the main issues of protection, prevention, and healing of abused and neglected children. For more information, please visit www.TexProtects.org.