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Missing Elements in Child Welfare Systems of Care.

Paul Block1,2,3, John Farley4, Robert Kinscherff5

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Children at risk can often be safely cared for in community settings with individualized services. Proper evaluation and clear criteria are essential for restrictive placements, ensuring children

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Area of Science:

  • Child Welfare
  • Public Health Policy
  • Legal Medicine

Background:

  • Litigation against the Office of Refugee Resettlement (ORR) highlighted issues in child placement.
  • Concerns raised include improper retention and restrictive placement of children, particularly those with disabilities.

Purpose of the Study:

  • To present conclusions from an expert report on the care of children at risk for restrictive placements.
  • To inform regulators, advocates, and families on improving decision-making for children's systems of care.

Main Methods:

  • Analysis of an expert report prepared for litigation.
  • Review of claims regarding the Office of Refugee Resettlement's (ORR) child placement practices.

Main Results:

  • Children can often be safely managed in least restrictive, community-based settings with appropriate services.
  • Restrictive placements require specific determinations that lower levels of care are insufficient.

Conclusions:

  • Individualized, evidence-based services are crucial for effective child welfare systems.
  • Systems of care must have internal mechanisms for evaluating decisions and promoting least restrictive settings.