Children Placed in Foster Care Because of Substance Use Now More Likely to Go to Relatives than Non-relatives, A Report Finds

The recently updated report from Generations United, Raising Children of the Opioid Epidemic: Solutions and Support for Grandfamilies, shows that -- overall -- foster care systems are relying more on grandparents and other relatives to care for children when their parents cannot. The report includes recommendations on how to connect grandfamilies to the same supports and services that traditional unrelated foster families receive. Read the release, then see the updated report

Pediatricians Put It Bluntly: Motherhood And Marijuana Don't Mix

Kaiser Health News - August 27, 2018

More and more people consider smoking marijuana harmless or even beneficial, but mounting research suggests women who are pregnant or breastfeeding should avoid it altogether.

Published in Children's Justice Act

The Opioid Crisis and its Impact on Children

Legal Executive Institute - August 23, 2018

Although the impact on adults is tragic, an increasing number of children are also suffering, especially as opioid addiction reaches crisis levels. From birth on, these children are living with the consequences of their parents' addiction.

Published in Children's Justice Act

Medicaid Covers Foster Kids, But Daunting Health Needs Still Slip Through The Cracks

Kaiser Health News - August 24, 2018

Medicaid, the federal-state health insurance program for the poor, picks up the tab for nearly all children in foster care and often continues to cover them if they are adopted, regardless of their parents' income. And as a result of the 2010 Affordable Care Act, foster children who have Medicaid at 18 can retain the coverage until they turn 26. Yet, Croom and other foster parents say that even with the coverage they struggle to meet the extraordinary health needs of their children. Part of the trouble is too few doctors accept Medicaid, most notably mental health specialists.

Published in Children's Justice Act

CMS Initiative to Create Pediatric APMs to Address Opioid Crisis

Revenue Cycle Intelligence - August 23, 2018

The recently announced Integrated Care for Kids (InCK) initiative will require Medicaid and local providers to develop alternative payment models to combat the opioid crisis for children. To address the opioid crisis affecting children, The Centers for Medicare & Medicaid Services (CMS) intends to use the InCK initiative to support physical and behavioral health integration for the pediatric population. One in three children in Medicaid and CHIP has some type of behavioral need, but one one-third of these individuals receive care, the federal agency reported.

Also: Integrated Care for Kids (InCK) Model Fact Sheet:

Published in Children's Justice Act

Matching Service to Need: How Family Drug Courts Identify, Assess and Support Families to Achieve Recovery, Safety, and Permanency: A Practice Brief.
Children and Family Futures (Organization)
Sponsoring Organization: United States. Office of Juvenile Justice and Delinquency Prevention.

SAMHSA Child Mental Health Event Promotes Trauma-Informed Approach

Psychiatric News (American Psychiatric Association) - June 08, 2018

Mental health is essential to a child’s healthy development. That was the message highlighted this year by the Substance Abuse and Mental Health Services Administration (SAMHSA) during National Children’s Mental Health Awareness Day last month. To mark the day, SAMHSA hosted a special event at George Washington University in Washington, D.C., under the theme “Partnering for Health and Hope Following Trauma.” The event brought together governors’ spouses, senior federal officials, and organization executives representing the fields of primary care, behavioral health, and child welfare, including APA and the APA Foundation, for an interactive town hall. The event also featured trauma survivors, youth who had experienced mental illness, and their family members.

"Young people who have experienced trauma are more likely to develop mental health conditions such as anxiety, depression, and substance use disorders, McCance-Katz said. "We also know that trauma increases the probability that young people will develop physical problems like cardiovascular diseases later in life." Trauma, she said, includes adverse childhood experiences such as sexual, physical, and other kinds of abuse.

A new report by SAMHSA indicates that 82 percent of children receiving community-based mental health services have had traumatic experiences. After receiving services through SAMHSA’s Children’s Mental Health Initiative (CMHI), which addresses the needs of children, youth, and young adults with serious emotional disturbance, suicidal thoughts among those who experienced trauma decreased by 68 percent, and suicide attempts decreased by 78 percent. In addition, the number of arrests declined while school attendance and performance improved.

“Evidence-based, trauma-informed care models such as those supported by SAMHSA are effective in improving outcomes for children and youth,” McCance-Katz said.



Also: Improving Life Outcomes for Children with History of Mental Health Challenges and Trauma (Press release):

Also: Helping Children and Youth Who Have Traumatic Experiences (SAMHSA report):

Published in Children's Justice Act

This guidebook was created through a partnership with Louisiana Department of Children and Family Services and Louisiana Department of Health. The State of Louisiana has participated in several policy academies, consortia and innovative projects to help guide the integration of behavioral health services into physical health in order to enhance services and improve patient care. Louisiana's participation in the Center for Medicare and Medicaid Services Innovations Accelerator Program for Substance Use Disorders (IAP/SUD) is just one example of a collaborative effort for stakeholders to come together to address substance use disorders (SUD) and related conditions.

This Toolkit has been approved the the Louisiana Perinatal Commission, which will serve as a partner for statewide dissemination and integration into future projects and initiatives. 

This guide is intended for use in medical settings, but may have a broader use as a reference guide.

Link to Toolkit: 

Published in Children's Justice Act

 The 20th in a series, this report presents a set of 41 key indicators that measure important aspects of children's lives. It draws on various overarching frameworks to identify seven major domains that characterize the well-being of a child and that influence the likelihood that a child will grow to be a well-educated, economically secure, productive, and healthy adult. The seven domains are family and social environment, economic circumstances, health care, physical environment and safety, behavior, education, and health. This year’s report contains a special feature that uses teacher- and student-reported data from the Early Childhood Longitudinal Study, Kindergarten Class of 2010–11 (ECLS-K:2011) 3rd-grade collection to describe student victimization of peers at school. Findings from the report indicate: there were 73.6 million children ages 0-17 in the United States in 2016, 1.2 million more than in 2000; in 2016, 69% of children lived with two parents, 23% lived with only their mothers, 4% lived only with their fathers, and 4% lived without a parent in the household; between 1980 and 2015, the percentage of all births to unmarried women increased by 22% to 40%; in 2016, 22% of children were native-born children with at least one foreign-born parent; between 1980 and 2015, the birth rate among adolescents declined from 22 per 1,000 to 10 per 1,000; there were 24.3 maltreated children per 1,000 children under age 1 in 2015, more than twice the rate of any other age group; 20% of children lived in poverty in 2015; only 5% of children in 2015 were without health insurance; and in the spring of 2014, about 6% of 3rd-graders were identified as perpetrators of peer victimization. 173 references and numerous tables and figures. 

Printable version (PDF):

Published in Data & Technology

Low-income families face significant challenges navigating both low-wage employment or education and training programs and also finding good-quality child care. Programs that intentionally combine services for parents and children can help families move toward economic security and create conditions that promote child and family well-being. Although these programs in general are not new (see Background), policymakers and program leaders are now experimenting with innovative approaches to combining services. Yet, most currently operating programs, sometimes called “two-generation” or “dual generation” programs, have not yet been rigorously evaluated (Chase-Lansdale and Brooks-Gunn 2014). We conducted a targeted review of publicly available documents and literature. This scan aimed to identify common features of programs operating as of early 2016 that offer integrated services to support both family economic security and child development and well-being (see About This Project). This brief presents the results of the scan related to six key questions:

1. How did programs develop?

2. How mature are these programs?

3. Whom do these programs serve?

4. What services do programs provide to adults and children?

5. How do programs engage both parents and children?

6. How do programs fund their services for parents and children?


Read the full report, click here.

Features of Programs Designed to Help Families Achieve Economic Security and Promote Child Well-being.
OPRE Report #2017-49
Sama-Miller, Emily. Baumgartner, Scott.

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