Given the data from my last post, I guess one should expect the number of adoptions in MD to shrink. It’s just I would never have expected the numbers to be so dire. Seven hundred seventy-three children were adopted in 2009 from out of home placements. In the last twelve months, only three hundred fifty such children have been adopted in MD. In just a five-year span, we have cut our adoption rate by fifty-five percent. Note, this five-year span is after the economic collapse in 2008 which never hit MD as hard as other states thanks in large part to the number of federally employed residents. So what is our excuse?
Well, maybe five years is simply a bad point in time from which to start. Maybe it is the outlier for what ever reason be it recession putting more kids in care or the general feeling of needing to take care of kids in hard times of war/military deployments and monetary crunching. We should save the kids in such times right?
Maybe that good will fades some with better economic times, and we should look at 2011. This would be right before the MD legislature passed legislation to reduce the amount of money foster parents would receive if they adopt. Keep in mind foster parents adopt roughly 60 percent of the foster kids lucky enough to be adopted. In 2011, five hundred forty-two kids were adopted by families in MD. Still, that would mean we are adopting thirty-five percent fewer children now than we did just three years ago. (All of the data above can be found at Maryland Department of Human Resources)
I suspect a simple truth for why we are adopting fewer children is the new laws or MD interpretation of federal laws has made it harder for families who foster to adopt multiple children. The real question is why? If the goal is to save money, the state did manage to save 2.8% of what it was paying for foster care services, but the cost was drastically reducing the adoption rate. My guess is these savings are short-term as well because with less kids adopted, the state continues to incur administrative costs for more kids in foster care from increased case loads for social workers to increased legal fees to … One might even note the costs are already projected to rise for the next fiscal year.
Data from SUMMARY OF OPERATING BUDGET APPROPRIATIONS for each of the years listed on the chart.
Maybe the real reason for the change in interpretation was simply a mistaken belief the state could save money by making sure nobody raised adopted children as a profession. To my mind, this raises the question, “Is raising children in a loving home a terrible profession?” It certainly does not pay well as I have mentioned to my wife many times. After all, we could both work at the golden arches for more per hour than we make taking care of a medically fragile child, and that is at a foster care rate.
As a society, what are we saying when we take a child from their parents? We are saying we can and will take better care of your child than the parents are taking. We only say this when we as a society feel the parents are taking dangerously bad care of the children.
We promise to take care of the children. Part of doing so has historically meant providing stable environments for the children to grow up and create loving bonds. There are many studies on the emotional impact on young children resulting from the loss of each parental bond, and yet the state feels the results of leaving a child in their current care will be worse than the damage caused by removing them from their current parent(s) for however long is needed for the situation to change in a positive way.
The problem is our ability as a state to care for these children is quietly eroding. Currently, I see two imminent threats to our current model that is already resulting in kids moving too often between families and group homes.
The first is our ability to foster children in a family setting rather than a group home. In MD where we foster, there was an average of 5,724 kids in placements outside of their biological family home in any given month. In the last year, there were also 199 new placements per month. Only an average of 4,044 foster children were in one of the 1,596 MD foster family homes.
It would seem we need more foster homes for these children, but the yearly trend is going the other way. Last year MD netted out a loss of 11 homes in which we can raise these children. The 11 may not seem like many, but it is an average over the past year. The number discounts the more distressing recent trends where MD lost 46 foster homes in the most recent three-month time-period between March and May. MD also had less foster children taken in by family in the past year too. (Stats for last two paragraphs can be found in the most recent set of Maryland Child Welfare Services Data: http://www.dhr.state.md.us/blog/?page_id=2856)
The second problem comes from how we chose to provide long-term families to children in the foster care system. Since we started foster care, the primary goal of foster care has been to reunite the children with their biological families. Removing the children has lasting impact on children’s ability to form emotional attachments. It would seem to follow then that removing the kid from both their biological families and their long-term foster families would cause further damage. So, I was not surprised by what I learned last week from Josh Kroll with the North American Council on Adoptable Children. It seems foster families are the families who historically adopt these children 57-59% of the time nationally. Foster parents are the group most likely to adopt these children and provide them with loving stable families.
Maryland (MD) used to try to remove the financial disincentive for foster parents to adopt. By disincentive, I mean MD tried to minimize the difference between what a family is paid to foster a child and the subsidy they will receive after adoption. After all, if the state is going to pay x dollars per year to raise the child, why not try to maximize what the child gets out of the deal by giving them a long-term family. After the adoption, the state can still save on many administrative costs like courts and social workers covering the care of the child, even if the adoption subsidy is close to the foster subsidy. Everyone seems to benefit under this rational.
As of July last year, this rational changed. Now according to the Department of Human Resources Social Services Administration,” Adoption assistance payments are not intended to cover every expense the family may incur to have that child as a member of the family, but rather to offset costs, such as therapy or therapeutic activities, incurred related to the child’s special needs that are reflected in their eligibility criteria for assistance.” With this change, there is a marked difference in what many families will receive in assistance if they adopt the children in their care. Logically, fewer parents will be able to adopt out of foster care, and those who do will be less able to take in/adopt additional children. It’s worth noting from the stats above, over 5,700 kids in foster care and less than 1,600 homes means we are already depending on the foster homes to take in more than one kid. Are the families intended to be able to provide everything for these kids when they adopt the majority of those lucky enough to be adopted? Are we setting practical financial limits on the ability of the group most likely to adopt?
Josh Kroll provided some startling stories of what happens when adoption becomes expensive for the foster families. He told the story of his time working with Minnesota when foster care rates increased with cost of living increases, but adoption rates did not. Eventually, the adoption rate by foster families of kids in foster care fell to 20%, which is a stark contrast to the national historical 57-59% rate. Is MD heading in the same direction? I know J and I have been offered less than 45% of the support we receive as foster parents in an effort to force us to adopt K.
Are we living up to the promises we, as a society, make to children we remove from their biological families, and will we continue to be able to do so with our current policies?
Hands to Work, Hearts to God – A Shaker saying which fits my belief in foster care.
