FOSTER CARE CRISIS
The Crisis Of Foster
Care
BY TIMOTHY ROCHE
The autopsy photo shows a
little boy who looks relieved to be dead. His eyes are closed. A hospital tube
protrudes from his broken nose. He has deep cuts above his right ear and dark
linear scars on his forehead. The bruises on his back are a succession of
yellows, greens and blues. On the bottom of his tiny feet are unhealed
third-degree burns. He had been battered and tortured. He had been tied with
panty hose and belts to a banister by the woman who had become his foster
grandmother. The state of Georgia had taken him away from his mother, then
abandoned him in the woman's care. Little Terrell Peterson had so many injuries
that the medical examiner gave up counting them. The child was six years old. He
weighed only 29 lbs. The foster-care system is not working in Atlanta.
Nor is it working in
Chicago, where a boy was beaten to death by two foster brothers who were known
to be violent. It is not working in Bibb County, Ga., where a girl with cerebral
palsy was placed in a home with a swimming pool; she was left unattended and
drowned. And children are not protected in Dallas either. There two-year-old
Joel Hernandez allegedly was beaten so severely that he had to be placed in a
body cast. Yet social workers let him stay with his parents, then never set eyes
on him--even after 15 visits to the family home brought no one to the door. All
the social workers did was send a certified letter. Joel's body was later found
in a shallow grave. His stepfather and uncle are charged with his murder.
Untimely death is often
the only occasion for the public to catch a glimpse of the foster-care system.
But there are living hells, and at times you can smell the brimstone a long way
off. At others the evils come in disguise. In Gillette, Wyo., Homer and Beth
Griswold were pillars of the community who were asked to be foster parents. She
was a psychologist, a former member of the child-protection team. Her specialty
was identifying sexual abuse. But while Beth baked Halloween cookies upstairs,
Homer was downstairs molesting two of the girls in their care. Had anyone spent
a couple of hours checking his background, they would have found previous
allegations of abuse and harassment. Homer Griswold was sent to prison, and the
girls were returned to their birth parents. "They take kids away from
someone like me who hasn't got an education and money, but they give them to
Homer?" asks a girl's father. "Now what am I supposed to do for my
baby? You know, when she came home, I didn't know how to hold her. I didn't know
if, after what she'd been through, she should sit on my lap."
Five years ago, there were
about a quarter of a million children in the country's foster-care systems.
Today that number has doubled, to between 550,000 and 560,000 children. Often
these are held hostage to abuse and neglect, to bureaucratic foul-ups and
carelessness, condemned to futures in which dreams cannot come true. President
Clinton and Congress boast of new legislation and funding to move children more
quickly from foster care to adoption. Indeed, there has been an increase in
those numbers. Many foster parents too continue to act selflessly as important
way stations for at-risk kids while their biological parents get their lives
together. However, neglect and a quagmire of child-swallowing bureaucracies
plague the system. And the incidence of neglect, physical and sexual abuse of
children in the various foster-care systems is feared to be significantly higher
than the incidence in the general population. Nobody bothers to keep an accurate
count, but in round numbers, more than 7,500 children are tortured under what is
technically government protection. Together with the many more who linger as
long as 10 years in protective-custody systems, they are America's generation of
lost children, forsaken and forgotten.
The Department of Health
and Human Services deemed its own auditing process so flawed that Secretary
Donna Shalala did not protest when Congress suspended its ability to collect
funds from states that did not meet federal eligibility requirements. State
foster-care systems are in such poor shape that case files are still hard
copy-bound. Without modern databases, tracking the fate of children remains a
maddening paper chase. "These systems should be a national scandal,"
says Marcia Robinson Lowry, executive director of Children's Rights Inc.
"In virtually every state, there is no accountability." Says Don
Keenan, an Atlanta lawyer who has sued Georgia posthumously on behalf of
children who died in foster care: "This is a meltdown. This is
critical."
It costs at least $7
billion a year, or about $13,000 a child, to care for America's foster kids. The
problem is not a single black hole but a series--each state affected with its
own distinct problems. A yearlong investigation by TIME has found the crisis
mounting in at least 20 states as lawyers file class actions asking judges to
take control of entire agencies and Governors to appoint task forces to review
child-welfare programs. Three states in particular--Georgia, Alabama and
California--show the severity of the crisis.
GEORGIA: The Boy on
the Table Terrell Peterson was young and black, like 50% of the foster-care
population. He was a victim of the crack epidemic that spawned not only a
generation of addicts but also a generation of lost children, most of whom have
found their way into the foster-care system. His mother was addicted to crack.
He had two siblings with different fathers. The state opened eight files on his
family in five years, and 21 different caseworkers from five offices were
involved in the cases. Social workers, faithful to a policy trend of placing
kids with family members, sent Terrell to the home of a woman who was the
paternal grandmother of one of his siblings. Technically she was not a blood
relative, but she was close enough.
Then they apparently
closed his case file and forgot about him. "Terrell Peterson should not
have happened," says Georgia Governor Roy Barnes. Earlier this year, he
ordered a sweeping criminal investigation into the suspicious deaths of Terrell
and 12 other foster children around the state. The boy's foster grandmother,
Pharina Peterson, has been charged with murder, along with his foster aunt Terri
Lynn Peterson and her boyfriend, Calvin Pittman. The Georgia bureau of
investigation has spent much of this year trying to determine whether the
negligence of social workers made them accomplices in the children's deaths.
Bureau agents seized more than 30,000 documents last January when raiding state
welfare offices to investigate the deaths. They believe some files may have been
conveniently lost or perhaps pilfered by people with secrets to hide.
The stories of the children and their deaths fill seven cardboard boxes. Among the dead is Octavious Sims, whose family's suspected negligence had been reported over and over to social workers before he was starved, immersed in boiling water and beaten to death three days before his first birthday. Another is Raymond Ellis, 16, paralyzed in a car accident as a toddler and in need of constant care. For years doctors had begged caseworkers to remove him from his mother's care. No one did. Raymond died of a preventable infection and pneumonia.
The files, obtained by
TIME, show a pattern of inadequate monitoring, poor record keeping and bad
decisions. In the case of Terrell, the records show that social workers skipped
home visits, missed a crucial court hearing and lied in reports that supervisors
signed but did not read.
As appalling as is
Terrell's death, the fact is that Georgia took steps years ago to keep such a
tragedy from happening. After the death of a little girl named Kathy Joe in
1997, Georgia lawmakers vowed reform. Panic over foster care produced
regulations designed to save children's lives. Until Terrell's death, however,
no one had checked to make sure the changes were enforced. "I am not here
to defend this system," says Barnes, who this year pushed for a children's
ombudsman and laws to increase caseworker accountability. "We have not made
this a high enough priority."
ALABAMA: The Perils
of Politics
CASE
David Dohilite
AGE 15 years
DESCRIPTION The rebellious
and defiant David, shown with his parents above, was taken by child welfare
officials to Eufala Adolescent Center. He returned with severe brain damage The
state system still suffers from a decade of intervention by former Governor Fob
James, a wily if obtuse politician of the old school, adept at surviving by
switching parties and baiting voters. In 1988, riding a tide of states' rights
fervor, he appointed a friend, Martha Nachman, as welfare commissioner, with a
mandate to ignore federal court-imposed guidelines on foster care. The mammoth
state agency quickly deteriorated.
Until then, Alabama had
been in the forefront of foster-care reform. It had been set on that path after
an incident in which local social workers used an unpaid utility bill to prove a
man was unfit to raise his eight-year-old son, removed the child and placed him
not in a foster home but in a psychiatric hospital, where the boy was isolated
and heavily dosed with psychoactive drugs. The American Civil Liberties Union
filed a federal lawsuit on the father's behalf. As a result, the federal court
not only remanded the boy to his father but ordered far-ranging changes in the
system.
At that point, caseworkers
did not even know which services might be available for children. They had no
way of comparing notes or logging resources. They had no flexibility in meeting
individual needs. They had no guidelines for contact between children in foster
care and their birth parents. In most cases, the rules simply forbade it. Following
the federal ruling, social workers set out to retrain, refocus and reshape the
welfare system county by county, inspiring a hands-on, more heartfelt attitude
among hardened social workers and abuse investigators. Greater emphasis was
placed on restrengthening and rebuilding families by setting up programs in
their own neighborhoods and communities in order to lessen the disruption of
children's lives. The average stay in foster care dropped from 14 months to
three. Alabama, though a rural state in the American South, won early praise for
its progressive ideas and was considered a potential model for national reform.
Then politics intervened.
James and Nachman sued to contravene the rulings, which the Governor deemed
obstructive federal intervention. A hiring freeze left social workers' positions
vacant. Nachman refused to disburse "flex funds" that the court
allowed counties to spend at their discretion, and social workers had to open
charge accounts at Wal-Mart to buy diapers and clothes for children. Nachman
later resigned amid controversy over allegations she had lied on her resume and
had withheld information from a grand jury investigating whether the foster-care
problems in Mobile were the result of criminal negligence.
By then David Dohilite,
15, had been sucked into the system. An incorrigible kid, David had rebelled
against his working-class parents in Magnolia Springs, Ala., near Mobile, in a
yet unreformed county. Under state law, parents could turn over custody of
defiant children to the department of human resources, but the agency lacked
"therapeutic foster homes" for kids more troubled than abused. If kids
threatened suicide or suffered the slightest mental disorder, they would be
bounced to the Department of Mental Health. If they had broken the law, they
would go to the agency that handles juvenile delinquents. The screening process
involved a brief interview by an intake worker.
With no other place for
David, a judge sent him to the Eufala Adolescent Center, 150 miles away, where
kids who escaped were hunted by dogs. David was kept secluded in Building 112,
locked in a 9-ft. by 6-ft. cell with metal crates as a wall and a door painted
black. Even though he talked of suicide, banged his head against the walls and
screamed profanities, staff members treated him as a behavior problem. In March
1992 a center worker found David trying to hang himself and placed him under
observation. Two days later, he tried again, using a shoestring. He suffered
severe brain damage. "Till the day we die, we'll have to take care of
him," says his father Michael, a school custodian. "There's a lot of
anger for what they allow to happen to these kids--how these kids cry out for
help and nobody answers."
Fob James was defeated in
the 1998 gubernatorial elections. But his legacy is a state of delay. Only a
third of Alabama's 67 counties have yet fully converted to the new systems
mandated by the court order.
CALIFORNIA: Private
Solutions? In the past decade, as the foster-care population has soared,
California and other states have contracted out more and more services for their
poorest children. In theory, kids should be safer because private agencies have
the flexibility and funding to deal better with children. In Los Angeles County,
for example, state-licensed foster homes had 1 caseworker for every 70 kids.
Private agencies routinely have 1 social worker dealing with only 12 to 15 kids.
But the private agencies have presented a new set of problems.
Gilbreania Wallace, a
two-year-old African-American girl, was a ward of the Grace Home for Waiting
Children, a private foster-care agency in Los Angeles founded in 1992 by former
and on-leave bureaucrats of California's department of children and family
services, as well as members of its Black Employees Association. They set up the
Grace Home, hoping a knowledgeable black staff might attract larger numbers of
African-American foster parents and work more efficiently with them.
Gilbreania was placed in
the home of Doris Jean Bennett, who was called Miss Doris. Her record was
spotty. Miss Doris, a homemaker, had seen two children in her care suffer broken
bones under questionable circumstances; an infant boy had come to the hospital
comatose allegedly after being shaken. (She convinced investigators that the
shaking occurred before she got the child.) On June 1999 she took the fatally
injured Gilbreania to a hospital, claiming she had slipped and fallen in the
bathtub. But doctors examining her discovered injuries so severe that the
child's brain had been pushed into her spine as a result of blunt trauma. She
died a week later, and Miss Doris was charged with murder.
The case helped focus
light on another potential evil of private contractors: corruption. Early on,
concern was raised over employees on leave from the department of children and
family services starting their own agency. Critics noticed the department had
quickly assigned children to the agency, a result of blatant favoritism. Thus
Grace Home was off and running, supported by county revenues. An audit alleged,
however, that the agency's director had misspent hundreds of thousands of
dollars on trips to Washington and Atlanta, as well as a six-week stay in
Africa. The director even charged the government for his subscription to Travel
& Leisure magazine. The 1995 audit found numerous safety violations in the
agency's homes: untrained child watchers, unchecked criminal backgrounds,
unsecured knives, broken glass, inoperable smoke detectors and toxic substances
within reach of children.
WHEN THE SYSTEM WORKS
CASE: Shawna Mitchell She was reunited with her four kids after working with
foster mom Norma Shaw, right, in Chicago The director's replacement was no
improvement. Although she promised a zeal for children, she also allegedly had a
zeal to spend money. Even as children in the agency's care couldn't get dental
exams and foster parents couldn't get first-aid training, Grace Home was
spending $250,000 in foster-care funds to defend a sexual-harassment suit and
gave an additional $130,000 to a board member. The books listed $6,725 in Toys
"R" Us gift certificates with no receipt. The new director gave
herself nearly $10,000 for a retroactive pay raise, car payments and bonuses.
The findings were released by auditors in July 1999, a month after Gilbreania
was beaten to death. Grace Home finally went out of business.
"A brutal
indifference has spread itself through the system," says Andrew Bridge, a
former foster child in Los Angeles who went to Harvard Law School and now heads
the Alliance for Children's Rights. He chaired a countywide panel that reviewed
the state's foster-care record. Last January it concluded that the system in Los
Angeles County operates with minimal data on its wards and a safety-monitoring
process that is random at best. Some departments are not aware of what others
are doing, so a child's safety often relies on guesswork.
"Fundamentally," says Bridge, 34, "we've come a very small
distance from the days when I was in foster care." In short, he adds, Los
Angeles County lacks the ability to know the full nature of the quality of care
foster children actually receive, "the full extent of harm children may
face in foster care and how to protect children from harm in the future."
The foster-care crisis is
a many-headed behemoth, and no single weapon has been able to defeat it.
"There are so many actors involved in the decision of what happens to the
children," says Secretary Shalala. "Different people have
responsibility for taking them away from their family. Another group of people
is responsible for placing them." Last year the General Accounting Office
issued a report on juvenile courts, finding that judges and caseworkers do not
work well together. Many judges mistrust the judgment of caseworkers and order
additional assessments "to compensate for what the judges perceive as
professional inadequacies."
The chief evil, though,
may be decentralization. While the Federal Government doles out most of the
funding, the welfare of children has traditionally been a state matter. In fact,
many states see it as such a local issue that they pass down the decision making
to individual counties. The result has been unwieldy systems that are grossly
mismanaged. Fearing that they may create bloated bureaucracies, the states
usually earmark the money for the direct care of kids, meaning monthly payments
to foster parents and salaries for social workers. In so doing, they neglect the
infrastructure. There are not enough computers, secretaries and clerks to do the
cheap paper work that consumes social workers' time. There are not enough
administrators to review the cases or think outside the box about creative
solutions. "We've grown accustomed to allowing the critical function of
caring for children to take place in an abysmal business setting," says
Anita Bock, recently hired to head the welfare agency in Los Angeles. "I'm
a fiscal conservative. I'm not interested in throwing money at the system. I'm
saying give me some flexibility."
But there is no
flexibility because the system is stretched to its limit. Some agencies have
become so desperate to place children that any bed will do. Kids are being sent
to foster homes with no forethought, and the states cannot guarantee their
safety. Furthermore, the number of kids needing foster care is exceeding the
number of families available to care for them. Even the most devoted of foster
parents are dropping out of the programs, frustrated at times by a lack of
support--as well as legal roadblocks to adopting the children if they so choose.
Meanwhile, the annual
turnover of social workers hovers as high as 70% in some states. "You can't
even run a Burger King with a 70% turnover," says Howard Talenfeld, a
Florida lawyer. Social workers have always been undertrained, exhausted and
second-guessed--so much so that some have turned to a negative kind of
creativity. In Milwaukee, for example, social workers don't answer the phone
when their caseloads are full. In other places, they simply stop visiting homes
where some children are known to be abused because death doesn't seem imminent.
They take advantage of recently implemented policies that allow them to
"waiver" a family. This means they fill out a report that says the
kids look fine--and their supervisors usually take their word for it. Multiply
this state by state and county by county, and the children barely stand a
chance.
Ten years ago, the House
Select Committee on Children blamed "weak federal oversight" for the
"extraordinary failings" of the foster-care system. It has taken the
better part of a decade to finalize the monitoring rules that will guide the
states in implementing all the new laws that have followed. Shalala, talking
about the long wait, says, "We were not after the quick political hit here.
This is not a spin operation. This is a very sophisticated, thoughtful set of
regulations that are realistic for the states." Her department,
nevertheless, missed congressional deadlines to revamp the child
welfare-monitoring system by two years. The ostensible reason: it wanted to
produce thoughtful social policy that would lead to the "most sweeping
reform of foster care in 20 years."
Despite everything, people
have managed to emerge from the foster-care system to become pillars of society.
In January a 23-month-old girl in Washington was beaten to death after a judge
remanded her, despite inadequate paper work, to her mother's care. The case so
affected Washington's reformist mayor, Anthony Williams, that he broke from his
prepared text in his State of the District speech in March to reflect on his own
life in foster care in California, where he lived untended, given up to a life
of supposed mental retardation until he was adopted at the age of three.
"Experts told my mother I would never make it." He did, but he has the
scars to prove it: a crooked smile and an asymmetric head that he believes came
from not being turned in his bed or held in an adult's arms. It is the sad
legacy of foster care that more children than ever continue to be terribly,
terribly scarred.
--WITH REPORTING BY MELISSA AUGUST/WASHINGTON, JULIE GRACE/CHICAGO, MAUREEN HARRINGTON/GILLETTE, HILARY HYLTON/AUSTIN, SYLVESTER MONROE/DAYTONA BEACH AND JAMES WILLWERTH/LOS ANGELES