SB 528: Supporting Parenting Youth in Foster Care WEB SEMINAR/WEDNESDAY, APRIL 3, 2013 Information to Participate Call-in number is 702-489-0004 and access code is 754-235-388. To submit live questions, click on the “Questions” panel, type your question, and click “Send” Presentation materials and audio will be posted at www.johnburtonfoundation.org Today’s Presenters Amy Lemley, John Burton Foundation Jody Green, Children’s Law Center Barbara Facher, Alliance for Children’s Rights Mara Ziegler, Public Counsel Martha Matthews, Public Counsel Alicia Lewis, Office of Senator Leland Yee What are the goals of SB 528? Greater knowledge of sexual development and reproductive health among foster youth Fewer unintended pregnancies and subsequent pregnancies Earlier access to prenatal care Fewer children of parenting foster youth maltreated and placed into foster care Higher levels of educational attainment among parenting foster youth Higher levels of engagement among young fathers in their children’s lives Better data on parenting youth and their children in California What does California do for parenting youth in foster care? Infant Supplement ($441/month) • Paid to caregiver with exception of SILP Whole Family Foster Home • Established through SB 500 • Strong model, limited implementation Different individual approaches by county Why is it urgent to change our practice NOW? AB 12 extended foster care to age 21 By age 21: • 3/4 young women in foster care will have experienced a pregnancy • 1/2 will be custodial parents to at least one child Children of parenting foster youth are five times more likely to have spent time in foster care than the children of same-aged mothers in the general population Four Key Provisions of SB 528 1. Access to information about sexual development & reproductive health 2. Improved planning through specialized conferences 3. Access to subsidized child care 4. Requirement to collect data on parenting and pregnant youth and their children Sexual Development & Reproductive Health Education Provision #1 Lack of clarity about who is responsible for educating foster youth about sexual development & reproductive health In a survey of California social workers: • 23% regularly provide this information to young men • 34% regularly provide this information to young women • only 1/3 reported discussing prevention issues with half or more of the youth they serve Programs for the general teen population are inadequate California's Investment in Teen Pregnancy Prevention ($millions) 50 46.4 45 40 35 30 25 20 12.9 15 10 5 2007-08 2011-12 0 This has resulted in 94% decline in total participants served by all teen pregnancy prevention programs Lack of information contributes to high rates of pregnancy Teen girls in foster care are 2.5 times more likely to become pregnant by age 19 than those not in foster care 3/4 young women in foster care report being pregnant at age 21 as compared to only 1/3 of those in the general population More than half of the young women and nearly one-third of the young men in an Illinois study had at least one child at age 21, as compared to 24% of women and 12% of men of the same age in the general population How will SB 528 help? SB 528 would ensure: all dependent children ages 12 and older are informed of their rights to receive these minor consent health services all dependent children ages 12 and older have access to these minor consent health services as needed all dependent children receive age-appropriate, medically accurate information about sexual development, reproductive health, and prevention of unplanned pregnancy and sexually transmitted infections on an ongoing basis SB 528 Minor Consent Health Services: Diagnosis and treatment of sexual assault Prevention or treatment of pregnancy Prevention or treatment of infectious, contagious, and communicable diseases Mental health services Treatment of alcohol and drug abuse Important clarification: SB 528 requires the social worker to ensure minor consent health services and access, but does not require the social worker to provide it. Who could? Public health nurse Community based organization Health outreach worker Foster parent FFA social worker Improved planning through specialized conferences Provision #2 Modeled after current practice in Los Angeles County Began in 2008 Voluntary; estimated 95% of youth elect to participate 150 conferences held in last 12 months Social workers from Alliance for Children’s Rights and Public Counsel serve as advocates for teen parents Children’s Law Center of California conducting evaluation Pregnant youth in foster care often do not receive timely access to prenatal care A survey of child welfare workers in California found that on average, only 1 in 5 child welfare workers thought that it was their responsibility to refer a pregnant youth for prenatal care An Illinois study found that 22 percent of youth did not receive any prenatal care during the first six months of their pregnancy Late access to prenatal care is associated with poor birth outcomes, including prematurity, birth defects and maternal depression Youth also receive inadequate information about preventing subsequent pregnancies In a survey of child welfare workers in California, only half stated that they regularly discuss preventing subsequent pregnancy with foster youth who were pregnant 30% of female foster youth who have been pregnant will experience a second pregnancy before age 21 Subsequent pregnancies have serious implications An Illinois study found… Each additional child increased the odds of having a child placed in foster care by 54 percent Each additional child reduced the odds of having a high school diploma or GED by 45 percent Early results of PPT conferences in Los Angeles →Earlier referrals to prenatal care →Proactive consideration about how pregnancy may affect placement, pre and →Timely referrals to evidence-based Nurse post-birth Family Partnership or other home visitation program →Access to parenting classes and child development/early intervention services →Social and emotional support for the youth →Access to information about infant care →Access to information about preventing and subsidized child care subsequent pregnancies →Increased involvement of youth fathers →Increased knowledge about available maternal and child resources →Linkage to other relevant resources (e.g. substance abuse treatment, family law →Improved planning about how pregnancy services, advice on outstanding tickets, etc.) will affect school How would SB 528 implement these conferences? Provide access to social workers or resource specialists trained on the needs of teenage parents and available resources Offer youth a specialized conference Update youth’s case plan within 30 days of disclosure of pregnancy Conference would include family members, other supportive adults, trained social worker, resource specialist, and it may include public health nurse, community health worker or other personnel from public or private sectors with comprehensive knowledge of available maternal and child resources, including public benefit programs. No penalty if the youth is unable or unwilling participate in the specialized conference Improving access to subsidized child care to promote education Provision #3 We know parenting foster youth are often academically delayed before they give birth: Over forty percent of parenting foster youth scored in the lowest quartile on basic math and reading tests in eighth grade The mean grade-point average for parenting foster youth in ninth grade was 1.35 for females and 0.96 for males This trend continues once they become parents High School Diploma or GED by Age 21 100% 89% 90% 77% 80% 70% 60% 51% 50% 40% 30% 20% 10% 0% Teen parent Non-parenting foster youth General population Subsidized child care is out-of-reach for parenting foster youth Percent who are receiving or have applied for subsidized child care 19% 20% 18% 16% **Data from SOC 405E 14% 11% 12% 10% 9% 8% 4% 6% 4% 2% 0% January 2009 to December 2009 January 2010 to December 2010 January 2011 to December 2011 January 2012 to December 2012 How will SB 528 help? SB 528 would ensure: parenting youth are not absent from school because of a lack of reliable, affordable child care parents who are foster youth would be added as a priority population to the current system of subsidized child care Require the collection of data on parenting and pregnant youth Provision #4 In California, we cannot answer the following questions: →How many parenting youth are in foster care? →Where are parenting foster youth placed? →How many are young men vs. young →Is there racial disproportionality women? among parenting foster youth? →How many of their children have been →How do they fare relative to nonremoved and placed into foster care? foster youth in AB 636 measures and federal outcome measures? →What part of the state experiences higher rates of parenting teens? Other states have this information… Profile of parenting youth in Illinois: Long foster care stays: Over half of the females and two-thirds of the males had been in care for 7 years or more. Disproportionately African American: A full 86 percent of pregnant and parenting foster youth were African American. Disproportionately disabled: One-quarter of females and 30 percent of males were identified as having some sort of disability. More likely to be placed with a relative: The most common first placement for a parenting youth was with a relative. Runaway history: One-fifth of females and one-quarter of males had run away from placement. Age: Mean age was 17.8 years old; one-quarter were 15 or 16 when they first gave birth. …and use it to improve services for parenting foster youth & their children Illinois provides pregnant and parenting youth with: →family planning →mental health and drug and alcohol counseling →parenting education and support →prenatal and post-natal care →child care and crisis intervention These services are provided by a private child welfare agency that created a network of providers in five regions of Illinois Attention to the needs of parenting youth resulted from a class action law suit These investments can help parenting foster youth and their children. Illinois is closing the educational gap among its parenting foster youth. The rate of high school or GED completion rate among IL mothers in foster care at age 21 is 71 percent. This is only slightly lower than the rate for non-parents in foster care (77 percent) and considerably higher than the rate experienced by teen mothers at age 21 (51 percent). How will SB 528 help? SB 528 would require: the new CWS/CMS database to include a mandatory field that will track parenting youth and their children the State to develop interim procedures until the new system is developed in 2017 Where is SB 528 in the legislative process? Senate Human Services Committee Senate Education Committee Senate Judiciary Committee Full Vote of Senate Senate Appropriations Committee If successful, then off to the Assembly! Will you help make SB 528 a reality? Submit a letter of support Sample letter can be found at John Burton Foundation website under Projects Submit ASAP! Visit legislators on Monday, April 22nd Email Simone Tureck at [email protected]foundation.org Visit your Senator or Assembly Member in the district Write an op-ed Visit the www.johnburtonfoundation.org for support material QUESTIONS or COMMENTS? To submit live questions, click on the “Questions” panel, type your question, and click “Send” or contact Angie Schwartz, Alliance for Children’s Rights Jody Green, Children’s Law Center Amy Lemley, John Burton Foundation Martha Matthews, Public Counsel Sources Midwest Evaluation of the Adult Functioning of Former Foster Youth: Outcomes at Age 19 Midwest Evaluation of the Adult Functioning of Former Foster Youth: Outcomes at Age 21 Pregnant and Parenting Foster Youth: Their Needs, Their Experiences (2009) “Sex Education and Reproductive Health Needs of Foster and Transitioning Youth in Three California Counties” by Wendy L. Constantine, BA. Petra Jerman, PhD, MPH, Norman A. Constantine, PhD of the Public Health Institute, March, 2009 “Teen Pregnancy Prevention in California after State Budget Cuts” by Jan Malvin, Ph.D. of the Bixby Center at the University of California San Francisco, February 201 State of California 405: Exit Outcomes for Youth Aging Out of Foster Care Quarterly Statistical Report (January to December 2012) Teen Childbearing, Education and Economic Well-Being, The National Campaign to Prevent Teen and Unplanned Pregnancy, July 2012.