When low-income parents enroll in Medicaid through the Affordable Care Act (ACA) state expansion program, their children have considerably better odds of receiving annual preventive care pediatrician visits, according to a new analysis by the University of Pittsburgh Graduate School of Public Health and Johns Hopkins University.
This “spillover effect,” explained in a study published online today and scheduled for the December issue of the journal Pediatrics, demonstrates that the potential benefits of Medicaid expansion extend beyond the newly covered adults.
“These findings are of great significance given the current uncertainty surrounding the future of the ACA and Medicaid expansions authorized by the law,” said senior author Eric T. Roberts, Ph.D., assistant professor in Pitt Public Health’s Department of Health Policy and Management. “Lawmakers crafting policy proposals that could curtail Medicaid benefits or eligibility should recognize that such efforts would not just limit the receipt of health care services by low-income adults, but also by their children.”
The ACA provided states the opportunity to expand Medicaid coverage to all low-income people at or below 138 percent of the federal poverty level. So far, 31 states and the District of Columbia have expanded Medicaid coverage.
Roberts and his colleagues identified 50,622 parent-child pairs from data collected in the 2001 through 2013 Medical Expenditure Panel Surveys, a nationally representative survey administered by the U.S. Department of Health & Human Services that includes detailed information on family structure and demographics, including health insurance status and health care use.
They discovered that children of parents who had recently enrolled in Medicaid had a 29 percent higher probability than children of unenrolled parents of receiving their well child visit, which is recommended annually for children age 3 and older, and more frequently for infants and toddlers.
During the visits, the children are examined for growth and development and given immunizations, and their caregivers are guided on proper nutrition and child behaviors. Studies have shown that children who get well child visits are more likely to receive all their immunizations and less likely to have avoidable hospitalizations. The U.S. has persistently low rates of well child visits, particularly in low-income families.
“There are many reasons that parental Medicaid coverage increases the likelihood of well child visits for their children,” said Roberts. “It could be that insurance enhances the parents’ ability to navigate the health care system for themselves and their children, increasing their comfort in scheduling well child visits. Medicaid enrollment could be a sort of ‘welcome mat,’ in which eligible but previously uninsured children are enrolled after their parents gain coverage. It also could be that parental Medicaid coverage frees up more money to provide preventive services to their children, because even copays can be a deterrent to medical care among low-income people.”
Maya Venkataramani, M.D., is lead author on this research, and Craig Evan Pollack, M.D., M.H.S., is a coauthor. Both are from the Johns Hopkins University School of Medicine.
Getting Care Right for All Children – Free Online Course
Join over 5,000 learners from across 172 countries who now understand just how important the UN Guidelines for the Alternative Care of Children are when caring and protecting vulnerable children.
Now is your chance to register to be part of this FREE global online course. Starting on 19 February, it is open to everyone who is interested in or responsible for children’s care and protection.
It only takes a maximum of 4 hours a week to take part in this six-week truly interactive course. Allowing you to learn wherever and whenever it suits you.
By the end of it, you’ll better understand the key principals, pillars and implications of the UN Guidelines. You’ll also connect and learn from people throughout the world.
What to expect?
During this course, you’ll have access to a mixture of learning materials including:
- A film following a family moving through the care system.
- Filmed lectures, articles and reports from world leading experts.
- Online discussions to debate, ask questions and share opinions.
Course materials delivered in English, with some course materials available in French and Spanish. Don’t miss your chance to take part!
This course is designed for practitioners and policymakers from both state and non-state bodies (such as NGOs, CBOs and private service providers) and anyone working in providing services around children’s care.
This might include social workers, para-social workers, community support workers, lawyers, psychologists, child protection professionals, teachers, medical workers and care workers, including those in family-based and residential settings.
The course will also be accessible for people not working directly in this field and others with an interest or responsibility in the field of child protection and child care.
The course will be conducted in English with some course materials (including text and videos) also accessible in Spanish and French, reflecting the truly global nature of this issue.
What previous participants said:
‘I really enjoyed this course and gained a lot from what has been shared in articles, videos and other learners’ posts. This has already impacted my work.’ – Participant from Togo
‘I have learned so much about what happens in other countries around the world. I will continue to reflect on my current practice.’ – Participant from Swaziland
To get access to this free resources, sign up here.
Tracking the Impact of Early Abuse and Neglect
Children who experience abuse and neglect early in life are more likely to have problems in social relationships and underachieve academically as adults.
Maltreatment experienced before age 5 can have negative effects that continue to be seen nearly three decades later, according to a new study led by Lee Raby, an assistant professor of psychology at the University of Utah.
“It is not a controversial statement to say abuse and neglect can have harmful consequences,” Raby said. “This study adds to that by showing that these effects are long term and don’t weaken with time. They persist from childhood across adolescence and into adulthood.”
The journal Child Development published the study. Co-authors are: Glenn I. Roisman and Madelyn H. Labella, Institute of Child Development, University of Minnesota; Jodi Martin, Department of Psychology, York University; R. Chris Fraley, Department of Psychology, University of Illinois at Urbana-Champaign; and Jeffry A. Simpson, Department of Psychology, University of Minnesota.
Raby said his team wanted to know two things: Does maltreatment early in life have long-term associations that extend into adulthood and do those effects remain stable or weaken over time?
The researchers used data from the Minnesota Longitudinal Study of Risk and Adaptation, which has followed participants since their births in the mid-1970s. The U study looked at data on 267 individuals who had reached ages between 32 and 34.
Information about the participants’ exposure to physical abuse, sexual abuse and neglect was gathered from multiple sources during two age periods: 0-5 years and 6-17.5 years. Throughout childhood and adolescence, teachers reported on the children’s functioning with peers. The children also completed standardized tests on academic achievement. The participants were interviewed again during their 20s and 30s, during which they discussed romantic experiences and educational attainment.
Unlike studies based on adults’ retrospective accounts of their childhood experiences, the data used here were collected in real-time. In addition, because data on the participants has been collected throughout their lifetimes, the researchers were able to disentangle the effects of maltreatment that occurred in their early years from experiences of abuse and neglect during later childhood.
“The design allows us to ask our two questions in a way no other study has before,” Raby said.
Raby said the findings showed those who experienced abuse or neglect early in life consistently were less successful in their social relationships and academic performance during childhood, adolescence and even during adulthood. The effects of maltreatment did not weaken as the participants got older.
“The harmful effect of early abuse and neglect was just as important when we were looking at outcomes at age 32 years as when we looked at outcomes at age 5,” he said.
The researchers found abuse and neglect in later childhood also impacted these competencies in adulthood, but that later maltreatment did not fully account for persistent and long-term influences attributed to abuse and neglect experienced in early childhood. They also found long-term difficulties with social functioning — but not academic achievement — occurred independent of such factors as gender, ethnicity and early socioeconomic status.
“These findings add more evidence for the importance of identifying high-risk families and attempting to intervene before experiences of abuse and neglect occur,” Raby said.
Bipartisan Task Force Hosts Discussion on Effects of the Opioid Epidemic on the Child Welfare System
The Congressional Caucus on Foster Youth and the Bipartisan Heroin Task Force teamed up to host a dinner highlighting the effects that the opioid epidemic has had on the country’s child welfare system. This epidemic has impacted countless lives throughout the country and has already had a specifically insidious impact on children.
“The opioid crisis is devastating families and our already over-burdened child welfare system,” said Rep. Karen Bass, Co-chair of the Congressional Caucus on Foster Youth. “We have learned so much from the crack cocaine epidemic and how it affected those in the child welfare system. Now, we have to apply those lessons to the epidemic at hand. Last night’s bipartisan dinner was a step in that direction and I look forward to working with my colleagues in both caucuses that participated tonight on this incredibly important issue.”
More than 20 Members of Congress from the two caucuses came together Tuesday night to work with experts — individuals who grew up in the child welfare system and individuals who have dedicated their life’s work to children in the child welfare system — to identify tangible ways Congress could assist the overflowing child welfare system and also take meaningful action in bringing this epidemic to an end.
“I was pleased to join my colleagues last night at a bipartisan dinner that addressed our country’s opioid epidemic,” said Rep. Marino, Co-chair of the Congressional Caucus on Foster Youth. “This epidemic has affected countless children in the foster care system and it is up to Congress to come together to find a solution to end this horrible tragedy in our nation. I look forward to having more productive discussions on this issue and will continue to work tirelessly with Congress to ensure that our children are protected from this crisis.”
Ideas presented ranged from reforming law enforcement’s ability to respond to on-scene overdoses, to overhauling relapse protocol in court orders, to creating an entire cabinet position to address the issue of drug epidemics in our country. Experts and Members were quick to caution that there will be no one quick fix to this expansive issue, but agreed that conversations like the one held last night will bring us closer to a better future for these communities affected by this epidemic.
“The opioid epidemic has had a devastating impact on communities in New Hampshire and across the country,” said Congresswoman Kuster, the founder and co-chair of the Bipartisan Heroin Task Force. “That impact has been acutely felt by families and children who so often bear the brunt of substance use disorder. I’m pleased that the Bipartisan Heroin Task Force and the Congressional Caucus on Foster Youth have come together for this constructive conversation about how we can better support children as we take on the opioid crisis.”
“The opioid epidemic continues to destroy communities and families across my home state of New Jersey and throughout our nation,” said Republican Chairman of the Bipartisan Heroin Task Force, Congressman MacArthur. “More and more children are ending up in foster care because of this crisis and straining our already burdened child welfare system. I’ll continue to work with my colleagues on the Bipartisan Heroin Task Force and the Congressional Caucus on Foster Youth to combat the opioid crisis and help children impacted by it.”
The dinner featured three panelists, all of whom have been directly impacted by the child welfare system, addiction or both. Linda Watts serves as the Acting Commissioner for the West Virginia Department of Health and Human Resources and provided detailed analysis regarding her work at both an administrative level as well as in the field.
Angelique Salizan is a former foster youth who is currently serving as a legislative correspondent in United States Senator Sherrod Brown’s D.C. office and a part-time consultant for the Capacity Building Center for States, an initiative of the Children’s Bureau. China Krys Darrington has been a trainer for the Ohio Child Welfare Training Program since 2010 and a provider of Recovery Support Services through XIX Recovery Support Services since 2007.
How to Support Foster Children
When you choose to become a foster carer the rewards can be great. Supporting a child through a difficult period in their life, watching them grow and develop into a well-rounded individual; it’s understandable why so many choose to pursue this worthwhile vocation.
However, as with any profession, it does come with some downsides. Primarily helping some children to cope with the trauma and stress that being in foster care can evoke.
So, how can you best support a foster child in a meaningful way? One that will be beneficial to the both of you.
Feeling like the most overlooked member of society can have a damaging and long-lasting effect on foster children. Meaning that the simple act of offering them an ear to vent their worries, experiences or anything at all can be extremely positive. It establishes you as a point of reason in their life.
You can’t always solve the issues that are brought up during these moments. Nor should you try, but it is worthwhile simply being there to hear. Because, at the end of the day, your foster children deserve to be listened to.
Birthdays. Christmas. Halloween. Important events can often go overlooked as a foster child. So, taking the chance as a foster parent to celebrate these milestones – no matter how little or big – can be the change that a child needs. Simple things such as helping put up a Christmas tree could be a moment they will remember for a long time to come.
And at the end of the day events like Halloween and Birthdays are fun – something every child needs a little more of in their lives.
Your support is vital, but often the support of peers can also be invaluable for the wellbeing of those children in foster care. Setting up playdates – even for older children – can be a great way to help them interact and enjoy time with children their own age.
Older children or teens may be unreceptive to you making playdates for them. But, arranging ‘coincidences’ of kids their age coming over can always be an alternative solution. What they don’t know…
This can also be beneficial for any of your own children that may also be in the house. A disgruntled foster child can be a distressing presence in the home, so balancing this out with a familiar friend and playmate is often needed to offset this. All of the children in your home can benefit from socialising with others both in and outside your own home at times,
Sometimes life can get a little too much when you are forced to come and go through a number of foster homes, which is a reality for many foster children. A day out – not even an expensive day out or holiday – can be a bright spot in an otherwise overcast moment in their lives. The zoo, beach, museum and even the park can be an adventure.
It’s not always clear what a child is going through, nor will they always express their emotions in healthy ways. Removing them from the environment which creates these feelings can be a relief in many cases.
Help with School
On average, foster children tend to do worse academically and behaviour wise in school than other children. The reasons are often self-explanatory, but it is something which you can positively influence whilst they are under your care.
Helping with homework, actively engaging with teachers over what you can do further to help and encouraging after-school activities are some ways to do this. Goals should be set, but ensure they are realistic and rewarded when surpassed.
Overall, being a foster parent is a big task but one that can bring so much enrichment to a child’s life. As a solid figure in their life, you can help ensure the rest of their life is more positive than the start. Supporting a foster child can be a challenge, but that makes it all the more rewarding when you see a positive effect on the life of a child.
Systems Perspective and the Myth of the Self-Made Man
As a social worker, we spend a good deal of time looking at systems, and systems work means we can’t only focus on what’s “wrong” with the individual in our office. Our focus can’t simply be what can this person do to move toward more emotional happiness? We need to always be considering how living in the world and engaging in relationships with other systems and other people play a large role in what this client does, how they think, and how they feel.
My job isn’t to just locate the unhelpful belief my client has about their self-esteem or retrain how they respond to a negative thought. When doing systemic work—even with just one person—I need to look at how race, ethnicity, age, sexuality, and gender play a role in my client’s life. I need to look at how that client’s family system, school system, government system, community systems, and more played a role in shaping my client.
As basic as this is, it’s important to note that It’s a fairly un-American way of going about things.
The Big Lie of Individualism
We’re taught that we should hold up the self-made man. We celebrate that guy to no end in movies, plays, songs, and stories. It’s our enduring myth.
We, social workers, see the monstrosity in that idea—pleasant and attractive though it is. We know that human beings can only grow and thrive within relationships, not apart from them. We know that nothing is self-made. We know that we are working from day one of life to attach to others.
We need to push back on the “self-made man” myth because it’s racist. It’s sexist. It’s heteronormative.
And it’s killing us.
And since I work mostly with men I want to be very direct because it’s literally killing us as the suicide rate for men is incredibly high: five times greater than for women. And we apply words like “strong” and “hard” when we’re describing masculinity? Something is missing. The weaker sex, the special snowflakes, are the ones who are supposed to need help. Not us.
Social workers disagree about many things and we have lots of ways we think are the best way to help any given client, but one thing we can all agree on when it comes to healing is that the relationship does a great deal of the work. It can begin to heal trauma, mental illness, and the “worried well.” It’s the way in, it’s the way through, and it’s the way out of suffering. It’s not the only thing, but it’s part of everything. Death is in the separateness, the lack of relationship.
And name your –ism because that’s about separateness too. We can’t fully heal a white person without moving through white supremacy together and we can’t help men without addressing the patriarchy. We may not call it out or by these names, but to connect with someone in their suffering is to refuse white supremacy and masculinity.
We need to keep doing what we’re doing, but we need to go further. We’re healing the people without healing the system and we can only thrive so much within a sick system.
Moving Ourselves Toward an Ego Dystonic State With the World
In a mental health session, our work is often to connect our client with other people. Often this happens through the therapeutic relationship with us first, but ultimately, it’s done so they can connect with the other people in their life. Doing this on an individual level is important, and as difficult as it is (and it is difficult), it’s really the bare bones of our work. Because what we’re doing, if we stop there, is helping people build up coping strategies to survive in a broken system.
So we have to stop and ask ourselves if in our work we are challenging the system that our clients live in and, not for nothing, that we’re living in too. Now, this can be a controversial stance for some people. It sounds “agenda-driven” and done unskillfully it is just that. But for those who feel they are thriving in this patriarchal, white supremacist world, do we have any choice, ethically, but to aid them in shifting their lens?
For too many of us, we have come to see this world as ego syntonic and we need to push toward discomfort in ourselves to see the world as it is. And that will move us toward change.
A Child Welfare Example
Let me take my work in child welfare as an example. Most of the parents I’ve worked with over the years are well-meaning and loving people. Many of them are involved in child welfare because they had hit their children in order to discipline them. Many of them feel this is ok. Many of the child welfare workers think it’s ok to physically discipline a child. We even have different words so we separate “abuse” from “physical discipline” and we jump through hoops to try to define “excessive corporal punishment” as separate from “physical discipline”. Many parents have no hesitation telling me that when their child gets out of line they need a slap, a spanking, a something that lets them understand limits, but that this is discipline and not abuse.
And in the course of this conversation, I usually hear the inevitable, “It happened to me and I turned out ok.”
And right there is the thing that I’m talking about with these systems. You “turned out” in such a way that you think it’s ok to hit a child, your child. And this is the proof that you didn’t turn out as “ok” as you think. You grew up with something violent being normalized.
But that’s our society. That’s the society that collectively calls sexual assault “locker room talk” and elects a president. That’s the society where powerful, talented men are allowed to produce and direct movies for years without consequence for their sexually abusive behavior.
Systems work is helping people see that things they take for granted could be wrong. Knowing
- That there are not simply two genders.
- That race is not encoded in our DNA.
- That women are not genetically more nurturing.
- That there are no such things as boy and girl toys.
Knowing all that means we have to fundamentally shift our way of thinking, our way of feeling, our way of living—day to day—in this world. And we may need to fundamentally, though not radically, change the way we approach therapy.
Merging the Therapist and the Advocate
Great things can come from our work with individuals, couples, and families. We can support people in relieving a lot of pain and finding healthier ways to interact. We move people through trauma, out of depression and anxiety, and to better navigate relationships. We help people live within our broken world—which is no small feat. Part of our happiness can only come by becoming more open to uncertainty which is all we really can be certain about.
But can we do more or does our job end there?
I believe we can. Not by “pushing an agenda” or preaching, but by becoming grounded in a strong analysis of the patriarchy, in racism, and in anti-oppressive work. With this analysis, we understand ourselves differently and we understand others in a new way. We see more easily how reactive our clients can be while not realizing they’re being reactive. We are so skilled at reaching for feelings or for picking out the latent content. We see through all of the mental healthy stuff, and we bring it into our work. But, we can see through the racism, the gender norms, the patriarchy, the homophobia and bring that into the work as well? The stronger we are in our own analysis the more able we are to help clients see when they’re reacting to a system instead of their own desires or someone else’s needs.
Most of us just aren’t so good at doing it yet. So many of us separate this work: “I’m a therapist in the office, and I’m an activist when I’m outside.”
That’s great. It is. But we need to find a way to merge the two. To make them inseparable.
Can we repair an airplane while we’re flying it? Can we change our systems while living in them?
Well, first off, we have no choice. We can’t step outside of it because it’s the air we breathe.
With everyone we meet, whether client, friend, lover, or family we need to be grounded in our awareness. We need to support the people we care about, our clients or otherwise, and do all the great engagement and interventions we learned in social work school and beyond—but we have to have an eye on the system. The system they’re in. The one we’re in. The whole shebang.
We need to not preach. We need not be so agenda driven that we miss the humanity of the client or clients sitting in our offices and their suffering. Our need to end the patriarchy cannot be at an individual client’s expense, of course!
But in session and out, we need to be on the lookout for moments to open our own and others’ eyes to the sickness that we are living in. The sickness that lies and says this is the only way to be.
Head Start May Protect Against Foster Care Placement
Participating in Head Start may help prevent young children from being placed in foster care, finds a national study led by a Michigan State University researcher.
Kids up to age 5 in the federal government’s preschool program were 93 percent less likely to end up in foster care than kids in the child welfare system who had no type of early care and education, said Sacha Klein, MSU assistant professor of social work.
Klein and colleagues examined multiple forms of early care and education – from daycare with a family member to more structured programs – and found Head Start was the only one to guard against foster care placement.
“The findings seem to add to what we already know about the benefits of Head Start,” Klein said. “This new evidence suggests Head Start not only helps kids develop and allows parents to go to work, but it may also help at-risk kids from ending up in the foster care system.”
Klein and colleagues studied the national survey data of nearly 2,000 families in which a child had entered the child welfare system for suspicion of abuse or neglect. Those children were either pulled from the home or were being overseen by a caseworker.
Klein said Head Start may protect against foster care because of its focus on the entire family. Services go beyond providing preschool education to include supporting parental goals such as housing stability, continued education and financial security.
There are more than 400,000 children in foster care in the United States, about a third of them under the age of 5, according to the most recent report from the U.S. Department of Health and Human Services. All children in foster care automatically qualify for free Head Start services, regardless of income level.
Klein said the findings suggest policymakers should consider making all children in the child welfare system, including those living at home, automatically eligible for Head Start. That could help prevent more kids from ending up in foster care.
While foster care can be a vital resource for protecting children from abusive and neglectful parents, it is rarely a panacea for young kids, the study notes.
“Indeed, young children who are placed in foster care often have compromised socio-emotional, language and cognitive development and poor early academic and health outcomes,” the authors write. “Trauma and deprivation experienced before removal may largely drive these developmental deficits, but foster care often fails to alleviate them and sometimes can worsen them.”
Klein’s co-authors are Lauren Fries of MSU and Mary Emmons of Children’s Institute Inc. in Los Angeles.
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