Wednesday, February 20, 2013
Comments for the Record
Committee on Ways and Means
Subcommittee on Human Resources
Hearing on Increasing Adoptions from Foster Care
Wednesday, February 20, 2013, 2:00
PM
By Michael G. Bindner
Center for Fiscal Equity
Chairman
Reichert and Ranking Member Doggett, thank you for the opportunity to submit
comments on these issues. As always, the
Center for Fiscal Equity is available to brief the Subcommittee, individual
Members and staff regarding this issue and our approach to it, which we have
provided before. We await your
invitation to talk.
We write
today to urge caution on going too far in encouraging quick adoption. Many children in foster care have been placed
there because their families of origin have fallen apart due to drug or alcohol
addiction, crimes resulting from such addiction (including violent crimes such
as robbery, spousal abuse or murder and prostitution) and mental illness, often
with one or both parents deemed by the courts unable to be a fit parent to the
child. Economic conditions can also lead
to the breakup of families and the use of foster care. While such a litany seems to support quick
adoption, we suggest that it need not.
There is
an alternative to quick adoption and that is family sponsorship whereby the
entire family is sponsored by another family, provided that no one in the
fostered family is currently dangerous. Indeed, this happens privately when a sibling
takes in relatives during family crises. Turning this into a systematic enterprise, whether
trained fostering families are used or families are given a stipend for the
extra expenses of food and shelter, will preserve families intact while giving
them a time to heal, as healing does eventually happen with the right care.
Trained
adoptive families will also help with the crisis of mentally ill adults, many
of whom find their mental health care in the community and are instead
incarcerated. There must, of course, be safeguards,
such as the easy rehospitalization in the event of alcohol or drug relapse or
non-compliance with medication regimes – and with that hospitalization
extending for enough of a term so that the patient is not just stable, but
comfortable for a length of time in either sobriety and/or medication regimes. Deinstitutionalization has turned much of the
mental health sector into triage designed to stabilize clients on meds and then
send them into community services or families before all side effects are
managed. Paying for longer stays in
improved facilities, possibly even inviting members of the Catholic Health
Association to open new hospitals with federal funding, is both more fiscally
prudent and more humane than using jails and the foster care system and
adoptive to manage human tragedy.
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