Struggling with kids' safety out of state

Philadelphia's child-welfare agency still has a ways to go.

January 27, 2008|By John Sullivan, INQUIRER STAFF WRITER

Last spring, Philadelphia sent a veteran inspector to check out a Connecticut facility that cared for some of the city's most severely mentally handicapped children.

The inspector, Haiying Xi, wrote a report with a candid disclosure: The Department of Human Services, he said, had given him no clear standards to assess whether kids were safe in out-of-state centers.

Still, he gave Lake Grove at Durham a passing grade. On the very same day, May 9, Connecticut announced it would begin pulling its own children out, saying the state's child advocate had found problems in medical care "so grossly serious as to create risk of possible injury or death."

Connecticut said it had informed other states of its intention to move its kids out by Sept. 15, though the facility remains open. Philadelphia moved its three clients in November.

Despite a changeover in management and a spate of improvements at DHS, the Lake Grove files illustrate how the agency still struggles to ensure the safety of vulnerable children placed in out-of-state treatment facilities.

Some of Philadelphia's most psychologically troubled children, sent outside the state for treatment and care, have been killed, sexually assaulted, sent to emergency rooms with broken bones, and entrusted to staff who are former convicts, according to records, lawsuits and interviews.

Since 2000, five children from Philadelphia have died in out-of-state homes or institutions - one of them after an overhaul that began 18 months ago, when The Inquirer revealed the agency's poor record in protecting vulnerable children.

Since then, DHS has undertaken the most sweeping changes in its history. Officials have rechecked kids under their care, cleared out poorly performing contract agencies, and raced to arm caseworkers with better methods to assess when children face danger at home.

And last week, members of an oversight board said DHS had made much progress in how it tackled safety. But some board members, and the state's welfare director, said the city had a way to go to keep kids safe in far-flung institutions.

"This is an issue we're going to take a look at," said Carol Spigner, who leads a DHS oversight panel.

Even today, Philadelphia has kids in a Colorado facility where DHS inspectors found that youngsters were kept in isolation rooms and strapped into a "restraint chair" - the same model that the U.S. government uses to force-feed suspected terrorists in the prison at Guantanamo Bay, Cuba.

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