Health

Federal Government Failing to Protect Children, Report Says

Published

11 years ago

January 27, 2015

Vermont Attorney General Bill Sorrell, right, confers with Commissioners Theresa Martha Covington (center) and Patricia M. Martin (left) before the CECANF public meeting in Burlington, Vermont, on October 23, 2014. (Alison Redlich/AP Images for CECANF)

HOLBROOK MOHR and GARANCE BURKE, Associated Press

The federal government’s failure to enforce the nation’s child protection laws is a “national disgrace” that leaves abused children vulnerable to future harm, according to a three-year study by two child advocacy groups.

The 110-page report released Tuesday identified some of the same failures reported in December by The Associated Press after an eight-month investigation into hundreds of children who died of abuse or neglect in plain view of child protection authorities.

“Our laws are weak. We don’t invest in solutions. Federal laws aren’t enforced. And courts are turning their backs. This creates a trifecta of inertia and neglect,” said Amy Harfeld, policy director at the Children’s Advocacy Institute at the University of San Diego School of Law, which wrote the report with the nonprofit group First Star.

AP’s investigation, published Dec. 18, also revealed a system in crisis, hobbled by weak federal oversight, budget constraints, worker shortages and a voluntary data collection system so flawed that nobody can say with accuracy how many children die from abuse or neglect each year.

The AP found that at least 786 children died of abuse and neglect over a six-year span — many of them beaten, starved or left alone to drown — while agencies had good reason to know they were in danger. That figure represents the most comprehensive statistics publicly available, but the actual number who died even as authorities were investigating their families or providing some form of protective services is likely much higher because antiquated confidentiality laws allow many states to withhold vital information, shrouding their failures.

The federal government estimates an average of about 1,650 children have died annually from abuse or neglect in recent years, whether or not they were known to the child welfare system, but many experts believe the actual number is twice as high. And many more suffer from near-fatal abuse and neglect every year.

“Almost everything that happens to these children is cloaked in endemic secrecy, and most efforts by the media and advocates to provide the public with much needed transparency — which leads to accountability — are thwarted by the very governmental entities and officials who have turned their backs on their official duties to children,” the groups said.

Michael Petit, who was appointed by President Barack Obama to serve on the Federal Commission to Eliminate Child Abuse and Neglect Fatalities and serves as adviser to the advocacy group Every Child Matters, said he agreed with what he has read thus far in the report, entitled “Shame on U.S.”

“The report is saying what a lot of people have been experiencing,” Petit said, who wasn’t speaking on the commission’s behalf. “I share many of those sentiments that the federal government is not providing the kind of oversight needed.”

The Children’s Advocacy Institute and First Star fault all three branches of federal government for failing to protect children.

The U.S. Department of Health and Human Services is responsible for implementing and enforcing federal child welfare laws and programs, but the agency largely takes a hands-off approach, allowing states to self-certify that they are in compliance with federal requirements.

“There is no meaningful oversight and the states know it,” the report said.

Agency spokeswoman Laura Goulding did not immediately return a call and an email seeking comment on the report Monday.

Congress needs to mandate that HHS impose fines, withhold funds or take other punitive actions when states don’t follow federal regulations, the report said.

Because HHS and Congress so rarely hold states accountable for their failings, filing a lawsuit is usually the only way private parties can challenge problems within the child welfare system. But lawsuits are time consuming, expensive and often limited in their reach, covering violations in only one state or county rather than widespread systemic failures, the groups said.

“Federal courts have turned their backs on private attempts to enforce federal child welfare law and Congress has shown little interest in advancing the law itself,” the report said.

Emily Douglas, a child welfare expert at Bridgewater State University in Bridgewater, Mass., called the report’s findings about the judicial branch’s shortcomings particularly revealing.

“When something goes wrong, usually you hear that the state child welfare agency is a wreck or that the governor is stepping in to fire someone,” Douglas said. “But increasingly judges are going to be on the radar about the important role that they play in determining these kids’ safety. Judges are not trained social workers, so are we sure they always know the risk factors when deciding children should be sent back home?”

———

The AP National Investigative Team can be reached at investigate@ap.org

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Advice

BOOK REVIEW: Let Me Be Real With You

At first look, this book might seem like just any other self-help offering. It’s inspirational for casual reader and business reader, both, just like most books in this genre. Dig a little deeper, though, and you’ll spot what makes “Let Me Be Real With You” stand out.

Published

2 weeks ago

December 29, 2025

Oakland Post

Book cover of Let Me Be Real With You and author Arshay Cooper. Courtesy of HarperOne.

By Terri Schlichenmeyer

Author: Arshay Cooper, Copyright: c.2025, Publisher: HarperOne, SRP: $26.00, Page Count: 40 Pages

The hole you’re in is a deep one.

You can see the clouds above, and they look like a storm; you sense the wind, and it’s cold. It’s dark down there, and lonesome, too. You feel like you were born there — but how do you get out of the deep hole you’re in? You read the new book “Let Me Be Real With You” by Arshay Cooper. You find a hand-up and bring someone with you.

In the months after his first book was published, Cooper received a lot of requests to speak to youth about his life growing up on the West Side of Chicago, his struggles, and his many accomplishments. He was poor, bullied, and belittled, but he knew that if he could escape those things, he would succeed. He focused on doing what was best, and right. He looked for mentors and strove to understand when opportunities presented themselves.

Still, his early life left him with trauma. Here, he shows how it’s overcome-able.

We must always have hope, Cooper says, but hope is “merely the catalyst for action. The hope we receive must transform into the hope we give.”

Learn to tell your own story, as honestly as you know it. Be open to suggestions, and don’t dismiss them without great thought. Know that masculinity doesn’t equal stoicism; we are hard-wired to need other people, and sharing “pain and relatability can dissipate shame and foster empathy in powerful ways.”

Remember that trauma is intergenerational, and it can be passed down from parent to child. Let your mentors see your potential. Get therapy, if you need it; there’s no shame in it, and it will help, if you learn to trust it. Enjoy the outdoors when you can. Learn self-control. Give back to your community. Respect your financial wellness. Embrace your intelligence. Pick your friends and relationships wisely. “Do it afraid.”

And finally, remember that “You were born to soar to great heights and rule the sky.”

You just needed someone to tell you that.

With a willingness to discuss the struggles he tackled in the past, Cooper writes with a solidly honest voice that’s exceptionally believable, and not one bit dramatic. You won’t find unnecessarily embellished stories or tall tales here, either; Cooper instead uses his real experiences to help readers understand that there are few things that are truly insurmountable. He then explains how one’s past can shape one’s future, and how today’s actions can change the future of the world.

“Let Me Be Real With You” is full of motivation, and instruction that’s do-able for adults and teens. If you need that, or if you’ve vowed to do better this coming year, it might help make you whole.

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Advice

Support Your Child’s Mental Health: Medi-Cal Covers Therapy, Medication, and More

Published

1 month ago

December 14, 2025

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When children struggle emotionally, it can affect every part of their lives — at home, in school, with friends, and even their physical health. In many Black families, we’re taught to be strong and push through. But our kids don’t have to struggle alone. Medi-Cal provides mental health care for children and youth, with no referral or diagnosis required.

Through California Advancing and Innovating Medi-Cal (CalAIM), the state is transforming how care is delivered. Services are now easier to access and better connected across mental health, physical health, and family support systems. CalAIM brings care into schools, homes, and communities, removing barriers and helping children get support early, before challenges escalate.

Help is Available, and it’s Covered

Under Medi-Cal, every child and teen under age 19 has the right to mental health care. This includes screenings, therapy, medication support, crisis stabilization, and help coordinating services. Parents, caregivers, and children age 12 or older can request a screening at any time, with no diagnosis or referral required.

Medi-Cal’s Mental Health and Substance Use Disorder Program

For children and youth with more serious mental health needs, including those in foster care or involved in the justice system, Medi-Cal offers expanded support, including:

Family-centered and community-based therapy to address trauma, behavior challenges, or system involvement.
Wraparound care teams that help keep children safely at home or with relatives.
Activity funds that support healing through sports, art, music, and therapeutic camps.
Initial joint behavioral health visits, where a mental health provider and child welfare worker meet with the family early in a case.
Child welfare liaisons in Medi-Cal health plans who help caregivers and social workers get services for children faster

Keeping Kids Safe from Opioids and Harmful Drugs

DHCS is also working to keep young people safe as California faces rising risks from opioids and counterfeit pills. Programs like Elevate Youth California and Friday Night Live give teens mentorship, leadership opportunities, and positive outlets that strengthen mental well-being.

Through the California Youth Opioid Response, families can learn how to avoid dangerous substances and get treatment when needed. Song for Charlie provides parents and teens with facts and tools to talk honestly about mental health and counterfeit pills.

DHCS also supports groups like Young People in Recovery, which helps youth build skills for long-term healing, and the Youth Peer Mentor Program, which trains teens with lived experience to support others. These efforts are part of California’s strategy to protect young people, prevent overdoses, and help them make healthier choices.

Support for Parents and Caregivers

Children thrive when their caregivers are supported. Through CalAIM’s vision of whole-person care, Medi-Cal now covers dyadic services, visits where a child and caregiver meet together with a provider to strengthen bonding, manage stress, and address behavior challenges.

These visits may include screening the caregiver for depression or anxiety and connecting them to food, housing, or other health-related social needs, aligning with CalAIM’s Community Supports framework. Notably, only the child must be enrolled in Medi-Cal to receive dyadic care.

Family therapy is also covered and can take place in clinics, schools, homes, or via telehealth, reflecting CalAIM’s commitment to flexible, community-based care delivery.

Additionally, BrightLife Kids offers free tools, resources, and virtual coaching for caregivers and children ages 0–12. Families can sign up online or through the BrightLife Kids app. No insurance, diagnosis, or referral is required.

For teens and young adults ages 13–25, California offers Soluna, a free mental health app where young people can chat with coaches, learn coping skills, journal, or join supportive community circles. Soluna is free, confidential, available in app stores, and does not require insurance.

CalHOPE also provides free emotional support to all Californians through a 24/7 support line at (833) 317-HOPE (4673), online chat, and culturally responsive resources.

Support at School — Where Kids Already Are

Schools are often the first place where emotional stress is noticed. Through the Children and Youth Behavioral Health Initiative (CYBHI), public schools, community colleges, and universities can offer therapy, counseling, crisis support, and referrals at no cost to families.

Services are available during school breaks and delivered on campus, by phone or video, or at community sites. There are no copayments, deductibles, or bills.

Medi-Cal Still Covers Everyday Care

Medi-Cal continues to cover everyday mental health care, including therapy for stress, anxiety, depression, or trauma; medication support; crisis stabilization; hospital care when needed; and referrals to community programs through county mental health plans and Medi-Cal health plans.

How to Get Help

Talk to your child’s teacher, school counselor, or doctor.
In Alameda County call 510-272-3663 or the toll-free number 1-800-698-1118 and in San Francisco call 855-355-5757 to contact your county mental health plan to request an assessment or services.
If your child is not enrolled in Medi-Cal, you can apply at com or my.medi-cal.ca.gov.
In a mental health emergency, call or text 988, the Suicide and Crisis Lifeline.

Every child deserves to grow up healthy and supported. Medi-Cal is working to transform care so it’s accessible, equitable, and responsive to the needs of every family.

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Activism

ESSAY: The Hidden Toll — Federal Rollbacks Threaten Black Women’s Health in California

Nutrition assistance programs, which many Black women rely on to keep their families healthy and out of the hospital, are similarly endangered. Nearly half of Black women in California receive WIC, and 47% percent use CalFresh. Cuts or cost-shifts in those programs would worsen food insecurity, especially during pregnancy and postpartum. Malnutrition or diet instability can lead to adverse birth outcomes, weakened immunity, and worse recovery from medical interventions.

Published

2 months ago

November 15, 2025

Oakland Post

Kellie Todd Griffin, President and CEO California Black Women's Collective Empowerment Institute. CBM photo by Ian Foxx.

By Kellie Todd Griffin, Special to California Black Media Partners

If recent proposals in Congress to cut funding for federal social programs succeed, the downstream effects will not be abstract or distant.

They will be immediate and blunt — and felt in every clinic, every hospital, and most homes where Black women are struggling to maintain our health, care for her children, and stay afloat. In California, where Black women already navigate a terrain of deep systemic inequities, these cuts would be catastrophic.

As a lifelong advocate for Black women in California — through my research and lived experience – I’ve seen firsthand the entrenched medical and social disparities that leave too many Black women struggling to live healthy, fulfilling lives.

Across the spectrum of care — from mental, maternal, and perinatal health to chronic diseases like diabetes, hypertension, cancer, and uterine fibroids — Black women in California continue to bear a disproportionate burden.

Implicit bias in maternity care, for example, continues to be a challenge. It is a documented contributor to the fact that, in California, Black women die from pregnancy-related causes at three to four times the rate of White women.

Now, federal proposals on the table to slash funding for the very programs Black women rely on most: Medicaid (Medi-Cal in California) SNAP/CalFresh, WIC, and federal housing and income supports. As reported in the California Budget and Policy Equity on the Line report, about one in three Black women and children in California currently depend on Medi-Cal. If federal cuts were to force reductions in eligibility, benefits, or provider reimbursements, many Black women would lose access to primary care, chronic disease management, reproductive care, mental health and substance-use treatment, cancer screenings, and prenatal/postnatal services.

In a state already grappling with stark racial health disparities, removing coverage is not just harmful — it magnifies injustice. Black women in California face higher rates of poor health overall, lower life expectancy, and worse prenatal care statistics. When the safety net frays, they will be forced into impossible trade-offs: skip medications, delay care, or incur medical debt.

Compounding the harm is the assault on social determinants of health. The Equity on the Line analysis shows that housing assistance, income support, and childcare subsidies are already stretched thin. Any rollback will accelerate housing instability, homelessness risk, and family stress — all of which manifest in worse health outcomes: higher hypertension, depression, chronic illness, and reduced ability to adhere to medical regimens.

California has taken important steps to protect Black women’s health. One good example is Assembly Bill, AB 2319, authored by Assemblymember Lori D. Wilson (D-Suisun City). That law strengthens the Dignity in Pregnancy and Childbirth Act by expanding and enforcing implicit bias training for providers in perinatal settings, and requiring reporting and penalties for noncompliance.

The state is also taking legal and policy action to mitigate the impact of cuts to SNAP/CalFresh food stamp benefits – like mobilizing $80 million in state funds to support food banks. It is also taking action to shore up against federal cuts to Medi-Cal.

In our communities, organizations like California Black Women’s Health Project and Black Women for Wellness are already doing the groundwork — advocating for culturally centered care, education, and infrastructure to mitigate harm.

As Californians, we must all roll up our sleeves and amplify and bolster their efforts. These organizations serve as our voice. They are our watchdogs, too, documenting where bias persists, where systems fail, and where state enforcement is weak.

The stakes are too high for complacency. As we strategize to keep Black women healthy, we must also document and share our stories with others — every death, every untreated illness, every delayed pregnancy.

Let us be resolute, organized, hopeful, and persistent. California can be a model of how a state defends Black women’s health amid significant challenges, presenting a full vision to America, and the world, of how we can make health justice a reality and make California healthier for all our communities.

About the Author

Kellie Todd Griffin, President and CEO of the California Black Women’s Collective Empowerment Institute. With a deep commitment to equity and justice, she champions initiatives that amplify the voices and influence of Black women across California. Known for her strategic insight and passion for community empowerment, Kellie is a driving force in fostering systemic change and collective progress.