Category Archives: Social.Services

Statewide task force set to meet on group home troubles

Source: WBRZ, August 3, 2018

Following a litany of complaints around the state, a task force has been created that will attempt to provide solutions for a problem that has cropped up due to a lack of regulations. State Senator Regina Barrow is passionate about the cause and making sure those who are the most fragile in our communities have safe and clean places to live. In May, the WBRZ Investigative Unit uncovered squalid conditions that residents of a group home were living in. Tonja Myles said her uncle was severely neglected. The coverage sparked raids by Adult Protective Services and the State Fire Marshal. Ultimately, the Prosperity House run by the Davenport family and operating on Greenwell Springs Road was closed down. However, the WBRZ Investigative Unit found the operators were using another location a stone’s throw from that house to operate again. A dust-up occurred this week when Baton Rouge Police were contacted after residents were taken from the Greenwell Springs home. …

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State investigators raid group home over deplorable living conditions
Source: WBRZ, May 30, 2018

A group home that has been operating despite its name being revoked by the Secretary of State for failing to file documents in a timely manner is under the microscope after horrible conditions were exposed by a relative who has a family member there. Wednesday, investigators from the State Fire Marshal’s office paid a visit to the house following a flood of complaints. …

How Trump Radicalized ICE

Source: Franklin Foer, The Atlantic, September 2018

… Since its official designation, in 2003, as a successor to INS, ice has grown at a remarkable clip for a peacetime bureaucracy. By the beginning of Barack Obama’s second term, immigration had become one of the highest priorities of federal law enforcement: Half of all federal prosecutions were for immigration-related crimes. … ICE quickly built a sprawling, logistically intricate infrastructure comprising detention facilities, an international-transit arm, and monitoring technology. This apparatus relies heavily on private contractors. Created at the height of the federal government’s outsourcing mania, DHS employs more outside contractors than actual federal employees. Last year, these companies—which include the Geo Group and CoreCivic—spent at least $3 million on lobbying and influence peddling. To take one small example: Owners of ICE’s private detention facilities were generous donors to Trump’s inauguration, contributing $500,000 for the occasion. … An organization devoted to enforcing immigration laws will always be reflexively and perhaps unfairly cast as a villain. … Still, ICE, as currently conceived, represents a profound deviation in the long history of American immigration. …

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For-profit prison company threatens anti-ICE group with lawsuit for telling world what they do
Source: Alan Pyke, ThinkProgress, August 6, 2018
 
A protest campaign targeting for-profit detention company GEO Group with numerous nationwide actions at facilities connected to President Donald Trump’s ramped-up deportations has been threatened with legal action by the company’s high-powered litigators. …

Why It’s Hard To Hold Contractors Accountable For The Suffering Of Immigrant Children
Source: Susan M. Sterett The Conversation, August 2, 2018
 
….Although federal detention is a government policy, the federal government does not directly run most of the facilities where families are detained or kids end up on their own. Instead, it hands nonprofit groups, for-profit businesses and local governments US$1 billion a year or more to house nearly 12,000 children. This money is dispensed through government contracts that do not always gain much public attention.  But now, amid protests and other forms of public pressure, some contractors are severing their ties to the Immigration and Customs Enforcement agency. This is a new development as oversight by government officials and watchdog groups has historically centered largely on costs, fraud or whether contractors broke laws – not whether there was something inherently wrong with the contracts themselves.  Having studied the politics of accountability for many years, I would argue that the responsibility for these unpopular immigration policies largely lies with the federal government, not its contractors…..

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Murphy administration demands action from major group home operator after safety problems revealed

Source: Susan K. Livio, NJ.com. August 10, 2018

Gov. Phil Murphy’s administration has halted new admissions at New Jersey’s largest group home operator for people with developmental disabilities and demanded “immediate correction of all concerns” involving safety and staffing shortages uncovered in 18 months of inspections. The state Department of Human Services intends to appoint an independent monitor and to continue random unannounced inspections at all 62 properties operated by for-profit Bellwether Behavioral Health, state Department of Human Services spokesman Tom Hester said.

The state stopped referring people to Bellwether on July 12, Hester confirmed, a decision revealed after an Aug. 3 report aired on public radio station WNYC about ongoing problems at a group home in Branchburg. … In addition to having the largest capacity of any group home provider in New Jersey, at 494 beds, Bellwether has also recorded the largest number of allegations of abuse and neglect. According to state data from March 2017 to March 2018, the state investigated 71 complaints, and substantiated 33. Six residents were repeatedly victimized, the data said. …

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Trapped: Abuse and neglect in private care (Podcast)
Reveal News, August 4, 2018

Deep in the backroads of central Florida, hidden between trees dripping with Spanish moss, sits the campus of an infamous center for the developmentally disabled. Its story shows what can happen when families have nowhere else to find care for their loved ones. After years of complaints, Carlton Palms is finally being shut down. But its parent company, Bellwether Behavioral Health, is still running group homes across the country, where new allegations have arisen. WNYC reporter Audrey Quinn investigates the company and speaks to a family whose son was abused at two of Bellwether’s New Jersey facilities. She discovers that, with national spending on autism services expected to increase 70 percent by 2025, the company is owned by a private equity firm.

Read more about Carlton Palms.

Bill Protecting Social Services Determinations Against Privatization Passes Legislature

Source: Oakland Post, August 11, 2018
 
AB 3224, authored by Assemblymember Tony Thurmond (D-Richmond), will protect Californians against private sector employees determining eligibility for Medi-Cal, CalFresh, and CalWORKs applicants. The bill passed out of the Legislature with bipartisan support and now heads to the Governor for consideration. … AB 3224 ensures that Medi-Cal, CalFresh, and CalWORKs employee determinations will remain unchanged, regardless of federal law.  This bill is sponsored by the Western Center on Law and Poverty and is supported by the American Federation of State County and Municipal Employees. …

Audit at Texas Health and Human Services Commission finds latest in long line of problems

Source: Robert T. Garrett, Dallas News, July 18, 2018

Texas’ sprawling bureaucracy for regulating health care and providing social services is vulnerable to a “perception of impropriety” because it routinely lets individual contracting personnel open bids on their own, without any witnesses, a new internal audit says. The Health and Human Services system also unwisely allows program managers and division leaders who control billions of dollars of spending to ask for the same contracting specialist every time, the audit said. That potentially creates a coziness that could harm taxpayers’ interests, it said. Problems highlighted in the audit, which was released to state GOP leaders last week, are the latest in a long line of problems at the Health and Human Services Commission. Six officials have stepped down since early April, when Gov. Greg Abbott called revelations of sloppiness and mistakes in scoring of bids “unacceptable.” …

Another audit released Tuesday by an independent arm of the Legislature looked at nearly 70 percent of the $6.7 billion worth of contracts that the commission awarded in a recent 27-month period. There were problems with every single one of the 28 separate calls for bids or grant proposals that the State Auditor’s Office examined. … Both the commission’s internal audit and the State Auditor’s Office review sharply criticized sloppy handling and scoring of bids for billions of dollars worth of work for the Medicaid program for the poor and other health and social services programs. …

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Pain & Profit series from the Dallas Morning News, published June 2018

  • The preventable tragedy of D’ashon Morris
    Doctors described him as “happy and playful” and told his foster mother he would be healthy by the time he went to kindergarten. That was before a giant health care company made a decision that saved it as much as $500 a day — and cost D’ashon everything.
  • As patients suffer, companies profit
    Imagine being trapped in a bed for more than a year because you can’t get the medical equipment you need. Years of poor oversight by the state have allowed health care companies to skimp on essential care for sick kids and disabled adults.
  • Texas pays companies billions for ‘sham networks’ of doctors
    The state tells foster parents that hundreds of psychiatrists will see their kids. We found only 34. Managed-care companies overstate the number of physicians available to treat the state’s sickest patients.
  • ‘Glossover of the horror’
    A whistleblower says taxpayers are not getting their money’s worth and sick people are not getting the care they need. Texas fails to act when health care companies put patients in peril.
  • Parents vs. the Austin machine
    “You can tell that he’s crying or screaming, but nothing comes out.” Texas families take fight for medically fragile children to the Legislature.

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Health provider in scandals loses first 3 state contracts

Source: Doug Thompson, Arkansas Democrat-Gazette, July 7, 2018

The state began closing down the first three of its 16 contracts with Preferred Family Healthcare on Friday, after a year and a half of scandals that include convictions of four former lawmakers on corruption charges. Preferred Family is a nonprofit behavioral health and substance abuse treatment company. It has 47 locations in Arkansas. The Springfield, Mo., company has $28 million in contracts with the state to provide services ranging from therapy and counseling for foster children to court-ordered drug and alcohol addiction treatment and professional consulting to the state Department of Human Services. In addition, the company received more than $33 million a year through the state Medicaid program. Preferred Family operates in five states. … A U.S. Department of Justice investigation has obtained three guilty pleas and one jury conviction against former Arkansas lawmakers in a multimillion-dollar corruption scheme that started at least as early as 2010. … The state was assured by Preferred Family it had dismissed the company executives involved since the first guilty plea Jan. 4, 2017. Then former Preferred Family executive Robin Raveendran was charged last week, accused of filing $2.3 million in improper Medicaid claims for mental health services. Gov. Asa Hutchinson and the state’s Office of Medicaid Inspector General announced the state would cancel contracts with the company and suspend Medicaid payments to it. …

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Troubled Missouri nonprofit settles wage lawsuit amid federal probe of bribery, kickback scheme
Source: Wesley Brown, Talk Business & Politics, July 1, 2018

During the period when a Missouri healthcare nonprofit was doling out millions of dollars in bribes and kickbacks to Arkansas lawmakers, public officials and its own well-paid executive team, the troubled healthcare group was fleecing hundreds of lowly paid hourly workers out of overtime pay, according to allegations in a recent federal lawsuit. In early April, Springfield, Mo.-based Preferred Family Healthcare (PFH) agreed upon a tentative settlement with former employee Frances Smith over allegations that PFH and its handful of Arkansas-based affiliates failed to pay the former healthcare worker and other agency employees overtime compensation for working over 40 hours per week, according to pleadings with the U.S. District Court for the Eastern District of Arkansas. …

Colyer: Kansas Will Pursue Medicaid Work Rules Despite Court Ruling

Source: Jim McLean, Salina Post, July 3, 2018
 
Kansas Gov. Jeff Colyer says he will continue to push for a Medicaid work requirement despite a recent court order blocking a similar policy in Kentucky. Last week, U.S. District Judge James Boasberg, an Obama appointee in the District of Columbia, questioned whether the Trump administration had adequately considered the consequences of Kentucky’s work requirement before reversing longstanding federal policy to approve it.  Despite the setback, Colyer said his administration will continue discussions with federal officials about requiring some of the more than 420,000 Kansans enrolled in KanCare, the state’s privatized Medicaid program, to work or pursue job training. …

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Kansas chooses 3 companies to manage Medicaid
Source: Associated Press, June 22, 2018
 
The Kansas Department of Health and Environment has awarded new contracts to three insurance companies to manage the state’s privatized Medicaid program.  Two of the new contracts announced Friday are renewals for companies currently in the program, Sunflower State Health Plan Inc. and United Healthcare Midwest Inc. The Lawrence Journal-World reported that the third contract went to a company new to the program, Aetna Better Health of Kansas Inc….

KanCare Contractor Must Fix Backlog Problems Soon Or Face Fines
Source: Jim McLean, KCUR, May 30, 2018
 
The company that processes applications for Kansas’ privatized KanCare Medicaid program faces potentially steep fines if it doesn’t fix problems, responsible for massive backlogs, by the end of this week. Maximus, a Maryland-based company that specializes in managing “human service programs” for states and the federal government, has operated the “KanCare Clearinghouse” since 2016. There have been problems from the start. In March 2016, federal officials grew concerned about growing backlogs and ordered the state to provide monthly reports about what it was doing to fix the problem. …

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Bill passes in Senate that avoids strike of group home workers

Source: Rick Lessard, Fox61, May 5, 2018
 
Senate passed a bill Saturday afternoon that will raise wages non-profit group home workers, which prevented a worker strike that was scheduled for May 7. The bill would provide a $14.75 minimum wage and a 5% increase for workers above $14.75 effective January 1, 2019.  This wage increase will cover 18,000 union and non-union workers who care for the disabled. …

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Without new workers contract, costly strike preparations loom for state
Source: Emillie Munson, CT Post, May 1, 2018
 
The state will commence costly strike preparations on Thursday if the General Assembly does not act in the next 36 hours on a new contract for workers who care for disabled people, House Democrats warned Tuesday. Some 2,400 unionized workers have threatened to strike on May 7, two days before the end of the legislative session. They are pressing for a contract that would impact thousands of employees in privatized homes and day programs for the disabled. Many of these workers have not received raises in years. Strike preparations involve hiring replacement workers and security to work while striking employees are protesting. Each day of the strike might cost the state close to $1 million, said House Speaker Joe Aresimowicz, D-Berlin, on Tuesday.

Connecticut Nonprofits Support Strike of Their Caregiver Workforce
Source: Ruth McCambridge, NonProfit Quarterly, April 30, 2018

Even as news stories proliferated over the weekend on the crisis in the caregiver workforce serving people with disabilities, in Connecticut, 2,400 employees of nine nonprofit agencies voted to authorize a strike that will begin in the early morning of May 7th. Supporting the strike are not just the agencies employing the workers but also the state’s nonprofit alliance (join yours today). … “We’ve reached a crisis of underfunding in the care our state provides people with disabilities and the workers who care for them,” SEIU 1199 spokesperson Jennifer Schneider said. “When privatized group homes and programs are shuttering and workers are forced to work 80 hours a week just to make ends meet, something has to change. …

Florida Moves to Shut Down For-Profit Residence After Finding Horrific Abuse and Neglect

Source: Heather Vogell, ProPublica, April 19, 2018

After another patient died under suspicious circumstances and reports surfaced of more instances of abuse and neglect, Florida regulators moved this week to shutter a for-profit school and residential campus for children and adults with severe developmental disabilities. The action Tuesday by Florida’s Agency for Persons with Disabilities came after years of complaints that patients at the Carlton Palms Educational Center were violently mistreated by staff and subjected to physical restraints known as “wrap mats,” which resemble full-body straitjackets. Carlton Palms and its owner’s other facilities were the subject of a ProPublica investigation two years ago that chronicled the deaths of three teenaged patients, patterns of abuse and neglect, and company executives’ often-successful efforts to stave off regulation. …

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vFlorida Lawmakers Look to Roll Back Favored Status For For-Profit Group Home
Source: Heather Vogell, ProPublica, February 17, 2016

… The facility has enjoyed a special status — and higher Medicaid payments from the state — because of language embedded in Florida law. Until last year, law said the state should continue to contract with facilities licensed before 1989, when Carlton Palms was already in operation. Instead of needing to prove it offered the highest quality care in the most cost-effective way, Carlton Palms continued to get the state’s business automatically. The only way the state could have stopped doing business with Carlton Palms would have been for public officials to prove the facility had broken state laws or regulations. Last year, the Florida legislature passed a temporary provision to lift the obligation to work with Carlton Palms. But the measure, approved through a budget bill, expires in July.

Unrestrained
Source: Heather Vogell, ProPublica, December 10, 2015

While evidence of abuse of the disabled has piled up for decades, one for-profit company has used its deep pockets and influence to bully weak regulators and evade accountability.

Three years ago, it looked like the Florida agency that oversees care for children and adults with disabilities had finally had enough. It filed a legal complaint that outlined horrific abuse at Carlton Palms, a rambling campus of group homes and classrooms near the small town of Mount Dora.

A man called “R.G.” was punched in the stomach, kicked and told “shut your fucking mouth,” the complaint said. “R.T.” was left with a face full of bruises after a worker hit him with a belt wrapped around his fist. A child, “D.K.,” who refused to lie face down so he could be restrained, was kicked in the face and choked until, eyes bulging, he nearly passed out.

State officials wanted to bar Carlton Palms from accepting new residents for a year.

“[A] moratorium on admissions,” wrote a lawyer with the Agency for Persons with Disabilities, “is necessary to protect the public interest and to prevent the continuance of conditions that threaten the health, safety and welfare of Carlton Palm’s (sic) residents.”

Two months later, the state backed down…..

What Happened to Adam
Source: Heather Vogell, ProPublica, December 11, 2015

It took one mother seven years to learn that the for-profit school she trusted with her son had strapped him down again and again, one time after not picking up his Legos.

Audit finds state lacks documented oversight of new foster care model

Source: Allie Morris, San Antonio Express-News, April 1, 2018

A recent audit found flaws in the state’s oversight of a new foster care model that further privatizes the system and is set to roll out in Bexar County soon. In the new model, a contractor manages foster care providers within a certain region, instead of the state. The Legislature approved expansion of the model last session as a way to improve the embattled foster care system, which is facing a long-running class-action lawsuit by foster children who claim they faced abuse, constant movement and overmedication. The state audit found the Department of Family and Protective Services conducted site visits to ensure contractor ACH Child and Family Services was in compliance. But the state didn’t have documentation to show whether it verified that ACH monitored all 107 foster care providers in its seven-county area, which includes Fort Worth, or whether their oversight was effective. In one instance, state auditors reported that ACH hadn’t monitored one foster care provider for more than 18 months as children continued being placed there. …

Read full report.

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New Texas Law Will Create A More Private Foster Care System
Source: Becky Fogel, September 5, 2017

On Sept. 1, hundreds of new laws took effect in Texas. A number were aimed at improving the state’s child welfare system. Failure to do so was not an option. … In December 2015, after a wave of reports about Texas kids dying from neglect and abuse while in foster care, U.S. District Judge Janis Graham Jack found the state’s foster care system was unconstitutional and deemed it “broken.” Fast forward to May, when Gov. Greg Abbott signed a number of bills to overhaul that system. The case hasn’t been dismissed. But one of the major changes to the foster care system that lawmakers approved during this year’s legislative session was already in the works before Texas was sued in 2011. It was originally called Foster Care Redesign – and now that Senate Bill 11 has taken effect, it establishes a model that increasingly privatizes the foster care system. The program will begin rolling out across the state soon. But the term “model” is a bit misleading, since the redesign is not a one-size-fits all program.

… The foster care model envisioned by Senate Bill 11 is already in use by one community provider. In fact, ACH Child and Family Services in north Texas has been at it for three years. … Over the last three years, the non-profit ACH actually lost money. Carson says they spent $6 million building up services in the region they managed. Considering this extra investment, does the state really need to privatize the foster care system to get better results, or did it just get bad results because it was underfunded for decades? …

Abbott signs Texas bills on CPS, foster care, though federal judge may have last word
Source: Robert T. Garrett, Dallas News, May 30, 2017

Gov. Greg Abbott on Wednesday signed into law “landmark legislation” that he said would improve child protection in Texas. … Two of the bills he signed seek to give CPS workers more options after they remove children from abusive and neglectful homes. One begins moving toward a community-centered system of procuring foster care beds and services, using area nonprofits or local governments. By September 2019, in a total of five areas, the state would give private providers “case management” duties now performed by CPS workers. … The bill’s author, Sen. Charles Schwertner, R-Georgetown, and House sponsor James Frank, R-Wichita Falls, yielded to a decade-long push by foster care providers to be able to take over CPS conservatorship workers’ duties in those five regions.
… Skeptics have noted, though, that good early results in Tarrant and six nearby counties were achieved using state workers as well as the private entities. …

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