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Local child welfare advocates to meet over assessments issue
The bigger the NASDAQ listed assessment company is , the more juice to pass
along to buddies. ....Hm......what's their symbol? PSCC? Think it's four letters for Nasdaq. She pointed out that the behavioral assessments only recommended further care; they did not say where the child should get it. That determination was made by the child's case manager. Wouldn't it be the parent's or guardian's choice? Several local child welfare advocates said in interviews that lateness could be a result of McMurray working out of a small office in Sarasota. They add that it requires local street smarts as well as rigorous training to do these assessments promptly and thorough 3 employees for 5 counties? Gotta outsource these interviews. Wex found: Subject: Local child welfare advocates to meet over assessments issue From: wexwimpy Date: 3/16/2004 10:02 AM Eastern Standard Time Message-id: Local child welfare advocates to meet over assessments issue By ABHI RAGHUNATHAN, March 15, 2004 The terse memorandum blind-sided local child welfare advocates. It said they would no longer prepare comprehensive assessments, intense psychological profiles used to examine hundreds of the region's most troubled children every year and determine further treatment. The assessments would instead soon be conducted by Suncoast Psychometrics, a company of three full-time employees in Sarasota. In the first paragraph of the Feb. 23 memo, the CEO of Camelot Community Care, the not-for-profit agency that now runs Southwest Florida's child welfare system, wrote that the massive change came from a desire to "provide services in a more efficient and timely manner." Yet state data show that Suncoast Psychometrics has by far the worst track record of any certified provider in the region for promptly completing comprehensive behavioral health assessments. Because of the pressure to help abused or neglected children who have been removed from their families and often placed in shelters, comprehensive assessments are required to be finished 24 days after they are assigned. Failure to do a thorough job in time could jeopardize a child because an assessment is used as a blueprint for most additional care. Between December 2001 and January 2003, Suncoast turned in just 5 of 53 assessments on time in the area. It turned in 41 assessments late during that period, on an average of 26 days after the deadline. Other providers completed dozens of assessments on time. No other local provider came within 20 percent of Suncoast's 77 percent lateness rate, according to Department of Children and Families records. Suncoast's tardiness became so endemic by the fall of 2003 that its head told state officials not to assign any more assessments in the region he may now oversee—his company could not do them soon enough. Camelot officials said they would meet this morning with local child welfare advocates who criticized the potential Suncoast contract. Camelot CEO Harry Propper said he wanted to talk to the other groups before taking any big step, adding that a contract with Suncoast was no longer certain, though it was "still a possibility." His judgment will impact the 1,700 children who enter the child welfare system in Southwest Florida every year, many of whom need a comprehensive assessment, an in-depth analysis of nearly every aspect of a vulnerable child's school and home life. Such an assessment can require interviews with teachers, deadbeat dads, drug-addicted mothers and traumatized kids; Medicaid pays agencies $48.50 an hour and most assessments take about 20 hours to do. The thousands of hours of work needed to conduct the assessments for hundreds of children would require Suncoast Psychometrics, with its three employees, to hire more than a dozen others. Given its importance and rigor, an assessment can only be completed by those with specialized training such as psychologists, psychiatrists and mental health counselors, according to government regulations. There are currently 18 certified assessors in Southwest Florida scattered among six child welfare organizations such as The Ruth Cooper Center, The David Lawrence Center and The Children's Advocacy Center, according to state records. "We have plenty of qualified assessors here and I would hate to lose that," said Pamela Baker, a program administrator for Substance Abuse and Mental Health Services in the region who helped oversee them. The decision on who can perform the assessments is Camelot's first major one since beginning a five-year, $97 million contract with the Department of Children and Families in February. It is also emblematic in many ways of how the renovation of Southwest Florida's child welfare system has often thrown its central tenets of efficiency and local control in conflict. Gov. Jeb Bush hopes to privatize social services throughout the state, maintaining that networks of community nonprofits work better than government bureaucracies. Critics complain, though, that several of Camelot's other moves so far seem intended to diminish local nonprofit organizations and increase its own corporate control. Camelot is largely run by the Providence Service Corp., a Tucson-based company listed on the NASDAQ that gets 10 percent of its contract amounts; Providence executives occupy two of the five seats on Camelot's Board of Directors, including the chair. Child welfare advocates blame corporate considerations for Camelot's selection of Family Preservation Services, a for-profit, wholly owned subsidiary of the Providence Service Corp., as a case management organization for Collier, Hendry and Glades. The designation would give Family Preservation Services near-total control over guiding children who have received assessments to the proper programs. The Ruth Cooper Center will be the case manager for north Lee and Charlotte counties and Lutheran Services handles the rest of Lee. The chairman of Camelot's board tried to push a policy that would restrict the growth of Lutheran Services and funnel some of its business to Family Preservation Services, but Camelot officials backed down after opposition from a state panel evaluating privatization. The dispute over Suncoast Psychometrics is the latest chapter in this lengthening battle over how the region's child welfare system will be run. It is also the one with the biggest implications for the area's most vulnerable children since it impacts every battered and neglected child in Collier, Lee, Hendry, Glades and Charlotte counties. Camelot officials said they had originally intended to award an exclusive contract to Suncoast Psychometrics because they wanted to streamline the process. If the assessments were done by just one company, Propper said, it would be easier for Camelot to monitor results. He listed another advantage: Donald McMurray of Suncoast and his associate James Kolarik were both Ph.Ds, so they could perform additional psychological evaluations on the children who needed them as well as comprehensive assessments. Also, Propper said that Suncoast would only be doing evaluations on children and not offering any other services. This policy, he explained, would prevent a conflict of interest that inflicted other providers. Suncoast could not refer clients they evaluated for behavioral or psychological problems to another arm of their organization for treatment, he said. "We want to avoid those conflicts," Propper said. "In our analysis, he, Dr. McMurray, was the one left standing." But Pamela Baker, who helped oversee the assessments for the state before privatization, said she did not witness such conflict of interest questions. "It was never a problem," she said. She pointed out that the behavioral assessments only recommended further care; they did not say where the child should get it. That determination was made by the child's case manager. David Schimmel, the head of The David Lawrence Center, called the conflict of interest concern "nonsense," citing similar information. But he and other child welfare organizations said they still had hoped to work with Camelot and that a meeting would help. In an interview, McMurray conceded his problems in completing assessments on time and expressed his sympathy with the worries of other child welfare organizations. "Any time any system changes, it creates tensions, or rumors or whatever," he said. When he first began providing comprehensive assessments, McMurray said, he had trouble getting in touch with foster care parents and others. He eventually got somewhat better. But in the fall of 2003, McMurray asked to no longer be given assessments, telling DCF officials that his strict schedule did not give him time to do the intensive legwork needed to complete one in 24 days. Dan England, the current operations manager for The Children's Network of Southwest Florida, Camelot's local setup, said he had given McMurray tips on how to do the assessments when he helped run the program for the state. "He was having trouble getting in touch with people" in 2001, England said. He improved his promptness, England recalled, but began having lateness problems again in 2003. Several local child welfare advocates said in interviews that lateness could be a result of McMurray working out of a small office in Sarasota. They add that it requires local street smarts as well as rigorous training to do these assessments promptly and thoroughly. McMurray said that he traveled frequently to the area and planned to hire many employees with experience in counties like Lee and Collier. If Suncoast won the contract, he said, he would be mostly a supervisor. He has run two community mental health centers and worked as a university administrator. A contract with Camelot is nearly complete, McMurray said. He is ready to sign it anytime. "We would very much like to do this contract," he said, "and we can do it very well." http://www.naplesnews.com/npdn/news/...729883,00.html Defend your civil liberties! Get information at http://www.aclu.org, become a member at http://www.aclu.org/join and get active at http://www.aclu.org/action. http://www.familyrightsassociation.com Network with other FL residents over DCF there. |
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