Circuit Court Judge Maryclaire Akers said the West Virginia Department of Human Services will be under an “improvement period” for a year under her appointed monitor, Cindy Largent-Hill, the state Supreme Court's children's services division director. Akers ordered that Hill collect data and create public reports on children being housed in unlicensed facilities after “troubling reports” of kids being housed in hotels and 4H camps attacking staff and each other, experiencing suicidal and homicidal thoughts and being restrained.
“What we cannot have are continued failures of that magnitude,” she said.
Children across the country have for years been housed in offices, camps, hotels and even sometimes jails as states have struggled to find emergency placements — especially those with the most complex mental health, medical or physical needs that make finding a placement with a foster family more challenging.
Foster care conditions under scrutiny across the US
Just last month in Kentucky, Auditor Allison Ball described "deeply concerning issues impacting foster children." Ball said she planned to conduct a broader investigation after a preliminary review found dozens of foster children ranging from teens to toddlers spent nights sleeping in social services buildings while awaiting placement by a state agency.
In 2020, the state of Kansas settled a class-action lawsuit filed by child care advocates. The settlement required the state to stop sheltering foster children in hotels, motels, cars, stores, offices, unlicensed homes or any other non-child-welfare housing.
Largely overwhelmed by the opioid epidemic in a state with the most overdose deaths per capita, West Virginia has the highest rate of children in foster care — currently more than 6,000 in a state of about 1.8 million.
The class action lawsuit dismissed Friday was first filed in 2019 and alleged the state's foster care children's needs have gone unmet because of a shortage of caseworkers, an overreliance on institutionalization and a lack of mental health support.
In dismissing the case Friday, U.S. District Judge Joseph R. Goodwin recognized that “there are children who deeply suffer in the custody of the state," but that his court didn't have jurisdiction. He said "state government retains every tool” to improve the foster care system, and elected officials are “entrusted and obligated” to do so — not the courts.
A federal appeals court in 2022 had revived the lawsuit that another federal judge in Charleston had dismissed in 2021.
Child's suicide attempt in hotel heightens scrutiny
In Kanawha County Court, Akers said a 12-year-old boy in state care who was being housed in a Charleston-area hotel attempted suicide last week three days after being removed from an unsuccessful foster care placement. The child had “very serious, dynamic needs” resulting from trauma he experienced with his biological family and multiple different foster placements and has had to be hospitalized in the past for mental health challenges, Akers said in court.
Akers said she grew concerned after the incident wasn’t disclosed to the guardian ad litem representing the child or during a scheduled review hearing of the child’s case. The judge said the court also wasn’t made aware that the state was housing the child in a hotel, and that it wasn't the first example of a failure by the state to disclose such information.
After investigating, Akers discovered the communication breakdown occurred because a Child Protective Services worker was out sick. She said procedures should be implemented to prevent such oversights in the future and that the state has a “moral and legal responsibility” to do so.
“Those without power here are the children,” she said. "They have to live where they’re told. They have to go where they’re told. So it’s incumbent upon all of us to protect them.”
West Virginia Department of Human Services Cabinet Secretary Alex Mayer, who began work in West Virginia about a month ago after leading child protective services in South Dakota, said he began meeting with providers to see what can be done to improve the system even before Akers' order. “Coming into this role, I knew it was broken, because it’s broken across the country,” he said.
Mayer said he welcomed the implementation of the monitor.
“If we didn’t have to have children in hotels, we don’t we want them in hotels,” he said. “We want them in appropriate levels of care where they can start either getting treatment that they need or they can be in a loving home to receive support while their family goes through the court process.”
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Associated Press journalist John Raby contributed to this report.