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1 1 (April 4, 2023)

handle is hein.amenin/aeiaeoj0001 and id is 1 raw text is: Key Points & Efforts to deinstitutionalize foster care have significantly reduced placement capacity and forced older chidrn and those with higher levels of need to live in a range of inappro- priate settings-child welfane offices, emergency rooms, hotels, and honeless shelters. Deinsttutionaization efforts in juvenile justice, increasino acuity levels within the child we ar popuaion, and the failure tc ev:elop rtmatvc pacemnents <ca)ab of e rving the children and youh .previously in congregate care have compounded the crisis, The redera govermrnent nust exerpt Qualified Reientia TreatmentProgramis (O RTPs) frn classication as irsitutlions for mental diease under Medicaid, amend the -arnAly First Prevention Service Act to provide an exenption >rom > nRTP tanards for prograrns se rving youth in h a juerile jusice systm, ad significanty ircrease fceral investment in developino alternative olacements to congregate care that can capably serve and sup- port older youth and youth wth higher levels of need. Across the country, child welfare systems are struggling to find placements fcr children and youth in foster care-especially those who are older and have higher levels of need. While bed shortages have long plagued child welfare systems, a confluence of issues has caused the problem to metastasize into a errs s These issues include increasing levels of need within the foster care population, financial challenges facing direct service providers, and ide- ological shifts that have driwn new legislative and regulatory recuirements and newv restrictions on funding ano< administrative decision-making. The result is that states and counties are rapidly losing residential treatment and congregate care capacity while struggling to recruit and retain foster hones capable of serving higher-needs foster chil- dren Consetquentily, foster children across the coun- tryare increasingly being housed in a range of tern- porary settings, including county and state offices, hospital3, hotels, and shelters. These placements' unsui-ability and frequency hive attracted signifi- cant press attention. An August 2022 story in the Philadelphia inquier investigated the Philadelphia Department of Human Services' use of its conference rooms as temporary housing for foster children. According to its own data, the department has housed more than 300 kids in its offices for at least one night over the previous year. Most nights, five to io children with complex needs are sleeping in the childcare room, where

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