LEGISLATURE
Bill gives state say over disabled
foster kids' care
As judges and the state argue over the
care of disabled foster children, lawmakers ponder a bill
that would settle the dispute.
BY CAROL MARBIN MILLER
cmarbin@MiamiHerald.com
Joe's mother abandoned him when he was a baby.
His father drank until he died.
Diagnosed as mentally disabled with the
vocabulary and articulation of a small child, Joe drifted from
foster care through youth shelters and juvenile lockup until he
ended up homeless. He told psychologists he was depressed and
hopeless. He said he saw ``dead people.''
For about three years, two Miami juvenile
court judges tried desperately to help Joe. They ordered the
state Agency for Persons with Disabilities to enroll the youth
in a taxpayer-funded program that could have provided speech and
occupational therapy, behavioral supports, tutoring and
vocational training.
But agency officials refused -- prompting one
of several constitutional showdowns between the agency, which
says it alone has the authority to decide who is eligible for
state-paid care, and local judges, who say it is their job to
protect foster children.
Now, Florida lawmakers are considering a
sweeping bill proposed by APD administrators that would end the
standoff -- in favor of the state.
The measure would strip juvenile court judges
of the authority to order services such as speech or physical
therapy and behavioral interventions for disabled children in
the state's care. The APD drafted the bill, sponsored by Rep.
Bill Galvano, a Bradenton Republican who chairs the House Future
of Florida's Families Committee, and Sen. Carey Baker, a Eustis
Republican.
WAITING LIST
Currently, 232 Florida foster children are on
a waiting list for state-paid services to help them cope with a
developmental disability, such as mental retardation, autism or
cerebral palsy. About 30 of the children live in Miami-Dade and
41 in Broward.
The children are among 12,000 to 16,000 on the
waiting list for Medicaid-funded community services, and 7,500
of the Floridians on the list are age 21 or younger, records
show.
Five cases -- four of them from Miami -- have
been appealed to the state's highest court, which has yet to
rule on whether judges can insist that a state agency provide
services to a disabled child who is under the court's
jurisdiction. Joe's case has not yet been appealed.
State officials say the bill places authority
over taxpayer-funded services where it belongs: with state
agency heads who know how much they have to spend on social
welfare and are best qualified to determine who is eligible.
''It is the agency's position that judges
never had that authority,'' said Lindsay Hodges, a spokeswoman
for APD Director Shelly Brantley. ``It is out of their
jurisdiction, and we want to clarify that.''
The bill also would give foster children a
boost closer to the front of the state's waiting list for
services, Hodges said, so they will not have to wait as long as
children who have moms and dads to advocate for them.
Advocates for children and disabled people say
the legislation is a heartless bill that would leave children
who are already legal orphans with no one to speak for them but
the very state that has consistently refused to help them.
''These children are the most vulnerable
people in the state of Florida,'' said John Hall, who heads the
Association for Retarded Citizens in Tallahassee. ``They were
neglected and abused, and they have a developmental
disability.''
Said Andrea Moore, who heads Florida's
Children First: ``This is a classic case of the executive branch
over-reaching and trying to deprive the judicial branch of its
authority. It's of concern to us because we believe it would
violate federal child welfare law.''
Joe, who is now 18, elected to remain in
foster care after he normally would have ''aged out'' of the
system, allowing Miami-Dade dependency Judge Cindy Lederman to
continue her supervision of his case. He entered foster care as
an infant.
Joe has been diagnosed as mentally retarded
five times since 2001.
REPEATEDLY DENIED
But the disability agency repeatedly has
refused to declare him eligible for state-paid care.
Administrators cite a June 2002 evaluation conducted for the
state by private psychologist Hilda Lopez. In her report, Lopez
wrote that Joe's IQ test indicated he was mentally retarded --
though she refused to make a formal diagnosis.
Even a separate state agency, the Department
of Children & Families, which oversaw Joe's foster care case,
acknowledged he suffered from a developmental disability.
''The great majority of psychologists and
psychiatrists who have evaluated Joe since 2000 -- with the
marked exception of Hilda Lopez . . . have reached and
documented the conclusion that he is mentally retarded,'' DCF
court liaison Meg Cantwell wrote in a June 10 letter to Lederman
and another judge.
Though Lopez and the APD refused to declare
Joe disabled, the psychologist still recommended he receive
care.
''Joe needs affection and guidance,'' Lopez
wrote in her June 2002 report. ''Due to his emotional, cognitive
and social condition, he requires very specific and highly
involved case management.'' Lopez recommended the boy get
academic tutoring, a life-long guardian and a speech therapy
evaluation.
The two Miami judges, Lederman and delinquency
Judge Lester Langer, were determined to get Joe services, such
as speech and occupational therapy, a room in a group home that
specializes in caring for disabled youths, behavioral therapy,
tutoring and vocational training.
''Joe is a young man who has been met with a
great deal of adversity from the very systems that were designed
to help and support youth with special needs,'' Joe's foster
care case manager wrote in a recent report. ``Joe has been
bounced from system to system and has lost his trust and faith
in those who attempt to offer him any help or supports.''
Joe, the report added, ``is in a very sad and
difficult position. He is in essence homeless.''
In September, Langer was forced to close his
case on the young man, having achieved virtually nothing. Last
month, Joe was arrested for bringing a pocketknife to a South
Miami-Dade high school -- a felony. He told school officials he
put the knife in his pocket and forgot it was there.
''Joe is a picture-perfect example of the need
for courts and judges to have some authority over these kids,''
said Langer, who presided over delinquency hearings for the
youth since 2001. Since Joe was consistently determined to be
incompetent, all of Langer's cases were dismissed with no final
outcome.
Said Langer: ``My fear is that, under this new
bill, all we'll be doing is setting up some of our most
vulnerable citizens for failure.''
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