WASHINGTON Jan 30 U.S. states are patching
together funds from a variety of sources to care for thousands
of children who have been abused or neglected, but they are
still struggling to meet demand for services, a federal watchdog
agency said on Wednesday.
"Child welfare agencies, like other state agencies, operate
in an environment of ongoing fiscal constraint," the Government
Accountability Office (GAO) said in a special report. "They must
make difficult choices about how to allocate their limited
In 2011, an estimated 6.2 million children were referred to
child welfare agencies because they showed signs of possible
maltreatment, GAO said.
According to the Health and Human Services agency, the
number of referrals has increased since 2007. An estimated 5.9
million children were referred to agencies in 2010. HHS
estimates 1,570 children died from abuse and neglect in 2011.
Many of those referred to agencies received counseling or
home visits or were put into foster care, where families
temporarily look after them. The agencies also provided help for
parents, including training and substance-abuse treatment.
The majority of federal funding that year for child welfare,
$7.1 billion, went to states for foster care, while $730 million
was distributed through formula grants to address child abuse
and safety. The U.S. Congress also appropriated $189 million for
child-abuse prevention, GAO said.
According to the National Conference of State Legislatures,
states and the federal government spend about $25 billion every
year on child welfare services.
Many states had to use money from other federal programs,
with more than half in 2011 pulling money from the aid that
replaced welfare known as Temporary Assistance to Needy
Families, GAO found.
Some agencies also tapped Medicaid, the health insurance
for the poor that states administer with partial reimbursements
from the U.S. government. For example, Minnesota claimed $24
million in Medicaid reimbursements for helping children at risk
of being placed in foster care and their families. Medicaid can
take up to a third of a state's budget and is the fastest
growing expense for almost all states.
Even with budgetary maneuvering, many states cannot meet
demands. GAO canvassed 13 welfare agencies and found most are
straining to provide substance-abuse treatment and material
needs such as housing. Almost all said there was a shortage of
mental health services, such as child psychiatry.
The 2007-09 recession drove up enrollment in social
programs. Many states were unable to cover the rising need and
the U.S. government stepped in with extra dollars for Medicaid,
education and food stamps in its 2009 economic stimulus plan.
Mayors and governors now worry a push in the U.S. Congress
to reduce the federal debt and deficit by cutting spending will
force them to pick up more of the bill for safety net programs.