June 24, 2008

Cuts dump at-risk kids on state¨

By THEO EMERY, Staff Writer, Tennessean

On Betty Moss' front porch, Ricky and Reshawn Bell stare into the distance as Moss, their grandmother, chats with probation officer Derrick Brigham.
They discuss school and Reshawn's medications, as brakes screech on a nearby street and an elderly pit bull yawns in the yard.

The conversation winds down, and Brigham reaches out a tattooed arm to clasp Ricky's hand, admonishing the teen father, "Man, you got to take care of that baby. You've got to get a job," before hugging Moss goodbye.

Across Tennessee, the state Department of Children's Services pays for probation officers like Brigham, as well as schools and private programs, to keep children like Reshawn, 14, and Ricky, 17, out of trouble, and out of state custody.

An unexpected change to federal Medicaid rules, though, is costing the Department of Children's Services $73 million. To make up part of that shortfall, DCS is ending $12 million in grants to courts, community programs and schools that use the money to keep hundreds of children and teens out of jail and the foster care system.

The grants, about $580,000 of which Davidson County Juvenile Court uses to pay probation officers will end on June 30, and Brigham worries about what that will mean for kids like the Bells.

Brigham said he now handles about 30 cases. When the DCS money is gone, he expects his caseload to double. With fewer visits and less oversight, he predicted that some perhaps a quarter of them could eventually wind up in state custody.

"Today, you might be saving some money, but in five years, or even a year, you're going to be spending more money, because you're taking the safety net away," he said.

Change affects 500 kids
In January, the federal Centers for Medicare and Medicaid Services decided to stop paying states to provide "targeted case management," a system of coordinated care management for children.

The decision affected more than 30 states, including 30,000 children in Tennessee. Since then, states have sought congressional action to stop the cuts; that appears unlikely to succeed.

Tennessee is also among states that sued over the cuts, but that could take years to make its way through the courts.
DCS examined its options, said Deputy Commissioner Steven Hornsby, and decided that the department could no longer afford the grants.

"This is one of those things that hurts," he said. "It hurts."

Hornsby said the grants help about 500 children across the state. However, Davidson County officials said the grants help 300 in their county, and the head of a program in West Tennessee said the grants help 250 at his school alone.

DCS also must lay off 160 employees because of the cuts. Those are on top of buyouts of around 140 DCS workers, the result of a $468 million budget shortfall for next year. Davidson, Rutherford and Montgomery counties are three of the nearly three dozen grant recipients across the state.

"This is not a budget cut "" this is a budget increase," said Randy Hatch, senior administrator at Carroll Academy. "In the end, it's going to cost more money to keep these kids in state custody."

His school, which serves Carroll County and four neighboring West Tennessee counties, gets almost $860,000 from DCS to teach about 250 troubled kids on the cusp of the juvenile justice system.

Hatch thought the school might have to close. Now, after talks with private donors, the school probably will stay open, but will have to cut the number of children it serves. He predicted that some will end up in custody or on the street.

Hornsby said the cuts will be difficult and would require adjustment, but doubted that they will cause large-scale migration of kids into state custody.

"There will be some amount of impact initially, but I really think that eventually things will settle out, and we will adapt," he said.
Harder to oversee kids

In Davidson County, juvenile court officials have been forced to do that. Judge Betty Adams Green said the Juvenile Courtgrant has paid for about 14 probation officers, about a third of the county total, overseeing about 300 kids on probation.

Green said the court expects to get some money from the Metro government to fill the gap, and will probably only be down four to six officers in the end. Still, she said it will be harder to oversee the kids, and the federal cuts will cost the state more money down the road.

"I think it's penny-wise and pound-foolish," she said. "I think it's a whole lot better to address the needs on this end, than to say, 'We'll deal with that down the road.' "