Iowa's child welfare system is feeling the weight of the pandemic, with some counties in urgent need of foster-care families. At the same time, those involved with referrals say the state remains focused on reducing the cycle of trauma for the children.

Lutheran Services in Iowa (LSI) said regions surrounding cities such as Council Bluffs and Sioux City have the biggest gaps in foster-care placement.

Danette Morgan, pre-service training coordinator for LSI, said last year, more than 520 western Iowa children needed a foster home. She noted the pandemic has created roadblocks in families taking on more referrals. Another dilemma is the closure of some emergency shelters, which added to the uncertainty.

"Every time we move, I think it raises the questions again of, 'How long am I going to be here? What's going to happen next?' " Morgan explained. "And I think it sets the child back, maybe, as far as healing and developmentally."

While Lutheran Services calls on more households to become foster-care families, it said Iowa recognizes the importance of kinship care. Through a federal law passed in 2018, states have financial flexibility to carry out services aiming to keep at-risk children with relatives.

And there are prevention efforts to avoid removing children from their homes. Iowa's kinship care program started last year.

Morgan pointed out the program is a big help because of the extra hoops relatives or trusted family friends have to go through to become foster parents to a loved one. They are given temporary financial support while navigating the process.

"It is a long process, and it does take time," Morgan observed. "If finances were a concern to the family going through this program, then it makes it a little bit easier for them, and at the same time [it] provides a home for the child."

Meanwhile, LSI noted of the 520 children needing placement last year, roughly half the cases involved siblings. Morgan added limited availability makes it hard to keep them connected, and her team is doing its best to find homes close together.

Dental decay rates for Kentucky children age 2-5 are far higher than the national average, according to new data from the University of Kentucky's College of Dentistry.

The survey screened more than 6,000 kids across more than 100 counties.

Dr. Pam Stein, professor of dental science at the University of Kentucky and the study's co-author, said the highest levels of tooth decay were found in children attending rural Head Start facilities and among Black children in Jefferson County.

"In some regions of Kentucky, the rate of decay was over 50%," Stein reported. "To have that much decay at that young of an age is really distressing, especially when you think about the long-term impact."

The American Academy of Pediatric Dentistry recommends kids see a dentist when the first tooth appears or no later than their first birthday. Tooth decay leads to pain, school absenteeism, difficulty concentrating in school and painful eating, which often leads to poor nutrition. Left untreated, cavities can trigger tooth abscesses, meningitis and other serious, potentially life-threatening diseases.

Stein emphasized the worst tooth problems were found in Head Start programs in rural counties. She stressed it is important staff and dental providers meet with Head Start parents to pinpoint and address barriers including finances, transportation, or lack of education about oral health, preventing children from receiving needed care.

"Just an open discussion about, what is it that makes it difficult for you to get your child the professional help that they need," Stein explained. "Also, what is it that makes it difficult for you to provide the oral care that they need at home?"

According to the Centers for Disease Control and Prevention, half of U.S. children age 6-9 have had at least one cavity in their baby or permanent teeth and one in 10 kids age 12-19 have at least one untreated cavity. Kids in low-income households are twice as likely to have cavities compared with kids from higher-income households.

Childhood sexual abuse survivors will benefit from amendments to legislation pending in the Illinois Senate.

House Bill 222 would revise three parts of the existing Illinois Antitrust Act. Supporters say the measure will protect more child abuse survivors.

One change will mean if a survivor can prove the alleged abuser committed childhood abuse, the court will automatically assume the abuse was harmful to the survivor.

Attorney Larry Disparti with the Disparti Law Group said the important legislation means survivors will not have to relive their ordeal in a courtroom.

"The significance of that is abuse survivors don't have to provide or try to present further evidence of the trauma," said Disparti. "Once the sexual abuse has been shown or proven by a preponderance of the evidence, you don't have to now go to another step and prove that you've had trauma from it."

Another amendment removes blame often placed on the abuse survivor should they choose to file a civil lawsuit against their abuser.

Disparti said he often sees an abuser's attorney claim the survivor's actions or decisions encouraged the abuse - even as children. He called this tactic "horrible for the victim to experience."

The Children's Advocacy Centers of Illinois reports that nearly 294,000, or 1 in 10 children, will be sexually abused by their 18th birthday.

Experts says the trauma often experienced in childhood sexual abuse makes it difficult for survivors to speak publicly as adults and defend themselves.

Many survivors have delayed memories of their abuse and do not understand the psychological and physical impact.

Disparti said his office has received hundreds of calls asking about abuse survivor rights and what the process entails. He admited a few are reluctant to move forward in the legal process.

"It's a really big deal," said Disparti. "A lot of times this is so much shame. If they're older now most of the people in their lives, spouses, kids, don't have any idea, right? This never happened to them. And so, it's, it's a really tough thing for victims to come forward with."

Additional wording in HB 222 will also mean the law cannot assume an abuse survivor was aware they were being abused when the crime was occurring.

Nonprofits working with foster care children want them to know services are available to help them navigate life once they are out of the system.

The latest statistics from the Arkansas Department of Human Services show more than 3,400 children are in foster care. Some young people are never adopted or reunited with family members and age out of the system.

Jordan Otero, LEAD ambassador for the nonprofit Foster Success, now 25, entered foster care when he was 17 and said three things contributed to his successful transition into adulthood.

"Relationships with supportive adults who will last far beyond our time in foster care, financial resources that meet the various needs of young people while we pursue our higher education, the workforce and as we find our footing as young adults, and the third way to accomplish this is to ensure that all young people have access of a network to peers and supportive adults," Otero outlined.

He pointed out many young adults struggle once they leave the foster care system because they do not know about available programs or support systems.

In Arkansas, more than 1,000 children in foster care have been there for more than a year. The department of Human Services tries to reunite children with family members when possible.

Hope Cooper, campaign manager for the advocacy group Journey to Success, said her organization works with lawmakers to create legislation to address adversities foster care kids face.

"Young people in foster care face additional challenges in completing school on time," Cooper explained. "They're often coping with some mental health issues. There are other unmet needs, and as young people get older, into their young adult years, many face housing instability or challenges with getting connected to work."


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