IT IS ALWAYS DIFFICULT to call for new initiatives in such tight
fiscal times as South Carolina is experiencing. However, we believe
Department of Social Services Director Kim Aydlette is on the right
track in exploring a more aggressive and coordinated system for
reviewing child fatalities.
Ms. Aydlette told The Charlotte Observer that she is researching
the creation of local child fatality review teams. The action was
prompted by an Observer series that detailed the 112 South Carolina
children who have died after contact with social workers since
1994.
The newspaper’s series focused primarily on North Carolina. And
it did find some aspects of the Palmetto State’s system that are
superior. For example, DSS officials here said they do not have
trouble getting criminal records from police. The North Carolina
agency reported high cost and low access to such records when
reviewing potential foster parents. The agency cited that as a
significant roadblock in its efforts to prevent child abuse and
deaths in the foster care system.
Other aspects of South Carolina’s system did not look good in the
newspaper’s examination.
For example, 16 counties here have local health and safety
councils. But their missions and the participation level of members
vary widely, and the panels receive no funding. They do not all
perform regular death reviews.
According to The Observer, South Carolina’s state-level Child
Fatality Advisory Committee analyzes the deaths of children involved
in social services cases, as well as hundreds of other child deaths
outside the system. However, the discussion is general and seeks
only to identify trends. The newspaper reported that S.C. DSS
performs an internal review of child deaths that occurred within six
months of contact with the agency, but that the findings are kept
confidential.
Ms. Aydlette said she is interested in a more structured,
cross-agency review of deaths. That will take money, and it’s
difficult to see where DSS would come up with much now. The agency’s
state budget has dropped $48 million since 2001, down to $83
million. It is leaving federal money uncollected because there is
not enough state money to meet match requirements. DSS has trimmed
250 jobs because of state budget cuts.
The current environment makes it even more important that state
agencies operate under the best known practices available. The
benefits could extend beyond state agency practices. Other states
with child fatality review have adopted reforms in areas outside of
social services. For example, such review might show that a
dangerous roadway should have its speed limit lowered or that
children would benefit from being required to wear bicycle
helmets.
Child health and safety is important anywhere. However, the value
of keeping children well and unharmed must be absolutely paramount
when the state is taking a custodial role over those children. If
ever that system falls short, as it tragically has in the past, a
thorough, documented and open review must be conducted. The
circumstances that led to a child’s death must be identified so that
they are not repeated within our social services system.
Our state and our social services agency are in the clutch of an
unprecedented budget crisis. It is good to see that is not being
used as an excuse to stop looking for and aspiring to the best
possible methods of caring for vulnerable children.