Legislature(2023 - 2024)DAVIS 106

03/07/2024 03:30 PM Senate HEALTH & SOCIAL SERVICES

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Audio Topic
03:33:39 PM Start
03:35:15 PM Presentation(s): Alaska Citizen Review Panel and Office of Children's Services
05:03:30 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- Please Note Location Change --
Meeting Jointly with House Health and Social
Services Committee
+ Presentation: Alaska Citizen Review Panel TELECONFERENCED
Annual Report and DFCS Office of Children's
Services Response
                    ALASKA STATE LEGISLATURE                                                                                  
                         JOINT MEETING                                                                                        
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                         March 7, 2024                                                                                          
                           3:33 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                             
                                                                                                                                
 Representative Mike Prax, Chair                                                                                                
 Representative Justin Ruffridge, Vice Chair                                                                                    
 Representative Jesse Sumner                                                                                                    
 Representative Zack Fields                                                                                                     
 Representative Genevieve Mina                                                                                                  
                                                                                                                                
SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                            
                                                                                                                                
 Senator David Wilson, Chair                                                                                                    
 Senator James Kaufman, Vice Chair                                                                                              
 Senator Cathy Giessel                                                                                                          
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                             
                                                                                                                                
 Representative CJ McCormick                                                                                                    
 Representative Dan Saddler                                                                                                     
                                                                                                                                
SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                            
                                                                                                                                
 Senator Löki Tobin                                                                                                             
 Senator Forrest Dunbar                                                                                                         
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
PRESENTATION(S):  ALASKA CITIZEN REVIEW PANEL AND OFFICE OF                                                                     
CHILDREN'S SERVICES                                                                                                             
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
No previous action to record                                                                                                    
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
RETCHENDA GEORGE-BETTISWORTH, DSW, MSW, Chair                                                                                   
Alaska Citizens Review Panel                                                                                                    
Anchorage, Alaska                                                                                                               
POSITION  STATEMENT:    Gave a  PowerPoint  presentation  on  the                                                             
Alaska Citizen Review Panel.                                                                                                    
                                                                                                                                
KIM GUAY, Director                                                                                                              
Office of Children's Services                                                                                                   
Department of Family & Community Services                                                                                       
Anchorage, Alaska                                                                                                               
POSITION  STATEMENT:    Gave a  PowerPoint  presentation  on  the                                                             
Office of Children's Services.                                                                                                  
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:33:39 PM                                                                                                                    
                                                                                                                                
CHAIR  DAVID WILSON  called the  joint meeting  of the  House and                                                               
Senate Health  and Social Services  Standing Committees  to order                                                               
at 3:33 p.m.  He announced  the Senators present, then passed the                                                               
gavel to Chair Prax.   Representatives Mina and Prax and Senators                                                               
Giesel, Kaufman,  and Wilson were  present at the call  to order.                                                               
Representatives  Fields, Sumner,  and  Ruffridge  arrived as  the                                                               
meeting was in progress.                                                                                                        
                                                                                                                                
^PRESENTATION(S):   Alaska  Citizen  Review Panel  and Office  of                                                               
Children's Services                                                                                                             
  PRESENTATION(S):  Alaska Citizen Review Panel and Offices of                                                              
                      Children's Services                                                                                   
                                                                                                                                
3:35:15 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX announced that the only order of business would be                                                                   
presentations on the Alaska Citizen Review Panel and the Office                                                                 
of Children's Services.                                                                                                         
                                                                                                                                
3:35:38 PM                                                                                                                    
                                                                                                                                
RETCHENDA  GEORGE-BETTISWORTH, DSW,  MSW, Chair,  Alaska Citizens                                                               
Review  Panel,  gave  a PowerPoint  presentation  on  the  Alaska                                                               
Citizen  Review  Panel  [hard  copy  included  in  the  committee                                                               
packet].   Congress created the  Citizen Review Panels  (CRPs) as                                                               
part of the  Child Abuse Prevention and Treatment  Act (CAPTA) to                                                               
help  child protection  systems be  more responsive  to community                                                               
needs.   A CRP is a  mechanism for public participation  in child                                                               
protection.   Federal mandates direct  CRPs to  examine policies,                                                               
procedures,  and practices  of state  and local  child protection                                                               
agencies and  conduct public outreach  and recommendations.   The                                                               
state mandate, AS 47.14.205, directs  the state panel to evaluate                                                               
the extent  to which the  department is effectively  carrying out                                                               
its  responsibilities.   Alaska CRP  (ACRP) was  formed in  2002.                                                               
Membership is voluntary and is  expected to reflect the diversity                                                               
of the state.  The ACRP  has three primary functions:  evaluating                                                               
policies  and  procedures  for consistency  and  compliance  with                                                               
state and federal  laws; public outreach to  gather feedback; and                                                               
advocacy.    ACRP is  independent  of  the Office  of  Children's                                                               
Services (OCS), but both entities  work collaboratively to target                                                               
specific  goals  in relation  to  system  challenges in  Alaska's                                                               
child welfare  system.  ACRP's  long range plan  encapsulates the                                                               
following  enduring priorities:    reciprocal engagement;  public                                                               
outreach;  collaborative  relationship  with OCS;  CRP  education                                                               
development; and  healthy CPS  system.   The 2022-2023  CRP round                                                               
table found that  frontline workers do not  feel valued; wellness                                                               
time was not given; workers  must work outside their scope; there                                                               
is a  need for  increased access to  mental health  services; and                                                               
there is a perceived lack  of follow-through on promised changes.                                                               
Supervisors and managers report a  lack of staff as their biggest                                                               
challenge;  HR   delays  prevent   them  from   hiring  qualified                                                               
applicants; they  need to  be considered  in worker  wellness and                                                               
retention;  and unreliable  technology  and a  lack of  resources                                                               
adds   to   the   workload.     The   2022-2023   annual   report                                                               
recommendations for  a healthy CPS system  include the following:                                                               
dedicated   agency  improvement   team   and  workplace   culture                                                               
assessment;   improved  communication;   increased  transparency;                                                               
integration of  culturally relevant practices;  employee advocacy                                                               
groups;  assessed  benefits  and  bonuses  structure;  technology                                                               
improvements; and management  training.  In Fiscal  Year 2024 (FY                                                               
24),  ACRP  plans  to  utilize  OCS  staff  surveys  to  identify                                                               
advocacy opportunities  around retention, recruitment,  and staff                                                               
well-being; assess  OCS intake policies  and procedures,  and the                                                               
practices around  referrals to support  services; and  assess PCS                                                               
hiring practices.                                                                                                               
                                                                                                                                
3:52:37 PM                                                                                                                    
                                                                                                                                
GEORGE-BETTISWORTH,  PhD, in  response to  a series  of committee                                                               
questions, stated that money should  be put towards technology to                                                               
improve those systems  within OCS; OCS is  working toward meeting                                                               
some  of the  recommendations  identified in  the annual  report;                                                               
2022-2023   recommendations  focused   on   technology  and   the                                                               
integration  of culturally  relevant practices  to create  a more                                                               
holistic assessment;  the inability  to access  behavioral health                                                               
services impacts the overall wellbeing  of children; Alaska lacks                                                               
an  adequate  workforce to  meet  the  state's behavioral  health                                                               
needs; the  negative impacts  of the  COVID-19 Pandemic,  such as                                                               
higher rates  of anxiety and  depression, continue to be  seen; a                                                               
healthy workforce,  or lack thereof, negatively  impacts children                                                               
and  their   safety;  better  training   practices,  preparation,                                                               
incentivization and recognition through  better pay may help with                                                               
OCS turnover.                                                                                                                   
                                                                                                                                
4:12:02 PM                                                                                                                    
                                                                                                                                
KIM  GUAY,   Director,  Office  of  Children's   Services  (OCS),                                                               
Department  of  Family  &  Community   Services  (DFCS),  gave  a                                                               
PowerPoint presentation  on OCS's response to  the 2022-2023 ACRP                                                               
report [hard  copy included in  the committee packet].   The rate                                                               
of turnover  in OCS has  continued to increase since  2020, which                                                               
is costly,  creates instability  for children  in care  and their                                                               
families, and impacts agency morale.   Last year, OCS adopted the                                                               
U.S. Surgeon General's framework  for workplace mental health and                                                               
wellbeing.   Centered on worker  voice and equity,  the framework                                                               
has five  essential branches  that are  grounded in  human needs:                                                               
protection from harm, opportunity  for growth, mattering at work,                                                               
work-life  harmony, and  connection/community.    In response  to                                                               
committee questions,  she said OCS  is actively trying  to listen                                                               
to its workforce with fireside  chats and job shadowing; positive                                                               
reinforcement  is  critical  for "mattering  at  work,"  however,                                                               
sometimes  its  not enough  to  balance  the overwhelm  from  the                                                               
workload and  the difficulty  of the  work itself;  the workforce                                                               
has  changed dramatically  in recent  years, as  fewer applicants                                                               
have  college degrees  and  fewer are  applying  overall; OCS  is                                                               
trying to figure out how much  training to invest, given that the                                                               
average length  of stay  of a  welfare worker in  the U.S.  is 18                                                               
months; if workers  make it to two years, they  usually stay with                                                               
the organization; OCS identified  certain competencies related to                                                               
human connection  that are  screened for  when hiring;  two years                                                               
ago, OCS  shifted its tribal  compact funding  towards prevention                                                               
activities  with  the  ultimate  goal of  keeping  Alaska  Native                                                               
children out of the system.                                                                                                     
                                                                                                                                
4:45:19 PM                                                                                                                    
                                                                                                                                
MS.  GUAY resumed  the presentation  and addressed  the 2023  OCS                                                               
annual staff  survey.  Staff  are requesting the following:   pay                                                               
increases;  technology improvements;  focus on  mental health;  a                                                               
streamlined  Online Resource  for the  Children of  Alaska (ORCA)                                                               
process; onboarding support; investing  in training; adjusted on-                                                               
call  hours;  retention  bonuses;  and  more  communication  from                                                               
supervisors.    The   ORCA  system  was  launched   in  2004  and                                                               
encompasses the  division's fiscal  system, case  management, and                                                               
foster  parent  payments.   The  system  is antiquated  and  will                                                               
require  an estimated  $50 million  update, of  which 50  percent                                                               
would  be funded  by the  federal  government.   OCS is  actively                                                               
working on workplace communication  by implementing its "fireside                                                               
chats," a return to in-office  work, a newsletter, regional staff                                                               
meetings, and a  leadership summit on trainings.   In response to                                                               
a series  of committee  questions, she  acknowledged that  OCS is                                                               
inherently  reactionary.   The  answer, she  said,  is not  child                                                               
protection, its  prevention.  OCS struggles  with child placement                                                               
and  a   lack  of   available  foster   homes,  in   addition  to                                                               
insufficient mental  health providers.   She  further highlighted                                                               
the disproportionate  number of  Alaska Native children  in state                                                               
care and emphasized the importance of OCS's work with tribes.                                                                   
                                                                                                                                
5:03:30 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no  further business before the  committee, the House                                                               
Health  and  Social  Services   Standing  Committee  meeting  was                                                               
adjourned at 5:03 p.m.