JW

Foster Care System Challenges and Information Gaps

Caseworker Knowledge and Information Sharing

  • A caseworker brought an infant to a PPP (likely a Parent Partner Program) appointment but couldn't answer any questions about the child.
  • This highlights a systemic issue where caseworkers lack sufficient knowledge about the children they're handling.

Foster Parent Preparation and Information Needs

  • Foster parents should have essential information readily available, especially regarding pediatric care plans, if a child is placed with them.
  • When foster parents are approved for placement, they should provide details about where they plan to take the children for pediatric care, particularly if they live out of the county.
  • The system often struggles even to provide basic placement information promptly.

Systemic Issues and Triage

  • The foster care system is described as "broken," with challenges in providing correct placement information at the time of triage.
  • There is a need for more efficient information sharing and preparation.

Medication Management and Continuity of Care

  • Foster parents should know about a child's medication history and ensure they receive their medications as prescribed.
  • Sometimes, children are off their medications for extended periods (greater than 30 days) because the foster parent either didn't know or didn't administer the medication.
  • The discussion suggests a need for a system to track medication adherence and ensure continuity of care.

Data and Information Access Across State Lines

  • Medical records and information may not be readily accessible if a child was previously receiving care in another state (e.g., Michigan when the foster placement is in Ohio).
  • OREs (Ohio Revised Codes or potentially medical records) for medical care on the Ohio-Michigan border might not show up in the system, complicating the process of verifying a child's medication history.
  • This lack of interoperability between systems makes it difficult to determine if children are receiving necessary medications.