W.Va. Children 5 Times More At Risk Of Drug Endangerment

The West Virginia Child Advocacy Group, or WVCAN, saw a nearly 10 percent increase in children served in the past five years.

The West Virginia Child Advocacy Group (WVCAN) saw a nearly 10 percent increase in new children served in the past five years according to a new report released on Thursday.

WVCAN operates 21 Child Advocacy Centers (CAC) which provide official service to 46 of 55 counties in the state.

Each CAC provides a safe, child-friendly facility where child protection, criminal justice and child treatment professionals work together to investigate abuse, hold offenders accountable and help children heal.

Kate Flack is the CEO of WVCAN. She said awareness of the program could account for the increase in new children served.

“Every time that we help build awareness, more children are disclosing to mandated reporters, more children’s cases are being investigated by CPS and law enforcement, and CPS and law enforcement make referrals to child advocacy centers,” Flack said. “So the children can come to a safe child-friendly facility to do a forensic interview with a trained forensic interviewer, who asks questions in a non-leading developmentally appropriate way.”

According to the report, children from 0 to six years old make up 25 percent of new children served at a CAC. Children ages seven to 12 account for 43 percent of new children served at a CAC. Finally, children ages 13 to 18 years old account for 32 percent of new children served at a CAC.

Flack said the majority of West Virginia offenders are over the age of 18.

“It represents the vulnerability that our children face,” Flack said. “That 96 percent of our alleged offenders were someone that child knew. So a lot of times when people think about child sexual abuse or physical abuse, they imagine stranger danger. And while there are, you know, cases of that, for sure, the majority, the vast majority of abuse that kids face, are people who are in positions of trust.”

The report shows 14 percent of the West Virginian children served were at a CAC because of allegations of drug endangerment. That is 4.7 times higher than the national average.

“Knowing that with poly-victimization, with the risks that kids face, if they are drug endangered, not only for neglect, you know, so not receiving adequate supervision, but it increases the risk of other types of abuse,” Flack said.

Flack said she is committed to her work and hopeful for state and federal investment into the program. 

“The CDC lifetime costs to society for each victim of abuse is $210,000,” Flack said. “And so I mean, if the average cost for services for each of these children from the CAC is between $1,000 and $2,000 per kid, and so really, I mean, a little, an ounce of prevention is worth a pound, or an ounce of prevention is worth a pound of cure.”

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

LISTEN: Experts Say Fewer Abuse Calls Could Be Signs Of A Bigger Problem

One in four women and one in nine men experience intimate partner violence – which can include physical injury or battery, psychological intimidation, emotional abuse or sexual violence from an intimate partner, according to the National Coalition Against Domestic Violence. The online publication 100 Days in Appalachia recently published a report about what the pandemic could mean for some Appalachians. Inside Appalachia host Jessica Lilly talked with the reporter, Alison Stine, to find out more.

***Editor’s Note: The following has been edited for clarity and length.

Lilly: So what do you mean by, “in Appalachia, it’s always hard to leave an abusive home”? How are things different here than other places when it comes to escaping abuse?

Stine:  Well, we have some factors about our region that may make us unique and also make some things difficult. We’re more geographically isolated in parts of the region. Parts of our area are more remote and accessing services can be more difficult. There simply may not be as many services, they may be harder to get to. We have low rates of public transportation in many areas. So if you only have one car, it may be hard to get to help sometimes. We also have populations with lower incomes. One of the experts I talked to talked about how if people have resources, they tend not to go to a shelter, they tend to reach out more at home.

Lilly: And how is the pandemic making it harder for survivors of domestic abuse right now?

Stine:  Well, the pandemic basically means reduced movement across the board. You are not going to work, many people — children — are not going to school. People can’t even leave the house for an errand or to get a break. So people may be living with their abusers and be unable to take time off or even have an excuse to leave. Communication is also more difficult because of the pandemic. People may not have internet access at home. And libraries are closed, so you can’t access the internet there. People may be running out of data or minutes on their cell phone plan. Most of the avenues that people would use to access help are just a little bit more hectic right now.

Lilly: In your report, you mentioned that phone calls reporting abuse or neglect have basically stopped not just here in Appalachia, but also in other places across the country, like in Colorado. But this is actually a concern for social workers or other abuse prevention experts, right?

Stine: Absolutely. It really means that people aren’t able to reach the phone to call out for help, or that people aren’t in front of mandatory reporters, like teachers and coaches, or people who would see maybe signs of abuse happening and try to reach out for help. … I talked about in the article, the first thing that My Sister’s Place did when the pandemic hit this area is they started to make room. And it wasn’t just that they knew they needed space between the beds, and they needed to give every family their own bathroom for social distancing and safety reasons. But it was also that they did expect an increase. They expected that tensions would be running higher. People would be spending more time with their abusers. And things might come to a head, people might need more help during this time than they would normally. And so they expected to have that flood of people coming. But the opposite has happened. People are less likely to be able to get out or even to feel comfortable or safe getting help. It’s not a great time to leave your house period, right? Even if you can, you know, it’s not the best time to go to a hospital, even if you’re hurt or need that help. 

Lilly: It seems kind of hard to talk about, even as I say it out loud. My stomach kind of turns thinking about the needs and the people out there who can’t get to the phone. But just in trying to see some kind of opportunity or hope, what are your thoughts about the [social] workers getting an opportunity … to catch up on some of these  … stacks and stacks of papers [that have been sitting] for a long time?

Stine:  You know, I think that is true. I have a friend here in Appalachian Ohio who’s a social worker, and people aren’t showing up for their appointments, their counseling appointments, and that concerns her. And so she’s trying to reach out to them in different ways. So I think there’s two opportunities here: One is that my social worker friend — she’s using this extra time, if you will, to catch up on those backlogs to check back in with people to maybe revisit some old circumstances that she never followed up on or the limited resources didn’t allow her to. But I think another opportunity [in] this very stressful time is to maybe think about new ways to reach out and communicate. My Sister’s Place, the domestic violence agency in Ohio, has set up a text line, because they realize that even if you don’t have internet at home or you’re almost out of minutes, or you have no data plan, sometimes you can still text. So people can reach out that way. A woman that I talked to who works in the social work department at Ohio University — she’s an associate professor there — she talked about how this is really a time for us to check in with each other. This is really a time to call that friend you haven’t talked to in a while, or knock on the house of that senior citizen and stand back on the porch, and just ask if people are okay, and really check in with each other. And we still do have opportunities for contact in the form of, you know, virtual calls and videos. And that’s still a chance to check in on somebody and see how they’re doing and just pay attention to what might be going on in their life, and how you might be able to be there for them.

Lilly: So for folks who might be listening who need help, the message is look for other ways to communicate. Rather than the traditional phone call or physically leaving, and for those of us who want to help, look for ways to pay attention to your neighbors — and folks who we might know who live in these dangerous situations — and be willing reach out and and help with that is what I think I’m hearing, right?

Stine:  Absolutely. And I think it’s important to remember that domestic violence shelters are still open. They are classified as essential services, and they’re still operating. And they have gone to great lengths to keep the facilities safe and available to people that need them. So they’re still there for people.

Lilly: Thank you so much for your time and stay safe.

Stine: Thank you. You, as well.

Medical Professional Liability Bill Passes in the House

Senate Bill 6, relating to medical liability caps for nursing home administrators, was up for passage in the House Tuesday.

Last week, this bill stirred up a lot of controversy during a public hearing. Children and wives of nursing home residents feared the bill would give immunity to corporations in charge of nursing homes who might be involved in malpractice or fraudulent cases. Many shared their own stories of their loved ones dying in the care of nursing homes due to neglect and other acts.

Speakers who were for the bill, however, said it would aid nursing homes that, they claim, are attacked by out of state trial lawyers who might be looking for a quick buck.

Those arguments mirrored the ones on the house floor yesterday. Delegate Tim Manchin spoke out against it.

“What this bill is about is protecting corporations, large business entities that are not rendering healthcare,” said Manchin, “They are making economic decisions. That’s all they’re doing. They are not listening to their local facilities, they’re not listening to regional directors; they’re making these decisions in a vacuum.”

Delegate Denise Campbell, also a Democrat, said she has worked in a nursing home for fourteen years.  She explained that many nursing homes are wrongly sued because people don’t understand the rules the facilities have to follow. She held up the book of federal rules for nursing home care.

“That’s one of the biggest reasons nursing homes are sued is because of falls,” Campbell said, “Well if you look in this book right here; this book will tell you that you cannot put any type of a restraint on anybody, whether they understand that’s it’s dangerous for them to get up and walk, and you know what, if you even put an alarm on them that sounds that aggravates them, you can get a citation, because you are psychologically restraining them. Okay? I’ve had family members that come in and say, Denise, I do not want my mom to fall. I want you to put something on her that prevents her from getting up out of the chair or prevents her from getting up out of the bed. You know what, I can’t do that, because that is a violation. I cannot restrict their movement. Whether their movement is safe or unsafe, I have to allow them to be able to move.”

Delegate Stephen Skinner expressed his stance by telling a story of a woman who died while in the care of a nursing home in 2009.

“Let’s take a look at what happened to Dorothy Douglas. September 2009, Dorothy Douglas was admitted to Heartland Nursing Home here in Charleston. She was 87, and she suffered from Alzheimer’s, but at the time that she was admitted, she could still walk with the aid of a walker, she was able to recognized her family, and she was able to talk to them,” Skinner explained, “After being in Heartland Nursing Home for 19 days, just 19 days, she become dehydrated, malnourished, bedridden, and barely responsive. She had fallen numerous times, she sustained head trauma and bruises, and suffered from sores in her mouth and throat that required scraping away of the dead tissue. She ended up at Cabell Huntington Hospital, and 18 days later, she died as a result of severe dehydration.”

At the last, Delegate John Shott, spoke for the bill and addressed Skinner’s story.

“It certainly is a bill that’s easy to generate emotion over, I don’t think there’s anyone here who hasn’t had an experience with a loved one, a parent or a grandparent or a close friend that has had to go to a nursing home, and I say had to go, because that’s normally not a choice that people readily make,” Shott said, “But what I’d like to ask you to do is to more or less disengage the emotional part of yourself, your heart, and engage your brain and let’s try to look at this in a logical and thoughtful manner, and balance all the interests, not just Dorothy Douglas, but all the interests that are involved in setting policy here in the state. And by saying that, I’m not trying to diminish the terrible situation that Ms. Douglas went through. I don’t think anybody here would condone that, but it’s so easy to let one horror story generate so much emotion that it overpowers your ability to analyze and understand what’s at stake.”

Senate Bill 6 passed 76 to 21, with Delegate Tom Fast the only Republican against the bill.

New System Centralizes W.Va. Abuse, Neglect Cases

  West Virginia officials have established a centralized system for reports of abuse and neglect.

The state Department of Health and Human Resources Commissioner for the Bureau for Children and Families says the Centralized Intake Unit will begin operations on July 1.

Officials say the system will ensure consistency across the state for the receipt and documentation of abuse and neglect cases for child and adult protective services. It also will provide consistency in evaluation and decision making for child protective services.

The system replaces the current practice of separate intake units by county and contract services for after-hours calls.

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