New Human Services Secretary Discusses Child Welfare And Effect Of Federal Cuts Are Felt At Mammoth Cave, This West Virginia Morning

On this West Virginia Morning, Kentucky’s Mammoth Cave National Park is just one of the sites already feeling the effects of firing federal workers at National Parks, and West Virginia’s new Secretary of the Department of Human Services, Alex Mayer, discusses the future of child welfare.

On this West Virginia Morning, the federal government has begun firing federal workers at National Parks across the country. WKU Public Radio reporter Derek Parham reports Mammoth Cave National Park in neighboring southern Kentucky is just one of the sites already feeling the effects of those sweeping measures. This story was produced as part of the Appalachia Mid-South Newsroom. A collaboration between NPR and several public radio stations in West Virginia, Tennessee and Kentucky.

And for The Legislature Today, health reporter Emily Rice sat down with West Virginia’s new Secretary of the Department of Human Services, Alex Mayer, to discuss the future of child welfare in a state with more than 6,000 kids in its custody.

West Virginia Morning is a production of West Virginia Public Broadcasting, which is solely responsible for its content.

Support for our news bureaus comes from Shepherd University and Marshall University School of Journalism and Mass Communications.

Maria Young produced this episode.

Listen to West Virginia Morning weekdays at 7:43 a.m. on WVPB Radio or subscribe to the podcast and never miss an episode. #WVMorning

New Secretary Talks More Training, Retention Plans For Department Of Human Services

On this episode of The Legislature Today, Health Reporter Emily Rice talks with West Virginia’s new secretary of the Department of Human Services, Alex Mayer, to discuss the future of child welfare in a state with more than 6,000 children in its custody.

On this episode of The Legislature Today, Health Reporter Emily Rice talks with West Virginia’s new secretary of the Department of Human Services, Alex Mayer, to discuss the future of child welfare in a state with more than 6,000 children in its custody.

The Senate approved 10 bills Monday on issues ranging from optometry to carbon sequestration. As Chris Schulz reports, two of those bills deal with the well being of students in the state’s schools.

The House of Delegates sent five bills over to the Senate. One bill that addresses thrift stores garnered some debate. Briana Heaney has that story. 

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The Legislature Today is West Virginia’s only television/radio simulcast devoted to covering the state’s 60-day regular legislative session.

Watch or listen to new episodes Monday through Friday at 6 p.m. on West Virginia Public Broadcasting.

Monitor Appointed Following Attempted Suicide Of Child Placed In Hotel

Following the attempted suicide of a child in state custody placed in a hotel in February, a judge ordered a monitor to oversee West Virginia’s child protective services.

On February 24, Kanawha County Circuit Court Judge Maryclaire Akers issued an administrative order calling Department of Human Services (DoHS) Cabinet Secretary Alex Mayer to discuss the department’s practice of housing foster children in hotels and 4-H camps.

Akers said at a public hearing Feb. 28 her court order was prompted by the attempted suicide of a 12-year-old child in a Charleston-area hotel on February 18, three days after he was removed from an unsuccessful foster care placement.

“Three days later, this Court had a scheduled review hearing at that time, not his worker, not his guardian ad litem, and not the court was made aware that there was a suicide attempt, nor was the court made aware that he was in the hotel,” Akers said.

During her investigation into the incident, Akers found that the communication breakdown was due to one Child Protective Service (CPS) worker’s illness.

“Because she was sick, that information was not timely communicated to the worker who could not communicate it to the guardian ad litem who could not communicate it to me,” Akers said. “The communication breakdown there was not the fault of a lazy or not dedicated employee, it was just simply whatever processes exist within CPS.”

Akers said she and her colleagues heard rumors but did not have substantiated evidence of children in state care in hotels and campgrounds. 

“That’s not something that this Court has ever been directly informed of in a court summary,” Akers said. “We may have had some workers testify about it here and there, but I didn’t realize the magnitude of it.”

In her questioning of Mayer, Judge Akers assured him and all attendees, including virtual viewers, that she had not called the hearing to berate him or his staff and that she sought to gain clarity on the child welfare system’s placement methodology.

“I recognize that you’ve had the job for, what, 45 days, something like that? 30 days,” Akers said. “I also don’t mean this to be negative towards the prior administration either. I appreciate that you’re here, and I appreciate that that indicates to me that you have a willingness to sit down and communicate what’s been going on.”

Mayer was appointed about a month ago and said in court he welcomed the monitor. He also said placing children in state care in hotels or camps for temporary housing is not unusual across the country in times of need.

“The hotel mechanism was one that gives agencies or one that agencies have utilized as a way to have the child in a placement,” Mayer said. “Not ideal. I don’t think anyone would agree that a hotel is an appropriate placement.”

Mayer also testified that placement issues have increased in recent years with more substance-exposed infants and adolescents coming into the system, even in South Dakota, where he is from.

“Amid trying to get placements for children we are having to utilize hotels in order to buy time, to have conversations with facilities, to talk to them about what additional supports can I offer you,” he said. “The way that system was designed wasn’t able to support what that agency might need,” Mayer said.

Akers appointed Cindy Largent-Hill, the State Supreme Court’s children’s services division director, to monitor the department under a year-long improvement period.

“I think if we can’t figure out a way to deal with this here, you all will be going to these hearings all over the state,” Akers said. “The judges that I have heard from feel similarly to me. I don’t speak for all of them. Everyone has their own challenges and problems, especially in the rural counties that are different from Kanawha County, but I can say that the overwhelming feeling I have amongst my colleagues across the state is that no one likes the hotels. No one wants the 4-H camps.”

According to the judge’s order, Hill will collect data and create public reports on children in state custody being housed in unlicensed facilities.

As Workforce Woes Hit Behavioral Health Centers, Advocate Calls For More Funding

The West Virginia Developmental Disabilities Council says strengthening jobs and funding for behavioral health centers and state health programs would help folks with disabilities live independently and find jobs.

West Virginia is home to 13 publicly funded behavioral health centers, run through the West Virginia Department of Human Services. Located across the state, these facilities provide things like at-home care, counseling and crisis support to residents with disabilities.

But the United States is currently facing a shortage in its health care workforce, and West Virginia is no exception. Nursing jobs in the state had a vacancy rate of nearly 20% last year, and a majority of the state’s 55 counties are medically underserved, according to a 2024 report from West Virginia University.

Tina Wiseman is executive director of the West Virginia Developmental Disabilities Council (WVDDC). She said the shortage has spelled trouble for the state’s behavioral health centers, which play an important role in providing long-term support to folks with disabilities.

“Everywhere there [are] workforce issues. But those programs would really benefit from increasing wages, more standardized training, more oversight by middle management,” she said. “Making sure that people with developmental disabilities aren’t institutionalized and lose their rights.”

The WVDDC is federally funded, and every U.S. state and territory has its own version of the council, as required by the federal Developmental Disabilities Act.

“Our main goal is to advocate for people with developmental disabilities, to make sure their rights are protected, to provide education and technical support to policymakers and lawmakers about what the big issues for people with developmental disabilities [are],” Wiseman said.

Wiseman acknowledged that state spending might be constrained by a projected budget shortfall this year. In January, Gov. Patrick Morrisey estimated that the state would face a budgetary deficit of $400 million this coming fiscal year, and said he expects it to grow in the years ahead.

Still, Wiseman said investing in behavioral resource centers, and programs that support residents with disabilities broadly, should not be looked at as a simple expense. She said these services also help residents with disabilities live independently, uplift their communities and rely less on state services, reducing costs to the state.

“It’s a needed investment, and they have payoff,” Wiseman said. “It is, on average, cheaper than any institutional facility if you invest in people with disabilities living in their communities, invest in supporting them to get jobs.”

Wiseman visited the State Capitol Wednesday as part of Disability Advocacy Week, an annual awareness campaign where advocates from across West Virginia come to Charleston to speak with residents, lawmakers and lobbyists about the needs of residents with disabilities.

On Tuesday, advocates raised awareness about West Virginia’s state use program, which helps residents with disabilities find employment by prioritizing them in the hiring process for certain state-requested jobs, like janitorial work and mail processing.

Wiseman said a better behavioral network for the state could spill over into improving other areas of policy concern. During this year’s legislative session, state lawmakers have expressed concern over reports of violence against school teachers from some students, and difficulties enforcing student discipline policies in local school systems.

The causes of school discipline issues run the gamut. But for students with mental health issues or developmental disabilities, Wiseman said more robust behavioral health care could turn a disciplinary problem into a chance for a child or teen to get the health support they need.

“Sometimes, kids just need someone that can maybe take them out of that classroom environment, maybe take them on a walk,” she said. “Just do some talking to them. It gives everyone in the classroom a little bit of a break to kind of reset. It gives the teacher time to reset. And it gives that student time to just calm down, refocus and then go back into the classroom.”

Wiseman feels that providing students support can be more effective than punitive responses to discipline violations.

“A lot of those things are things that really should be dealt with in that manner, as opposed to in-school or out-of-school suspension,” she said.

While investing in mental and behavioral health resources comes with a price tag, Wiseman said it also cuts costs in other areas. She believes that pays off in the long run, especially when it means helping residents find jobs that make them feel both fulfilled and financially independent.

“It all comes around full circle, supporting that community. The more people we can get in the workforce, the better,” she said. “I mean, it’s a win-win.”

W.Va. Overdose Death Rates Fall By 38%

The opioid epidemic’s hardest-hit state in the union continues to outpace the nation’s declining overdose death rate.

The most recent available data from the Office of Drug Control Policy (ODCP) shows a 38% decrease in overdose deaths in West Virginia from January to July 2024, compared with the same period in 2023.

West Virginia has led the nation in overdose death rates for a decade with a peak of 77 overdose deaths per 100,000 people in 2021. According to a 2023 report from the State Unintentional Drug Overdose Reporting System, the state saw 1,453 overdose deaths that year.

The West Virginia Department of Human Services (DoHS), alongside the ODCP, announced the continuing decrease on Thursday, citing their ongoing prevention and treatment efforts as a contributing factor.

“We are seeing real progress in reducing overdose deaths, a direct result of our ongoing, data-driven efforts,” said Dr. Stephen Loyd, director of the DoHS ODCP. “By continuing to focus on prevention and treatment strategies under Governor Morrisey’s leadership, we are committed to furthering this success.”

According to data collected from August 2023 to August 2024, West Virginia’s drug overdose death rate declined by nearly 28%, outpacing the nation’s 21% decrease.

This data is provisional, meaning these are not finalized figures for the year. However, state officials don’t expect the decrease to fall below 31%, even with pending autopsies.

W.Va.’s Overdose Death Rate Decline Surpasses The National Rate

West Virginia’s drug overdose death rate continues to fall, even faster than it is nationwide.

Fewer people in West Virginia are dying from drug overdoses, according to new figures from the state’s Department of Human Services (DoHS) and Office of Drug Control Policy.

The data released Tuesday shows a 36 percent drop in fatal overdoses in West Virginia from January through May of this year, a further decrease from last month’s numbers.

“We are proud of the headway we’ve made as it’s a testament to the efforts of our dedicated teams, community partners, and health care providers,” said Christina Mullins, DoHS deputy secretary for mental health and substance use disorders. “Every life saved reinforces our commitment to enhancing and expanding prevention and treatment services across the state.”

West Virginia’s overdose deaths are declining faster than the national rate. West Virginia had an 18 percent drop from July 2023 through June 2024, while the national drop was 14 percent. 

West Virginia has led the nation in overdose death rates for a decade with a peak of 77 overdose deaths per 100,000 people in 2021.

In October, the two groups announced provisional data comparing the first four months of 2023 to the same period in 2024 for the state which showed a 34 percent decrease in overdose deaths.

This data is provisional, meaning these are not finalized figures for the year.

According to DoHS’s press release, the decrease is not expected to fall below 28 percent even with pending cases.

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