People With Intellectual, Developmental Disabilities To Get Help

On Monday, the Department of Human Services announced the hiring of West Virginia’s first Statewide Intellectual and Developmental Disability, or IDD, Coordinator, Susan File.

West Virginia has a new central point of contact to address opportunities for, and barriers to service, for individuals with intellectual and developmental disabilities in the state. 

On Monday, the Department of Human Services (DoHS) announced the hiring of West Virginia’s first statewide Intellectual and Developmental Disability (IDD), Coordinator, Susan File.

“I am honored to take on this role and look forward to working with the community, providers, and stakeholders to improve and expand services for individuals with intellectual and developmental disabilities in West Virginia,” File said.

File previously served as the behavioral health program manager for the Office of Inspector General.

In that role, File oversaw all state-licensed behavioral health facilities and acted as a liaison between the Office of Health Facility Licensure and Certification (OHFLAC) and DoHS’s Bureau for Medical Services (BMS) and other bureaus.

File has a bachelor’s degree in psychology from West Virginia State University and most recently served as the president of File Consulting, LLC, a consulting business focused on behavioral health and improving quality assurance and compliance for agencies. 

She was also the executive director of a privately owned, non-profit licensed behavioral health center.

As West Virginia’s IDD Coordinator, File will lead a new project for community engagement specialists tailored to IDD to facilitate community discharge placements.

File will report to Christina Mullins, DoHS Deputy Secretary for Mental Health and Substance Use Disorders, in the Office of the Cabinet Secretary.

“We are thrilled to welcome Susan File to our team,” Mullins said. “Her extensive experience and dedication to behavioral health will be invaluable as we work to enhance services and support for individuals with intellectual and developmental disabilities across the state.”

File began work on July 29, 2024.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

W.Va.’s First Foster Care Ombudsman Resigns

The appointed watchdog of the West Virginia Foster Care System has resigned, effective June 6.

The first West Virginia Foster Care Ombudsman, Pamela Woodman-Kaehler, will resign effective June 6 to pursue new opportunities.

“We very much appreciate Pamela’s work over the years and her passion for serving the children of this state,” said Ann Urling, interim inspector general for the Departments of Health, Human Services, and Health Facilities. ”We wish her well in all of her future endeavors.” 

Elizabeth Hardy will serve as the acting office director foster care ombudsman in her place.

“It has been an incredible honor and pleasure to serve the citizens of West Virginia as the state’s first foster care ombudsman. I am choosing to pursue a new opportunity, but the program is exceptionally well positioned to serve our foster care system,” said Woodman-Kaehler. “I extend grateful thanks to department leaders and other stakeholders who have supported the important work of the foster care ombudsman.”

The foster care ombudsman, a position allowed for by legislation passed in 2019 and 2020, advocates for the rights of foster children, investigates and resolves complaints, and provides assistance to foster families, among other responsibilities.

Since then, lawmakers have been expanding the scope and independence of the Foster Care Ombudsman’s Office.

In 2023, House Bill 3061 was passed, permitting the foster care ombudsman to investigate reported allegations of abuse and neglect for critical incidents and to investigate children placed in the juvenile justice system. Previously, the ombudsman could only investigate complaints involving a foster child, foster parents or kinship parents.

Kelli Caseman, executive director of Think Kids WV, a statewide advocacy group focused on the health and well-being of West Virginia’s children, was one of the advocates pushing for the creation of an ombudsman.

Bills to further clarify the foster care ombudsman’s authority regarding child abuse and neglect investigations did not pass during the 2024 legislative session.

“I think that she really has given a voice to families, you know, of course, kids don’t have that opportunity to share their concerns, their challenges, their trauma. We are rightfully protective of their personal information,” Caseman said. “But so they really don’t have a voice, and we often find that their parents don’t have that voice either, and so Pamela really gave a voice and a platform to some of these challenges.”

Woodman-Kaehler’s resignation garnered praise for her work ethic in a difficult field but left some wondering if the ombudsman is encumbered by outside influences.

News of Woodman-Kaehler’s resignation broke less than a week after an April deposition of former deputy secretary of the previous Department of Health and Human Resources (DHHR), Jeremiah Samples, was made public.

The deposition was conducted in connection with a 2019 class action lawsuit, filed by A Better Childhood (ABC), a New York-based nonprofit, along with Shafer and Shafer and Disability Rights West Virginia against the now-split DHHR.

Marcia Robinson Lowry, the lead plaintiff for the class, and executive director of A Better Childhood, said she has been interested in interviewing Samples since his departure from the department.

“We took his deposition and we expected that we would get this kind of information,” Lowry said. “We didn’t know exactly what we would get, of course. But we were not surprised to get this kind of information.”

The lawsuit alleges the DHHR failed to properly care for thousands of foster kids, putting some in dangerous and unsafe situations.

In the original court filing, the plaintiffs allege, “Children in West Virginia’s foster care system have been abused and neglected, put in inadequate and dangerous placements, institutionalized and segregated from the outside world, left without necessary services, and forced to unnecessarily languish in foster care for years.”

The group filed a complaint in federal court in October 2019, denouncing the DHHR’s “over-reliance” on shelter care, shortages in case workers and a “failure to appropriately plan for the children in its custody.”

The following year, a motion for class action status was filed but left undecided when the case was dismissed in 2021. In 2022, that decision was reversed by the Fourth Circuit Court of Appeals and the class action motion was renewed in May 2023.

“It’s been delayed twice, because of the defendants failing to produce materials to us,” Lowry said. “So it is going forward, and the trial will be in November.”

In the deposition, Samples, who is now senior advisor to the Legislature’s Joint Committee on Government and Finance, testified that the Department of Human Services (DoHS) was not providing certain information to the Foster Care Ombudsman’s Office.

“There was an effort in 2023, through legislation, to accomplish that (investigative access for the ombudsman),” Samples said. “It was then stated by the ombudsman that they were still not being provided access because of a discussion or because of a position by Ms. [Cammie] Chapman.”

Samples testified that in early 2024, he learned that Deputy Secretary of Children and Adult Services Cammie Chapman was not providing investigative data to the ombudsman, due to the department’s interpretation of House Bill 3061.

“It was relayed that it was the interpretation of the department and Ms. Chapman that the ombudsman would not have access to that information,” Samples said.

Furthermore, Samples testified that the ombudsman had to contend with the previous DHHR secretary, Bill Crouch, who retired in 2022. He recalled a conversation with the ombudsman during the deposition.

“She said that she was called in to Secretary Crouch’s office,” Samples said. “And I don’t recall specifically how she worded it. But the tone of the conversation was that it was a threat, to be very careful about conversations that she had with the legislature and documents that she would release.”

Legal Director of Disability Rights West Virginia Mike Folio praised Woodman-Kaehler’s work but called her resignation a failure of the department.

“The resignation of Pamela Woodman-Kaehler is a sad chapter in DHHR’s and DoHS’ failed history to protect vulnerable children,” Folio said. “Sworn testimony exists that shows former DHHR Secretary Bill Crouch and current DoHS Deputy Secretary Cammie Chapman have meddled in the foster care ombudsman’s affairs, directed her to conceal information from the legislature, and withheld information from her that would have enabled her to conduct investigations to protect the state’s vulnerable children. Pam is a champion for children and her resignation highlights the state’s failure to safeguard children.”

Samples testified that he and Woodman-Kaehler also discussed shortfalls in the Child Protective Services (CPS) system. He said topics of conversation included CPS not properly conducting investigations and CPS case workers not being prepared in court.

“There would be a referral to centralized intake and concerns that these referrals were being screened out inappropriately,” Samples said. “For example, I recall specifically talking to her about the percentage of cases that were being investigated historically. So you go back to 2017, for example, there might have been 67, 69 percent of all referrals investigated. And now, I think the last time I saw the data, it was 60 point something percent.”

Samples also testified that the ombudsman found that there was fear of retaliation by CPS workers. He said he’s received similar complaints, “as recently as this week,” in the April 18, 2024 deposition.

“There were certainly reports at the time that CPS workers were using their authority to retaliate against foster parents, biological families,” Samples said. “And those concerns continue to be reported through constituent referrals to me at the legislature.”

Caseman said Woodman-Kaehler prepared a report for the legislature in 2021, documenting these findings.

“That (report) explained that over 90 percent of the people who called her office, either primary or secondary reason was out of fear of retaliation of the system, which really opened a lot of eyes, that there needs to be more transparency and more effort to ensure that our foster care families, our biological families, families that are transitioning through the child welfare system are treated with, you know, compassion and respect,” Caseman said.

During his weekly media briefing, Gov. Jim Justice addressed Woodman-Kaehler’s resignation.

“She got a better job, guys,” Justice said. “I mean, that’s all there is to it. You know, I mean, this business of attacking people and everything and … digging into everything coming and going. I mean, if she’s telling us she got a better job, you know, and why don’t we celebrate that?”

Justice brought up Sample’s deposition and said “this” all started with Crouch’s firing of Samples.

“From what I understand, Bill Crouch and Jeremiah Samples were butting heads,” Justice said. “Jeremiah Samples was the second in charge. He was in charge, the second man in charge here for a decade plus. And now he runs through the building saying everything in the world was wrong? Why didn’t he fix it? Why in the world didn’t he fix it? If something was wrong?”

Justice said he thinks everyone who works in the West Virginia government is doing their best.

“I really think for the most part, these people surely got their heart in and are trying really hard and they don’t deserve, you know, to be beat on,” Justice said.

According to the West Virginia Child Welfare Dashboard, there are 6,094 children in state care.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

Federal Watchdog Finds Coal Safety Regulator Not Protecting Miners From Silica Dust

The Mine Safety and Health Administration is not doing enough to protect coal miners from deadly silica dust, according to a new report from the Department of Labor’s Office of the Inspector General. The IG found that MSHA’s standards for exposure to deadly silica dust were out of date, and MSHA lacked the ability to issue fines when coal companies violate air quality standards. The IG also said the mine safety agency’s sampling methods were too infrequent to guarantee that miners were protected.

The report comes after years of increased scrutiny following reporting from NPR and the Ohio Valley ReSource that found clusters of advanced black lung disease among Appalachian coal miners.

“They’ve finally admitted that they know now that they need to do more testing, and that they need to regulate silica dust, and that there’s a direct correlation between coal dust and silica,” said black lung clinic director Marcy Martinez. “I really think it’s going to be different this time.”

The average time it takes for federal agencies to implement a rule change is four years, the report said, but MSHA has spent 20 years studying a rule change that would help protect coal miners from deadly silica dust.

MSHA’s current standards for silica have not substantively changed in over 50 years, the report found, despite growing consensus that silica, also known as respirable quartz dust, is a major contributor to a surge in black lung disease that’s centered in the Ohio Valley.

According to the report, the agency gestured towards making a change in 1996, 1998, 2003, 2010 and 2014 amid growing pressure from stakeholders, with no substantive change implemented in any of those efforts. MSHA again initiated the rulemaking process in August of 2019 with a request for information and has since said it would publish a proposed rule, but has not provided a timeframe for that announcement.

“All MSHA is doing is saying, ‘We are aware of these cases, there’s a suggestion that it’s related to silica, so tell us what you think about this, let us know if you have any ideas,’” Celeste Monforton, a former MSHA regulator and now an outspoken critic of her former agency, said of the 2019 effort.

“Decades of scientific evidence and real world experience have proven that exposure to respirable silica dust is deadly and MSHA has not sufficiently protected miners,” said Rep. Bobby Scott, a Virginia Democrat and the chair of the House Committee on Education and Labor. “MSHA should have acted sooner to issue a more protective regulation.”

Scott said his committee is exploring legislation to require that MSHA strengthens silica dust exposure rules.

In 2014, MSHA did institute a rule that reduced the limit on exposure to coal dust, of which silica is a component, from 2.0 to 1.5 milligrams per cubic meter of air. That rule has significantly lowered incidences of high silica exposure, with the percent of samples that exceeded the recommended silica levels falling from 57% in 1990 to 6% in 2019. “This shows that coal mines have and can meet the recommended silica limit,” the OIG said in the report.

The report continued, “With no legal requirement for mines to keep silica levels well below MSHA’s current limit, which scientific evidence has shown to be unsafe, workers in coal mines with silica levels above recommended safety limits continue to be at risk of developing life threatening health problems.”

MSHA head David Zatezelo, a former coal company executive appointed by President Donald Trump, was slow to agree with the scientific consensus on silica’s role in the black lung epidemic, though he acknowledged it in a June, 2019 hearing in Congress. In the same hearing, Zatezelo argued that because it takes decades for a miner exposed to silica dust to manifest the symptoms of black lung disease, the agency could not take further regulatory action until the results of the 2014 rule change could be analyzed.

“But MSHA anticipates the study will confirm that dramatic increases in sampling and compliance translate into reduced black lung incidence going forward,” he said.

In a written response to the Inspector General’s report, Zatezelo disagreed with the recommendation that MSHA adopt a lower silica exposure standard, saying that because the rulemaking process was ongoing, he was not able to comment on the proposed substance of a potential new rule.

The DOL report also urged MSHA to increase the frequency of silica sampling, saying, “Silica levels … fluctuate frequently and unpredictably. Changes in geology and movement of personnel within mines mean that miners’ exposure to silica may change on a daily, if not hourly basis. As a result, MSHA’s infrequent sampling protocols — two or four times a year — placed miners at unnecessary risk for silica exposure.”

Zatezelo agreed to study that recommendation.

Mine Safety Agency Should Do More To Protect Coal Miners In The Pandemic, Oversight Office Finds

The federal Mine Safety and Health Administration has not done enough to protect coal miners during the coronavirus pandemic, according to a report from an oversight agency released Tuesday.

Through interviews with MSHA officials and union representatives, as well as reviews of state and national policies, the Department of Labor’s Office of the Inspector General concluded that MSHA could do more to track coronavirus cases among coal miners, address a growing backlog of inspections, and mandate safety precautions underground.

Following the March determination that coal mines would be considered “critical infrastructure” and exempt from coronavirus-related shutdowns, MSHA issued voluntary guidelines to protect miners during the pandemic, including measures such as frequent hand-washing, wearing masks and maintaining social distance when possible. But the agency has faced significant pressure to make those guidelines mandatory.

“We’ve been trying to get the Mine Safety and Health Administration to establish regulations, emergency temporary standards, to set up a regulation that everybody has to follow, that is enforceable, instead of us going from mine to mine to mine and trying to work something out,” said United Mine Workers of America spokesperson Phil Smith. “Because at the mines where there is no union, there is no protection. It’s that simple.”

The National Coalition of Black Lung and Respiratory Disease Clinics wrote to MSHA requesting an emergency temporary standard, and a bipartisan group of senators in May filed the COVID-19 Mine Worker Protection Act to require the issuance of such a measure.

MSHA has not yet committed to issuing an emergency temporary standard, the inspector general said.

The inspector general’s report also found that because of the coronavirus, MSHA suspended five categories of enforcement actions and seriously reduced 13 more, including ventilation investigations, non-fatal accident investigations and compliance assistance visits. Regular safety and health inspections, plus 14 other enforcement categories, have continued to operate at full capacity.

The report said those suspensions and reductions were a tradeoff: They limited contact between miners and mine safety inspectors and protected MSHA’s workforce from potential exposure to COVID-19, but they resulted in a backlog and increased the safety risk for miners.

Adding to the backlog was the number of MSHA inspectors who self-identified as being at high risk of contracting the coronavirus. About 100 of MSHA’s 750 inspectors, or 13 percent, have removed themselves from regular inspection duties out of concern for their own health.

In a response to the inspector general’s report included in its appendices, MSHA head David Zatezelo said, “MSHA agrees with OIG recommendations to develop a plan to manage the potential backlog of suspended or reduced activities, once full operations resume, and to monitor COVID-19 outbreaks at mines and to use that information to reevaluate our decision not to issue an emergency temporary standard.”

Some potential coronavirus prevention measures for coal mines include PPE, sanitization and staggered shifts. But these measures are an added expense for mine operators already struggling to remain profitable as the industry contracts.

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