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A
A
A
Here
in
the
room,
everyone
is
learning
really
well,
because
I
forgot
to
read
either
president
of
the
room
or
remote
from
office,
so
everybody's
doing
well
with
that
now
so
this
morning
we're
going
to
hear
from
representatives
with
the
children's
alliance
and
the
remy
estep
homes.
They
will
be
providing
information
on
child,
caring
and
child
placing
agencies.
A
D
So
you
know
that
I
know
that
we're
working
from
a
continuation
budget
and
we're
working
in
a
short
session,
so
you're,
probably
asking
well.
Why
is
she
here
talking
about
two
budget
needs
for
child
welfare
and
I'm
here
because
the
status
quo
and
the
continuation
is
not
working,
it's
not
effective.
I
don't
know
if
you
saw
the
headline
and
courier
journal
yesterday,
but
kentucky
leads
the
nation
for
the
third
year
in
a
row.
D
System,
the
first
request
is
about
child
caring
facilities
and
when
you
hear
child
caring
facilities,
I
know
some
of
you.
We
were
talking
earlier,
you
think,
of
day
care
centers,
but
we're
not
talking
about
day
care.
Centers,
we're
talking
about
residential
treatment
facilities
that
provide
treatment
for
our
children
in
out
of
home
care,
our
foster
care
system
and
their
24
7
facilities
there,
there's
regulations,
staffing,
licensing,
accreditation,
etc.
That
goes
with
these
agencies
for
them
to
provide
this
service,
it's
a
mandatory
service.
D
D
It
says
when
the
department
chooses
to
contract
with
child
caring
and
placing
agencies
for
children
committed
to
the
state
in
their
custody
that
they
shall
make
payments
to
that
facility
based
on
the
rate
setting
methodology
developed
from
the
model
program,
cost
analysis.
So
it's
a
lot.
It's
like
what
what's
the
model
program
cost
analysis.
D
D
The
state
is
only
required
to
reimburse
agencies
the
median
rate,
and
so
that
would
be
about
9.5
million
dollars
is
what
the
state
would
need
to
increase
residential
reimbursement
rates
and
because
their
rate
is
made
up
of
both
state
and
federal
funds.
You're
looking
at
about
6.6
state
general
fund
budget,
ask
because
we
would
draw
down
that
other
it's
about
30
percent.
Okay.
D
I
would
say
that
senator
buford
and
senator
long
who
wrote
the
law
that
put
put
this
model
program,
cost
analysis
in
was
senate
bill.
I
think
186
back
in
2000,
I
am
assuming
when
they
worked
with
those
private
agencies
and
they
worked
with
the
state,
they
thought
we
would
follow
the
law
and
so
that
they,
they
didn't
really
probably
envision
me
20
years
later
sitting
here
saying.
Why
aren't
we
following
the
law?
Why
are
we
not
funding
these
folks
at
the
median
rate?
And
frankly,
I've
only
been
here
15
years?
D
So
if
I
would
have
been
here
20
years
ago,
when
they
wrote
senate
bill
186,
I
would
have
been
arguing.
We
should
be
covering
the
full
cost
of
the
care
of
the
kids
in
our
custody
for
these
agencies.
But
but
that
was
the
decision
made
back.
Then
that
was
the
the
discussions
and
I'm
sure
committee
meetings
back
in
that
time.
D
One
of
the
reasons
why
it's
important
today
for
us
to
talk
about
prevention
services
is
because
in
2018
there
was
a
new
law
passed
family
first
prevention
and
services
act.
We
call
it
the
family
first
act.
Many
of
you
have
heard
about
it.
We're
trying
we're
working
on
rolling
it
out,
but
but
that
was
a
significant
law
that
federal
law
that
was
passed
because
it
allowed
for
the
first
time
ever.
D
So
so,
really
the
state
really
couldn't
get
involved
a
lot
of
times
and
really
only
had
the
resources
for
those
kids
that
we
served
in
foster
care.
But
now
the
states
have
opportunities
to
draw
down
some
federal
dollars
for
prevention
services
that
we're
doing
so
right
now
is
the
time
for
us
to
start
going.
How
can
we
invest
and
change
the
system
and
move
to
what
I
would
call
the
front
end?
D
Okay,
when
you
hear
me
talk
front
end,
that's
prevention,
it's
services
to
children
and
families
to
keep
them
from
coming
in
to
our
foster
care
system.
The
other
part
of
the
family
first
act
is
really
an
oversight
and
requirement.
Maybe
increased
restrictions,
I
would
say
when
they
developed
what
they
called
qualified
residential
treatment
programs
and
what
the
congress
was
really
trying
to
do
with
this
second
part.
Is
they
wanted
to
make
sure
that
only
kids
that
needed
treatment
went
to
our
congregate
care
and
residential
treatment
facilities?
D
So
again
that
goes
back
to
our
first
request.
But,
let's,
let's
look
at
the
prevention
side,
the
request
is:
is
for
20
million
dollars,
one-time
funds
to
be
used
for
family,
first
prevention
programs
and
right
now
in
the
state
of
kentucky.
We
have
three
different
types
of
programs.
We
have
family
preservation,
we
have
k-step
or
kentucky
strengthening
ties
and
empowering
parents
and
we've
got
the
start
program.
Sobriety
treatment
and
recovery
team
and
all
three
of
these
different
components
are
services
to
keep
kids
from
coming
into
our
out
of
home
care
system.
D
Okay,
they
they
each
program
is
designed
to
serve
different
children,
different
ages
and
different
criteria,
k-step
and
and
start
especially,
are
serving
those
those
families
and
children
where
drugs
and
alcohol
may
be
an
issue.
And
so
those
are
our
two
really
important
services
that
we'll
we'll
talk
about.
D
So
we
look
at
family
preservation
in
2019
in
kentucky
these
are
from
their
own
reports,
our
own
reports,
because
kentucky
when
I
say
the
state
I'm
talking
about
all
of
us,
okay,
they
we
spent
476
million
dollars
on
out
of
home
care.
Foster
care
system
is
costing
that,
but
we
only
invested
18
million
dollars
in
the
front
end
prevention
services
and
those
prevention
services
that
we
did
invest
in
it's
a
small
amount,
but
they
were
successful
at
keeping
children
in
their
homes
and
communities
at
a
time
of
discharge
96
of
the
time.
D
So
it's
working
right,
they're,
effective
96,
and
then
you
look
at
the
spending,
and
these
reports
will
say
that
there's
we're
spending
about
six
thousand
dollars
per
family,
but
yet
we're
spending
about
fifty
one
thousand
dollars
per
child
if
we're
removing
them
into
out
of
home
care.
And
again,
these
are
averages.
Some
are
going
to
spend
more.
Some
are
going
to
spend
less
on
both
of
those
numbers
right,
so
these
are
numbers
that
we're
doing
right
now.
This
is
19
numbers,
so
that
was
just
a
year
ago
right.
D
These
are
our
numbers,
so
I
wanted
to
make
sure
that
we
could
really
visualize,
because
I'm
a
visual
learner
right.
I
like
I'm,
a
teacher
too.
I
teach
at
western
kentucky
university.
So
I
like
to
have
this
powerpoint
and
these
charts
in
front
of
me.
So
I
can
see
because
I
think
to
myself
you
hear
those
numbers
and
you're
like
wow.
We
really
need
to
be
flipping
that
system
right.
We
really
need
to
be
spending
more
on
front
end.
Well,
here's
here's
just
an
example
of
a
hundred
kids.
D
I
just
said:
let's
take
a
hundred
kids
and
I
even
said
let's
say
it's
cost
a
six
thousand
dollars
per
child
and
not
family,
and
we
know
it's
family,
but
I
don't
have
the
exact
number
per
child
and
I
wanted
to
compare
apples
to
apples.
So
I
put
per
child
and
we're
spending
51
000
dollars
on
per
child.
D
For
a
child
served
in
out
of
home
care,
so
if
you,
if,
if
you
look
at
that,
we're
five
million
dollars
on
a
hundred
kids
when
we
could
really
just
spend
600
000
on
that
same
hundred
kids
to
serve
in
their
communities
and
with
their
families,
so
it's
like.
Why
are
we
doing
that
and
then
and
then
I
say
well,
let's
what
about
the
success?
It's
the
report
says
we're
successful
96
of
the
time,
but
I'm
conservative
and
say
you
know
if
we're
going
to
look
at
this
budget.
D
Let's
just
say
what,
if
family
preservation
is
only
successful
90
of
the
time,
so
we
serve
those
100,
kids
and
families
and
10
10
of
those
kids.
It
just
didn't
work
out.
We
still
had
to
serve
them
in
out
of
home
care,
so
you've
got
to
include
that
cost
you're.
Looking
at
again
a
million
dollars
which
is
savings
of
3.9
for
for
100,
kids.
D
So,
if
you
do
the
math
we've,
we
saved
the
state
220
million
dollars
and
we
kept
5
000
close
to
5
000
kids
from
coming
into
out
of
home
care
being
removed
from
their
families
and
removed
from
their
their
communities
and
their
schools
and
a
lot
of
times
right.
So
so
for
me,
I
just
feel
like
it's
so
important
when
we
hear
about
a
budget
where
there
may
be
money
for
the
rainy
day
fund.
Why
aren't
we
funding
our
obligations
before
we
do
that?
D
When
I
hear
about
a
budget
where
there's
one-time
monies,
I
think
to
myself,
why
would
we
not
invest
to
try
to
flip
this
system?
We
know
there's
always
going
to
be
a
need,
always
going
to
be
need
for
kids
to
come
into
out-of-home
care.
So
we
have
to
make
sure
that
we
have
that
system,
but
why
can
we
not
serve
another
five
thousand
two
thousand
three
thousand
kids
in
the
front
end
and
save
money,
so
my
request
to
you
all
is
to
fund
20
million
dollars
which
will
double
the
amount
of
services.
D
If
we
really
want
to
change
the
course
of
our
child
welfare
system,
we've
got
to
invest
this
it's
one-time
money,
then
it
could
be
sustained
on
the
savings
plus
by
looking.
If
we
can
keep
kids
from
coming
in
out
of
home
care
and
the
the
hard
part
about
this
is
we
have
to
keep
funding
the
the
9
000
kids.
We
have
in
out
of
home
care.
D
So
I've
told
you
a
little
bit
about
the
numbers
and
and
the
facts
of
this,
but
what
I
really
want
you
to
do
is
to
hear
from
jenny.
Anderson
and
marie
lyles
bates
from
raymie
east
at
homes,
so
they
can
share
a
little
bit
about
the
k-step
program
and
how
it
impacts
their
budgets
and
and
and
their
families
that
they're
serving.
E
I
won't
take
a
whole
lot
of
your
time.
I
don't
know,
really
know
how
I
go
after
michelle
and
her
passion
I
want
to
talk
to.
My
name
is
jenny
anderson,
I'm,
the
ceo
at
raimi,
estab
homes,
I've
been
with
raymiest
for
around
20
years,
working
with
kids
in
out
of
home
care
in
residential
treatment,
foster
care,
and,
most
recently,
in
the
last
five
years,
doing
outpatient,
behavioral
health
and
prevention
programming
and
our
prevention
program.
E
Our
k-step
pran
program
has
really
changed
the
face
of
rainy
eastep
our
goals,
our
mission
on
what
we're
doing.
Traditionally
we
worked
with
kids
when
they
came
into
care
into
residential
treatment.
Now
our
focus
is
keeping
kids
out
of
care
and
serving
kids
where
they
need
to
be
served.
I
want
to
talk
about
our
k-step
program.
It's
one
of
the
prevention
programs
that
michelle
had
mentioned.
E
K-Step
stands
for
kentucky,
strengthening
ties
and
empowering
parents,
and
that
is
exactly
what
the
program
does
back
in
2016
dcbs
saw
a
rise
in
kids
coming
into
care
because
of
one
or
both
parents,
substance
abuse,
placing
the
kids
at
risk,
and
so
they
came
together
with
community
partners
with
us
and
kvc
another
community
partner.
That
offers
the
service
we
collaborated
and
in
2017
we
started
the
k-step
program.
E
What
k-step
does
is
it
ensures
quick
access
to
treatment
for
families
and
in-home
services
and
intensive
in-home
services.
It
addresses
parental
substance
abuse,
the
substance
abuse,
that's
placing
the
child
at
risk.
That's
in
the
home
dcbs
will
refer
a
child
to
us.
If
there's
a
child
in
the
home,
that's
nine
years
old
or
under.
If
the
substance
abuse
that's
happening
with
the
parents
is
the
primary
factor
of
their
them
getting
ready
to
remove
the
child
out
of
the
home
and
that
the
family,
it's
an
investigative
case.
E
It's
not
an
ongoing
case
that
they've
been
working
with
and
then
ultimately
after
they
do
the
investigation.
If
they
see
that
it's
going
to
be
open
for
an
ongoing
case
because
of
the
risk
of
safety.
For
the
child,
the
ultimate
goal
when
we
started
k-step,
was
to
reduce
the
number
of
kids
that
were
coming
out
of
home
care
because
of
substance
abuse
because
of
substance
abuse
in
the
family.
E
E
We
want
to
make
sure
that
if
the
child
does
go
into
out-of-home
care
that
they
come
back
quicker
and
at
higher
rates,
there's
lots
of
times
once
a
child
enters
in
out-of-home
care,
a
parent
who
feels
like
that's
the
last.
That's
the
straw
that
breaks
the
camel's
back.
They're
done.
They
don't
know
what
to
do
next.
So
we
really
want
to
work
with
that
family
so
that
we
can
get
them
home
quicker
and
that
we
can
get
them
home
period.
E
E
E
E
So
when
you
look
at
that
in
dollars-
and
so
we
served
those
443
kids,
but
27
of
them
did
end
up
in
out
of
home
care.
But
with
the
the
94
success
rate,
we
were
able
to
save
the
state
19
million
dollars,
which
is,
it
would
have
cost
the
state
22
million
dollars.
If
we,
if
we
brought
those
kids
into
out
of
home
care,
which,
on
average,
they
stay
for
a
year
away
from
their
families,
and
so
I
brought
marie
miles
bates
with
me
today.
E
F
F
F
F
F
F
And
I
was
nervous
about
coming
here
today.
Of
course
you
know
but,
like
I
said,
this
is
important
and
anything
I
can
do
to
help.
You
know
I'm
willing
to
do
today.
I
have
a
happy
healing
family.
I've
been
married
13
years
during
the
addiction
my
parents
get
help.
My
spouse
couldn't
help
my
children,
you
know
while
they
motivated
me,
it
never
worked.
A
F
A
G
G
It
was
very,
very,
very
challenging,
month
by
month,
by
month-
and
now
I
hear
that
residential
treatment
and
child
care
has
a
different
genesis.
You
know,
with
the
onslaught
of
drug
addictions
and
families
being
torn
asunder,
how
brilliant
for
these
child
caring
agencies
to
step
up
to
the
plate
and
help
keep
families
together.
I
congratulate
you
and
appreciate
all
of
the
work
you
do.
Can
you
tell
me
how
many
children
are
in
out
of
home
placement
at
this
time
in
the
state.
G
D
C
D
G
B
A
B
B
D
B
D
At
all,
absolutely
they're
getting
paid
today,
that's
just
it's
basically
what
their
allowable
costs
would
say
that
they
should
be
getting
and
what
they're
being
reimbursed
today.
That
14
million
is
the
is
the
what
I
would
say,
the
underfunding
difference
based
on
what
the
cost
report
says,
is
their
allowable
cost
and
what
their
current
reimbursement
rate
is
today
and
then.
B
D
D
So
we
are
implementing,
the
state
is
implementing
family
first,
okay
and
basically,
what
they're
trying
to
do
is
to
draw
down
based
on
these
current
programs,
so
we
will
be
able
to
expand
some
based
on
family
first,
this
this
money,
this
one-time
money,
is
enough
to
get
us
what
I
would
call
the
the
sustaining
change
that
needs
to
happen
in
child
welfare
to
truly
help
us
flip
our
funds,
but
flip
our
services,
because
right
now
we're
just
we're
just
dabbling
with
five
thousand
kids
right.
It's
just
dabble.
D
We've
got
to
really
we've
got
to
serve
another
5,
000,
kids,
to
really
start
seeing
that
impact
we
were
just
a
year
ago
we
were
up
to
10
000
kids
in
out
of
home
care.
So
if,
if
the
surge
comes
back
and
we're
back
next
year,
we're
back
at
10,
000
kids
again,
that
is
a
strain
on
those
kids
and
families,
but
it's
a
strain
on
our
budget,
so
we've
got
to
stop
the
floodgates
from
them
coming
in,
and
this
is
the
way
to
do
it.
Okay,.
B
C
I
am
thank
you,
mr
chairman,
for
calling
on
me
thank
you
for
bringing
this
presentation
to
us
and
to
the
presenters.
That
was
a
great
presentation.
I
really
appreciated
the
personal
testimony,
and
I
know
that
takes
a
lot
of
courage
to
come
and
tell
your
story,
and
I
just
it
makes
a
difference,
and
so
I
just
want
to
thank
you
for
that.
C
C
C
Are
you
aware
when
and
that
practice
is
not
against
the
law?
There's
nothing
in
the
law
currently
to
prevent
state
funds
from
going
to
foster
care
agencies
and
other
agencies
that
refer
to
those
kinds
of
services?
Are
you
is
that
something
that's
on
your
radar
at
all
from
where
you
sit
and
is
it?
Are
you
aware
of
any
mechanisms
for
tracking
if
we
currently
have
state
dollars
going
to
agencies
that
refer
or
provide
those
kinds
of
treatments.
E
As
far
as
rainy
e-step
goes,
I
had
never
heard
of
kentucky
using
conversion
therapy
until
it's
been
recently,
I've
read
some
articles
in
the
paper,
so
at
raymie
eastep
we
have
never
referred
any
children
for
conversion
therapy
or
nor
had
have.
I
ever
been
asked
as
an
administrator
for
that
to
happen.
So
as
far
as
other
agencies
in
our
area,
I'm
not
aware,
but
I'm
not
even
aware
of
anyone
who
provides
that
in
our
in
the
northeastern
region,
that's
great
to.
D
Hear
thank
you
and
representative,
william
wilner.
As
far
as
the
children's
alliance,
our
members
again
just
like
jenny,
they
do
not
use
conversion
therapy
in
their
practices
and,
frankly,
I
think
we're
rarely
concerned
when
they
were
hearing
that
those
practices
were
were
going
on
in
our
community.
D
C
You
and
again
it's
such
a
a
risk
out
of
home
placement
and
it's
something
that
I've
only
become
aware
of
in
the
last
couple
of
years
as
well,
and
you
know
hearing
those
stories
you
know
they've
already
been
through
the
trauma
of
being
removed
from
their
families
and
everything
that
led
up
to
that
removal
and
then
to
be
subjected
to
these
practices
right
so
again.
Thank
you
very
much.
This
is
very
powerful
testimony.
Thank
you.
A
Well,
I
I
am
impressed
to
see
a
presentation
around
here
that
had
red
ink
on
it.
We
don't
see
those
very
often
do
we
so
we're
glad
to
see
that.
Thank
you
all
for
coming
down
this.
I
know
you
had
to
leave
early
this
morning
and
for
your
presentation,
it'll
make
us
more
aware
of.
What's
going
on,
and
congratulations
on
your
k-step,
I
think
you're
being
very
successful
with
that
and
keep
an
open
line
of
communication
with
us.
Absolutely,
and
I
reckon
the
next
item
is
a
german.