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From YouTube: Child Welfare Oversight and Advisory Committee
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A
Of
this
year
before
we
get
started
just
a
couple
of
things,
I
want
to
remind
the
folks
on
zoom
with
us.
Please
remember
that
if
you
are
on
zoom
or
meeting
with
us
remotely,
please
mute
yourselves
unless
you're
actively
speaking
and
please
use
the
chat
feature
to
notify
staff.
If
you
want
to
be
recognized
for
a
question
or
comment
when
answering
the
attendance
role,
please
indicate
that
you
are
in
your
lrc
office
or
at
your
home
office
as
well
with
that
we'll
go
ahead
and
call
the
meeting
to
order
quorum
being
present.
B
A
Representative
mead
here,
a
quarantine's
present
the
minute
share,
reflects
so
the
first
order.
Business
is
the
election
of
the
senate
committee
co-chairs,
provided
by
statute
senate
members
only
will
be
electing
the
co-chair
at
this
time,
I'm
going
to
turn
it
over
to
ben
payne
for
the
nomination
process.
A
A
A
E
Thank
you,
mr
co-chair,
and
thank
you
senator
westerfield
and
senator
storm.
That
was
very
kind
of
you
before
we
get
started
today.
I
do
want
to
take
a
point
of
personal
privilege
if
we
could
have
a
moment
of
silence
in
honor
of
our
former
co-chair
senator
tom
buford,
who
passed
away
recently
and
all
of
his
many
contributions
to
kentucky
over
the
years
through
his
service
in
the
state
senate.
E
Thank
you.
He
will
be
missed.
Okay,
so,
let's
get
into
let's
get
into
our
agenda
today.
We,
I
guess
the
first
order
of
business.
We
need
to
approve
the
minutes
from
the
november
16
2020
meeting.
Do
I
have
a
motion
to
okay?
I
have
a
motion.
Do
I
have
a
second.
F
E
All
right
motion
a
second
all,
those
in
favor
of
approval
of
a
minute
signify
by
saying
aye
aye,
any
opposed
all
right.
Our
minutes
are
approved
next
order
of
business.
Is
item
number
four
child
sexual
abuse
and
exploit
mission
challenges.
Oh
yeah,
yeah,
yeah,
okay,
before
we
get
in
you
all,
go
ahead
and
take
your
seats
at
the
table,
while
you're
taking
your
seats
at
the
we
do
want
to
recognize.
We
have
several
new
members
on
this
committee.
E
New
happy
faces,
so
we're
going.
We
have
senator
karen
berg
joining
this
advisory
committee,
senator
brandon,
storm
representative,
kim
bansa,
josie,
raymonds
and
representative
pamela
stevenson,
and
we
have
one
and
representative
beckler
is
our
ex-officio
member,
and
so
I
do
want
to
welcome
our
new
members
to
this
committee.
It's
a
great
committee.
I
think
we're
going
to
have
a
robust
interim
conversation,
so
I'm
really
looking
forward
to
everybody's
participation
and
so
with
us
today,
at
the
table
we
have
some
fabulous
superstars.
G
A
F
G
G
To
all
of
us,
it
did
create
a
unique
opportunity
for
the
board
to
expand
the
number
of
meetings
that
we
held.
We
met
once
in
person
in
2020
before
the
pandemic.
Thereafter,
the
meetings
were
conducted.
Virtually
grants
were
awarded
in
the
normal
course
of
business.
However,
sometimes
deliverables
had
to
be
modified
to
adjust
with
the
pandemic.
G
G
G
Last
year,
the
board
provided
an
updated
strategic
plan
with
new
goals
to
govern
our
activities.
Additionally,
the
board
has
explored
funding
opportunities
to
participate
within
kecc,
which
is
the
kentucky
employee
charitable
campaign.
Kecc
requires
an
annual
report,
so
my
office
has
put
together
the
documentation
and
we
are
waiting
to
see
if
we
are
approved.
G
H
The
financing
grants
obviously
provides
the
board
each
each
time
we
meet
with
a
finance
report.
They
have
the
ability
to
monitor
and
revoke
any
grants
that
we
did
give
out
to
individuals
as
well
as
they
review
all
of
the
grant
applications
every
year
that
we
receive
research
and
development
do
a
lot
of
our
fundraising.
H
So
this
year,
I've
been
on
this
board
for
five
years
now,
and
this
is
the
first
time
we've
done
a
strategic
plan
which
has
been
incredibly
helpful
and
we
laid
out
five
different
goals
that
we
wanted
to
have
the
board
at
least
attempt
to
get
to,
and
the
first
goal
is
obviously
to
increase
public
and
professional
awareness,
and
these
goals
have
been
the
same
throughout
the
board's
existence.
But
we
wanted
to
add
different
things
in
order
to
get
our
names
out
there
more
and
one
of
those
just
a
couple
of
things.
H
The
second
one
is
to
fund
quality
services
and
innovative
programs.
In
order
to
do
that,
however,
we
do
have
to
fundraise.
So
that's
part
of
the.
The
second
goal
is
to
fundraise
and
not
only
fundraise,
but
find
different
ways
in
order
to
fund
these
programs,
and
some
of
these
programs
are
grants
for
education
and
different
programs
throughout
the
state,
sometimes
with
police
officers
and
law
enforcement
training,
as
well
as
prosecutor
training
as
well.
H
The
third
goal
to
have
a
greater
influence
on
public
policy.
Some
of
those
goals
this
year
is
to
meet
with
those
in
the
industry,
social
workers,
professionals,
as
well
as
educating
legislative
and
judicial
branches
and
those
involved
in
those
in
order
to
obviously
educate
you
guys
on
the
things
that
we
would
like
to
see.
Move
forward
as
far
as
policy
and
then
go
for
is
to
increase
the
effect
effectiveness
of
the
board.
So
the
board
makes
up
a
varied
group
of
people,
especially
our
public
members,
from
across
the
state.
H
There's
a
couple
of
us
from
northern
kentucky
some
of
us
from
eastern
kentucky,
and
we
would
like
to
see
in
the
future
more
growth
in
the
areas
that
we
are
located
in,
as
well
as
bringing
diversity
to
our
board
and
just
increasing
the
effectiveness
that
way
and
then
the
last
goal
to
ensure
continued
growth
and
viability
of
the
child
victims.
Trust
fund,
as
I
mentioned,
the
funds
do
not
continue
to
be
the
same
every
year
and
they
are
consistently
dwindling,
but
we
offer
such
great
services
as
I'll
talk
about
that.
H
H
So
one
of
the
things
that
we
helped
with
are:
are
they
good
for
your
kids
campaign?
It
was
an
online
campaign
with
prevent
child
abuse
kentucky.
H
They
had
these
plastered
on
different
buses
and
transportation
throughout
the
entire
state
of
kentucky
lexington,
louisville
and
northern
kentucky,
and
it
was
just
an
informative
campaign
about
how
to
watch
out
for
online
grooming
and
different
adult
influences
in
your
kids
lives.
H
So
we
recently
just
in
our
last
couple
meetings
increased
it
used
to
be
75
that
we
would
reimburse
the
individuals
performing
these
medical
exams.
We
increased
that
to
a
hundred
dollars
because
we
were
told
that
the
75
dollars,
while
it
was
helpful,
was
not
being
as
effective
and
the
cost
of
the
exams
are
exponential
that
the
the
75
dollars
wasn't
really
doing
it
justice.
So
we
increased
that
to
100,
while
again,
while
being
mindful
of
our
finances
and
from
2020
of
2019
to
2020,
the
numbers
did
decrease
in
the
amount
of
medical
exams.
H
But
physicians
said
that
they
were
some
of
even
though
there
was
less
exams
performed.
They
were
some
of
the
most
severe
cases
that
that
they
witnessed
on
those
medical
exams,
and
then
these
are
our
grant
recipients.
So
every
year
we
put
out
different
grants,
statewide
and
regional
grants,
and
we
have
hours-long
meetings
regarding
how
we're
going
to
allocate
the
funds
that
we
have
and
the
statewide
grants.
H
We
decided
on
kentucky
kids
on
the
block
and
then
prevent
child
abuse
kentucky
and
that
32
000
was
towards
that
that
campaign
two
slides
ago,
then
kentucky
kids
on
the
block,
I
believe,
is
in
central
south
central
kentucky
and
they
do
a
lot
of
puppeteer
shows
and
I
think
it
reaches,
I
think,
15
000
kids
across
several
school
districts
and
then
the
regional
grants,
the
cac
centers
and
then
the
family
nurturing
center
and
then
the
exploited
children's
health
organization.
H
Again,
these
are
50
plus
long
page
applications
that
we
review,
that
the
grants
committee
reviews
and
then
we
present
to
the
board
and
then
we
go
through
and
allocate
the
amount
of
money
that
we
want
to
see,
go
to
these
different
programs
and
then
child
advocacy
week
again
just
another
way
to
continue
having
a
public
policy
and
voice
in
for
our
kids.
We
advocate,
obviously
for
this
child
advocacy
week
and
a
couple
of
those
policy
initiatives
are
increasing.
H
The
statute
of
limitations
for
child
victims
and
then
increasing
the
penalty
of
those
that
possess
or
view
child
sexual
abuse
material
of
victims
under
the
age
of
12..
So
those
are
two
things
that
we
are
looking
at
pushing
through
in
the
next
couple
of
years
as
a
board
and
then
every
year
we
do
child
advocacy
center
site
visits.
So
all
of
the
cac
centers
that
we
provide
money
to
we
go
and
make
sure
that
they're
compliant
and
also
just
do
a
wellness
check-in
visit,
and
I
believe
those
are
done
this.
G
So
they
are
done
periodically
between
april
and
september.
We
would
love
to
have
them
done
before
the
fiscal
year,
but
I
will
tell
you
that
it's
a
very
robust
season
and
we're
traveling
all
over
the
state.
Each
of
these
visits
take
at
least
half
a
day
and
that's
not
counting
travel
time,
because
we
really
want
to
spend
time
with
the
individuals
asking
what
they're
seeing
in
the
communities,
and
so
we
want
to
take
our
time
with
that,
and
that
requires
a
lot
of
additional
travel.
H
I
don't
mean
to
put
you
on
the
spot:
the
we
also
do
regional
training
as
well
again.
What
I
mentioned
earlier
with
some
of
the
law
enforcement
as
well
as
prosec
prosecutor,
training
and-
and
these
are
just
some
of
the
other
things
that
we
fund
happy
to
answer
any
questions
about
that,
and
I
think
that's
that's
it
and
then
kentuckians
helping
kids.
F
All
right,
thank
you,
co-chair
adams
and
everyone
for
having
us
here
today.
I
greatly
appreciate
it.
I
was
going
to
talk
a
little
bit
about
what
the
attorney
general's
office
has
been
doing
with
some
of
the
funds
and
the
support
provided
by
the
board
and
some
ideas
that
we
could
have
moving
forward.
F
One
thing
that
I
think
is
important
to
today's
conversation
is
to
understand
that
rare
do
children
face
one
form
of
maltreatment
or
abuse
the
statistics
bear
out,
and
it
is
common
that
these
children
are
experiencing
multiple
forms
which
could
include
physical,
emotional,
all
kinds
of
abuse
along
those
lines.
So
that's
one
reason
to
kind
of
expand
the
purview
from
just
this
narrow
idea
of
sexual
abuse.
F
F
The
people
from
zero
abuse
project
who
just
focus
on
purely
the
their
goal,
is
to
eradicate
all
forms
of
child
male
treatment.
In
the
united
states,
we
were
able
to
partner
with
them
to
bring
some
really
great
training
to
our
state
on
behalf
of
our
prosecutors,
both
county
and
commonwealth
attorneys,
who
both
face
very
specific
and
different
roles
in
this
fight.
County
attorneys,
of
course,
is
senator
westerfield
can
attest,
handle
child
maltreatment,
court
or
dependency
abuse
neglect
court.
F
F
Hopefully
they
can
catch
families
before
children
become
victims
of
some
much
more
serious
forms
of
abuse,
so
the
training
was
tailored
to
their
needs
and
goals
as
it
obtained
as
it
relates
to
dependency
abuse
neglect
court.
It
was
also
tailored
to
commonwealth
attorneys,
who
are
reactive
and
largely
handle
these
very
serious
and
horrible
cases
of
child
abuse.
F
Also
within
that
there
were
trainings
on
how
to
sharpen
your
cross-examination
skills
when
you're
dealing
with
defense
witnesses
how
to
handle
your
cac
interviews
in
the
era
of
the
pandemic.
So
this
past
year
a
lot
of
our
cac
interviews
were
done
remotely,
and
that
is
of
course
going
to
be
a
challenge
to
prosecutors
as
they
get
in
court
and
defense
counsel
starts
to
challenge
some
of
those,
so
that
was
handled
in
these
trainings.
F
The
kentucky
prosecutors
institute
was
like
a
moose
boosh.
It
was
like
the
lead
up
this
little
taste
of
what
was
to
come
later,
which
was
the
2021
kentucky
start
pro
prosecutor
symposium
stark,
stood
for
stopping
the
technology,
assisted
abuse
of
rural
children,
and
it
really
focused
on
the
importance
of
technology
in
these
types
of
crimes.
Technology,
of
course,
is
where
all
crimes
are
going.
If
you
all
read
recently,
a
lot
of
people
were
talking
about
the
fitbit
case,
where
they
solved
a
murder
through
the
victim's
fitbit
information
which
they
subpoenaed.
F
So
technology
is
where
things
are
going
and
I
think
a
lot
of
people
think
about
cell
towers
and
all
this
kind
of
stuff
and
cell
phones.
When
it
comes
to
murders,
we
often
kind
of
don't
think
of
child
abuse
cases
and
rape
cases
and
sexual
assault
cases
as
being
at
that
level.
They
are
every
bit
if
not
harder
than
murder
cases.
They
are
every
bit
as
technology
assisted,
maybe
more
so
so
that
was
a
very
important
amount
of
training
that
we
brought
to
prosecutors.
F
Also,
we
through
a
very
generous
partnership
with
the
kentucky
state
police.
F
They
are
hosting
a
number
of
our
prosecutors
to
go
to
in
dallas
texas,
not
to
go
to
to
go
to
virtually
they're
able
to
watch
all
the
content
between
august
and
december
at
the
national
crimes
against
children
conference,
which
is
held
out
to
be
the
premier
conference
and
training
ground
for
professionals
that,
whether
it
be
law
enforcement
prosecutors,
social
workers
or
other
allied
professionals
that
sort
of
fight
this
fight
on
behalf
of
children-
and
you
can
see
there
of
some
of
the
great
content
that
our
kentucky
prosecutors,
I
think
we're
sending
27
or
so
prosecutors
to
this,
and
you
can
see
some
of
the
great
content
that
they
will
be
able
to
to
get
a
hold
of,
and
hopefully
bring
back
to
their
areas
and
use
to
combat
and
strengthen
the
cases
they
have.
F
We
also
put
together
a
child
abuse
prosecution
toolkit
it's
available
on
our
website.
I
want
to
point
out
that
dr
sugarman,
who
you
will
be
hearing
from
next,
was
a
big
help
in
that.
So
this
was
something
that
we
worked
with
a
lot
of
people
on
to
try
to
give
some
resources
and
tools
and
places
where
you
can
go,
get
training
and
watch
best
practices
as
it
relates
to
working
within
your
multi-disciplinary
teams,
which
is
so
crucial
to
these
cases
being
viable
and
good
and
winnable.
F
F
One
is
that
kids
disclose
quickly.
They
do
not
one
is
that
there
will
be
a
lot
of
trauma
or
physical
injury
to
a
child
after
sexual
abuse.
There
is
usually
not
so
they
were
able
to
step
up
and
provide
some
funding
through
our
office
that
we
could
then
turn
over
to
the
prosecutors
in
the
state.
So
they
could
obtain
these
experts
on
these
very
important
cases
and
go
into
court
and
try
to
fight
a
battle
on
a
more
level
playing
field
and
educate
the
juries
about
exactly
the
type
of
case
that
they
were
hearing
of.
F
So
we
couldn't
have
done
that
again
without
the
partnership
of
this
board,
so
very
important
with
that.
We
are
happy
to
field
any
questions,
concerns
or
comments
that
any
of
you
may
have.
G
G
Yes,
so,
as
mentioned
earlier,
the
board
was
created
to
oversee
the
child
victims,
trust
fund,
the
child
victims.
Trust
fund
receives
money
through
private
donations,
proceeds
from
the
purchase
of
the
I
care
about
kids
license
plate
and
donations
made
through
the
state
income
tax
check
off
program,
as
well
as
just
regular
donations
that
we
may
receive.
G
So,
as
you
can
tell
by
the
numbers
on
the
slide,
we
don't
receive
a
lot
of
money
from
the
income
tax
checkoff
program
in
fiscal
year,
20
we
received
50
and
fiscal
year
21
we
received
265
for
all
donations
for
the
entire
year,
and
a
lot
of
that
was
with
a
new
program
that
we've
kind
of
spotlighted,
which
was
the
giving
tuesday
campaign
to
try
to
raise
awareness
about
the
child
victims
trust
fund.
We
find
that
most
people
are
unfamiliar
with
the
trust
fund
and
are
not
aware
of
it.
G
So
that's
the
reason
why
donations
are
minimal
historically,
and
that
is
been
the
case
ever
since
it's
been
created
in
2017.
It
was
an
exception
because
somebody
left
their
estate
to
the
child,
victims,
trust
fund
and
so
that
totaled
up
to
172,
000
and
so
all
of
those
dollars
went
to
the
trust
fund.
G
So
by
and
large
the
license
plate
sales
is
the
largest
driver
of
revenue
for
the
child
victim
stress
fund.
It's
set
forth
in
statute
that
we
are
to
receive
ten
dollars
for
the
initial
purchase
of
a
license
plate
and
then
five
dollars
for
the
renewal
and
administrative
costs
come
out
of
that.
So
we
don't
see
that
full
ten
and
five,
but
this
is
kind
of
a
projection
based
on
what
we've
seen
over
the
past
year-
and
this
is
the
historical
showing
that
the
largest
revenue
source
is
the
license
plate.
A
G
G
E
Yes,
I
well,
I
have
a
couple,
I'm
sure
that
our
committee
members
will
have
a
so
help
me
kind
of
understand
the
dollars.
So
you
all
have
operational
dollars
and
you
have
trust
fund
dollars.
Is
that
correct
and
generally
what
do
you
spend
in
operations?
And
what
do
you
spend
in
trust
fund?
And
what
do
you
hold
back.
G
So
we
have
operational
dollars,
although
we
are
as
bare
bones
as
possible,
even
though
my
office
provides
all
of
the
administrative
support
to
that,
we
do
not
charge
that
against
the
trust
fund.
So
the
only
thing
that
gets
operationally
charged
the
trust
fund
is
for
site
visits,
for
example,
if
it
takes
me
two
or
three
days
to
cover
western
kentucky,
it
would
require
an
overnight
stay,
and
so
that's
the
only
type
of
additional
kind
of
one-offs
and
so
every
once,
while
you'll
see
a
300-dollar
bill
here
or
things
that
nature.
G
But
I
use
pool
cars
state
cars,
so
we
try
to
save
as
much
money
as
possible
and.
E
The
trust
yes,
okay
and
no
general
fund
dollars,
no
general
fund
dollars.
Okay
and-
and
I
notice
it
said
that
the
license
plate
is
the
biggest
funder
of
the
trust.
Are
you
required
to
hold
back
any
dollars?
I
guess
it's
really
hard
to
make
financial
decisions
for
the
trust.
When
you
don't
know,
what's
this
year
is
going
to
look
like.
G
It
is,
thankfully,
it
is
a
rotating
recurring
fund,
so
the
money
just
keeps
going
back
in
the
fund.
If
we
don't
spend
it.
Unfortunately
we
spend
more
than
we
receive,
and
that
is
not
a
recipe
for
good
fiscal
management,
but
we
have
so
many
amazing
programs.
You
know
we're
number
one
in
the
kentucky
in
the
country
for
child
maltreatment
and
while
child
sexual
abuse
is
only
three
percent,
you
know
each
one
of
those
victims.
G
E
And
I
guess
my
last-
I
don't
know
if
this
is
a
comment
or
a
question,
but
it's
kind
of
to
your
point.
You
know
it's
a
it's
a
low
percentage,
that
is
sexual
abuse,
but
we
are
number
one
in
child
abuse
and
neglect,
and
so
that
is
a
whole
another
huge
encompassing
piece
of
this.
E
I
know
that
that'll
put
you
on
the
spot,
but
it
seems
to
me
to
be
if
we're
going
to
tackle
holistically
abuse
and
neglect
and
sexual
abuse
that
all
of
those
things
run
together
and
they're
all
interrelated,
and
they
seem
to
me
to
be
a
logical
place
for
us
to
go
anyways.
So
I
like
that's,
why
I
said
I'm
like
it
could
be
a
comment.
It
could
be
a
question,
but
I
don't
want
to
put
you
on
the
spot.
That's.
G
G
You
know
in
kentucky
the
reports
are
two
years
behind
in
the
sense
of
how
they
report
at
the
national
level,
so
95.5
of
all
maltreatment
in
kentucky
was
neglect
for
2019.
G
We
are
finding
that
these
things
do
not
happen
in
a
vacuum.
Usually
what
is
making
a
child
vulnerable
to
child
sexual
abuse
begins
with
potentially
neglect
or
makes
them
vulnerable
in
a
sense
they
are
left
alone,
or
maybe
they're
not
aware
of
what
their
child
is
doing
online
and
their
child
is
being
exposed
to
things
that
leads
to
future
victimization.
E
And
I'll
go
ahead
and
hog
all
the
time,
because
nobody
else,
I
don't
think,
has
a
question.
Oh
yeah
go
ahead.
Please
senator
burke!
Yes,.
C
Thank
you,
senator
adams,
so
I'm
sorry
I
was
late.
There
was
a
huge
backup
on
64.,
so
I
just
want
to
clarify,
because
this
is
all
new
to
me.
Did
you
all
say
that
you
had
a
case
in
kentucky
where
we
had
to
basically
go
to
what
looks
to
me
to
be
pretty
much
private
funding.
You
know
fundraising
to
hire
prosecutors
for
a
sexual
abuse
case.
No.
F
But
thank
you
for
the
question
senator
berg.
Now
what
I
had
indicated
was
a
lot
of
times
in
criminal
cases.
There's
the
use
of
experts.
They
don't
get
used
as
often
as
perhaps
we
would
like
to,
because
prosecutors
are
fiscally.
You
know
we
have
budgets
and,
and
the
money
is
pretty
scarce
and
a
lot
of
the
funding
that
goes
to
prosecutors
offices
is
operational.
F
It's
not
for
sort
of
these
extra
things,
and
so
in
some
of
these
cases
we
applied
for
when
I
say
we
I
mean
prosecutors
applied
for
through
csap
a
grant
to
go
out
and
hire
an
expert
to
come
in.
So
this
is
someone
that
works
within
the
field
works
with
victims
of
child
sexual
abuse
and
they're
able
to
dispel
some
of
the
myths
to
a
jury
like
that
children
would
automatically
tell
if
something
bad
happened
to
them,
which
is
not
the
case.
F
The
most
common
finding
in
child
sexual
abuse,
as
far
as
a
physical
exam
is
no
finding
at
all,
which
is
counter-intuitive
to
most
people,
but
is
true,
and
so
a
lot
of
times.
The
only
way
you're
going
to
get
that
in
and
be
able
to
render
an
opinion
to
a
jury
is
through
through
an
expert
and
where
some
prosecutor's
offices
lack
the
resources
to
go
out,
and
we
always
try
whether
it
be.
F
C
E
And
I
guess
I'll
just
wrap
up,
but
you
know
one
of
the
things
that
I
think
is.
I
mean
we're
number
one.
We've
been
number
one
for
the
last
three
years
and
child
abuse
and
neglect
we've
got
to
get
off
that
number
one
ranking
and
I
I
don't
know
how
you
get
off
of
it.
When
we
have
a
trust
fund,
that's
unstable,
it's
you
can't
forecast
for
it
it's
extremely
specialized.
E
Taking
care
of
these
kids
and
also
the
prevention
aspect
and
we're
going
to
have
to
figure
out
a
more
stable
some,
so
I
guess
one
of
the
things
that
I
want
you
all
either
to
think
about
or
even
comment
here
is
the
license.
Plates
are
good,
but
they
just
don't
seem
to
be
cutting
it,
and
if
we
are
going
to
try
to
get
off
that
number
one
ranking,
what
can
we
do
to
broaden
the
mission
or
broaden
the
ability
to
collect
dollars
to
promote
that
mission?
E
And
I
don't
know
if
they're
general
fund
dollars,
I
don't
know
if
their
grant
fund
dollars.
I
don't
know
what
they
are,
but
I
would
rely
on
your
tell
us
how
we
can
how
we
can
do
it
better
than
we're
doing
not
no
disrespect.
But
I
think
we
are
all.
We
all
want
to
come
off
that
number
one
ranking
and
we
need
to
all
help
each
other.
G
Absolutely
so
I
have
done
a
lot
of
research
in
this
area,
because
I
do
want
to
see
that
we
are
no
longer
number
one
in
this
area.
Most
of
the
child
victims
trust
funds
across
the
state
like
45
or
so
focus
on
all
forms
of
maltreatment.
We
are
very
specialized
here
in
kentucky.
We
are
one
of
few
that
actually
focus
on
just
sexual
abuse
exploitation.
G
Now
illinois
is
the
only
state
that
does
not
have
any
child
victim
stress
fund,
but
all
of
the
ones
around
us,
ohio,
tennessee,
virginia
west,
virginia
indiana,
missouri,
michigan
wisconsin.
It
is
all
forms
of
child
abuse
that
they
are
looking
into.
I've
also
looked
at
how
their
states
are
fundraising,
because
we
are
constantly
looking
for
new
ideas
and
so
in
michigan
they
have
this
amazing
auction.
G
They
also
sell
heirloom
birth
certificates
or
they
get
a
percentage
from
every
birth
certificate
that
vital
statistics
issues,
because
that's
a
good
way
of
putting
money
back
towards
the
children
in
virginia.
They
focus
on
addressing
all
family
violence
and
trauma,
so
they
have
a
15
15
of
a
25
license.
Plate
fee
goes
to
the
victims,
trust
fund,
without
any
administrative
costs
coming
out.
E
Great,
thank
you
and
I'll
well
follow
up,
because
that
is
interesting.
What
other
states
are
doing?
I
mean
big,
borrow
and
steel,
wherever
you
can
on
those
good
ideas.
So
thank
you.
Any
questions
from
committee
members
all
right,
seeing
none!
I
appreciate
your
all's
testimony.
It
was
nice
to
have
you
all
here
today.
Thank
you.
All
right,
next,
up
to
the
table
is
we've
got.
The
children's
advocacy
centers
of
kentucky
looks
like
we're
going
to
have
two
presenters.
E
I
I
Every
allegation
of
child
abuse
is
serious
and
a
child
is
at
the
heart
of
each
case.
However,
there
are
many
professionals
who
are
responsible
for
a
part
of
the
quest
for
justice
and
healing
for
each
child
before
the
cac
model.
There
was
often
confusion,
lack
of
coordination
and
repeated
interviews
by
untrained
professionals,
leaving
the
child
without
critically
needed
services
to
heal
and
harming
the
investigative
process
putting
children
at
risk
for
further
harm.
I
The
children's
advocacy
center
model,
which
the
kentucky
legislature
adopted
through
statute
and
regulation
in
the
early
2000s,
provides
coordinated
expert
services
that
put
the
child
and
their
caregiver
at
the
center
through
a
network
of
cacs
in
each
area.
Development
district
cacs
advocate,
on
behalf
of
children,
alleged
to
have
been
abused,
provide
a
child-friendly,
psychologically,
safe
location
to
assist
in
the
investigation,
promote
coordination
of
services
and
provide
many
direct
services
to
children.
J
J
I
I
I
Now
is
not
the
time
for
reduced
services
to
these
specialized
services
for
abused
children
with
the
reduction
in
voca
funding.
We
are
requesting
two
million
dollars
in
each
fiscal
year
from
the
american
rescue
plan
act
to
replace
this
loss
in
revenue,
which
would
maintain
the
current
staffing
levels
and
maintain
that
geographic
accessibility
they're
both
so
critical
and
we're
also
requesting
900
thousand
dollars
to
provide
an
additional
mental
health
therapist
at
each
cac
to
address
the
anticipated
increase
in
mental
health
needs.
I
I
When
a
report
of
abuse
is
made
to
centralized
intake,
as
for
the
reports
that
are
accepted,
the
specialist
routes,
this
report
to
the
dcbs
investigator,
as
well
as
to
law
enforcement
investigators,
including
prosecutors,
and
this
this
is
statutory
in
this
project.
These
reports
were
also
routed
to
the
cac
early
in
the
process,
with
partial
funding
through
the
children's
justice
act
task
force.
These
cacs
provided
expert
reviews
of
every
report
of
child
abuse
and
neglect
in
the
target
county.
I
Initially,
they
reviewed
reports
to
learn
about
the
universe
of
cases
investigated
in
their
community
and
to
identify
trends
and
potential
needs
previously.
Cacs
would
only
learn
of
a
report
of
abuse
when
an
individual
investigator
would
contact
them
to
request
a
service
or
the
investigator
brought.
The
information
to
the
mdt
case
review
meeting
cacs
were
flying
blind
to
the
potential
need
in
their
community.
I
As
the
project
progressed,
cacs
began
active
outreach
to
the
investigators
to
coordinate
services
for
those
children
who
met
criteria
for
the
mdt
response
or
scac
service
and
beginning
in
january
of
this
year.
These
cacs
tracked
more
closely
that
response
for
the
response
and
services
provided
to
those
individual
children
who
met
the
criteria.
I
I
We
see
the
great
value
of
including
cacs
early
in
the
investigative
process
and
of
cac's
dedicating
staff
resources
to
these
efforts
to
coordinate
the
services
recognizing
that
at
a
minimum,
another
one-third
of
children
can
benefit
from
this
response
who
need
it.
We
are
asking
for
an
investment
in
the
work
of
cacs
to
support
this
type
of
coordination
and
the
increase
in
services
that
would
go
along
with
it.
The
very
response
that's
consistent
with
kentucky
statutes.
B
So
thank
you
for
the
opportunity
to
allow
me
to
speak
about
the
importance
of
the
medical
examinations
that
occur
at
children's
advocacy
centers.
I
wanted
to
start
just
by
telling
you
about
two
of
the
children
that
that
have
come
to
the
cac
in
the
last
several
months
to
illustrate
why
why
cacs
are
so
important
and
the
first
child
I
want
to
talk
about.
B
He
had,
he
had
difficulty
sleeping,
he
had.
He
was
in
virtual
school
and
he
told
the
teacher
that
he
wanted
to
strangle
himself.
So
he
went
to
a
psychiatric
facility.
B
He
subsequently
went
to
two
other
psychiatric
facilities
and
finally,
when
he
he
got
released
the
third
time
he
he
got
in
the
car
with
his
caregiver,
and
he
said
I
have
something
to
tell
you
and
he
said
I
was
raped
and
that
started
a
process
where
he
came
to
the
children's
advocacy
center
and
he
made
a
very
clear
disclosure
of
what
had
happened
to
him
and
then
he
was
referred
for
a
medical
exam
and
he
and
his
caregiver
came
expressly
because
he
he
wanted
some
reassurance
about
his
body
and
also
he
wanted
to
make
sure
that
he
didn't
have
any
sexually
transmitted
infections.
B
The
other
child
that
I
wanted
to
just
talk
about
is
a
little
girl
named
ellie,
who
a
high
schooler,
who
went
to
a
church
camp
and
part
of
that
church
camp.
They
they
had
a
sex
education
workshop
there
and
she
told
me
she
said
it
took
her
two
days
and
she
agonized
for
two
days
whether
she
was
going
to
tell
the
counselor
or
not
what
had
happened
to
her.
B
But
she
started
to
really
worry
about
sexually
transmitted
diseases
and
pregnancy
and
in
her
own
words,
whether
she
was
damaged
or
not,
and
so
she
told
this
church
counselor
what
had
happened
and
fortunately
the
church
counselor
did
the
right
thing
and
and
made
a
report
of
child
abuse
to
the
hotline
and
that-
and
she
also
was
referred
to
the
children's
advocacy
center
for
evaluation.
B
So
I
wanted
to
talk
about
these
kids
and
talk
about.
Then
you
know
what
why
we
do
these
medical
exams
and
and
how
why
they're
so
important
after
that.
I
just
wanted
to
talk
a
little
bit
about
how
our
work
was
impacted
by
covet-19
and
then
address
some
of
the
opportunities
that
I
see
for
growth
for
the
medical
community
to
address
the
the
problems
that
children
in
our
commonwealth
have
regarding
abuse.
B
So
the
first
thing
I
wanted
to
just
talk
about
was
you
know
that
you
know
where
these
children
are
getting
evaluated
and
well-
and
I
put
two
pictures
up
here
just
to
illustrate
the
contrast.
B
So
you
know
we
have
some
wonderful
emergency
departments
in
the
state
and
certainly,
if
I
were
in
a
car
accident,
I
would
tell
you
to
take
me:
take
me
to
either
uk
or
uofl
for
to
a
level
one
trauma
center,
but
for
a
child
who's
made
a
disclosure
of
sexual
abuse
that
was
so
difficult
to
talk
about.
To
begin
with,
I
think
it
would
be
it's
really
difficult
to
not
go
to
a
place
which
is
more
and
I'm
pointing
this
out
here,
which
is
more
private.
B
B
Imagine
you're
a
middle
school
boy
and
you're
going
to
the
emergency
department
and
you
you're
worried
about
who
you're
going
to
tell
that
this
happened
to
you
and
then
you're
worried
that
people
will
overhear
you
or
you
know
who's
going
to
recognize
you
in
that
that
place.
So
I
think,
for
that
reason
you
know,
children's
advocacy
centers
are
an
ideal
venue
for
children
to
be
evaluated
again.
I
just
put
some
pictures
in
here.
B
To
contrast,
you
know
the
emergency
department,
which
has
a
lot
of
important
equipment
as
you
can
see
for
resuscitation,
but
we
have
the
children's
advocacy
center,
which
has
some
more
child,
child-friendly
things
to
make
children
comfortable.
B
We
also
have
some
special
equipment
that
I'm
going
to
get
to
in
a
minute
as
well
and
just
another
picture
of
the
emergency
department
versus
the
advocacy
center,
but
we
do,
as
I
alluded,
to
have
some
state-of-the-art
art
equipment
at
the
children's
advocacy
center
as
well,
that
that
makes
it
really
important
for
kids
to
be
seen
someplace,
where
one
of
the
things
we
use
is
photo
documentation
and
we
use
that
documentation
those
this
instrument
to
document
injuries.
We
take
pictures
to
document
injuries.
B
Sometimes
we
can
do
an
exam
pretty
quickly
and
that
way
we
can
review
the
images
after
the
child's
already
left
and
that
really
helps
a
lot
of
children,
because
we
don't
have
to
spend
a
lot
of
time
looking
at
sensitive
areas
of
the
body
and
then
finally,
this
is
this
helps
us
if
we
have
to
show
another
investigate
and
not
investigate
but
another
physician
or
if
we
have
to
show
them
what
you
know
the
finding
for
for
additional
help
that
helps
us,
because
sometimes
we
don't
have
to
send
the
child
to
see
another
provider.
B
We
can
show
the
picture
instead
and
I
I
can
tell
you,
we
had
a
situation
not
too
long
ago
where
we
had
a
child
who
was
very
traumatized,
who
had
to
see
the
the
surgeon
and
by
by
being
able
to
take
some
images.
She
did
not
have
to
see
that
male
surgeon
at
all,
he
was
able
to
look
at
the
the
images
and
figure
tried
to
plot
what
what
needed
to
happen
for
her
next.
B
I
will
say
that
you
know
there
are
a
lot
of
well
excellent
doctors
in
ers
and
pediatricians
office
and
family
practice
offices,
but
that
studies
have
have
looked
at
this
issue
and,
and
they
have
they've
they've
supported
the
the
fact
that
doctors
don't
get
a
lot
of
training
in
child
abuse
and
certainly
not
child
sexual
abuse
during
their
residency,
which
is
the
training
period.
There's
just
too
many
other
things
they
have
to
learn.
B
You
have
to
learn
about
kidney
disease,
heart
disease,
infectious
diseases
and
so
the
training
that
that
they
get
during
the
residency
period
or
is
very
limited,
and
so
we
have
to
make
sure
that
people
that
are
doing
these
exams
have
that
specialized
training.
That's
necessary
not
only
to
see
and
evaluate
the
child
properly,
but
subsequently,
as
was
already
talked
about
to
be
able
to
testify
in
court
and
to
make
sure
that
that
something
happens
after
the
child
leaves
our
office.
B
B
They
were
certainly
concerned
about
sexually
transmitted
diseases,
but
the
other
if
a
child
comes
to
the
cac
soon
enough.
Sometimes
there
is
an
opportunity
to
collect
some
biological
and
trace
evidence
to
put
in
what
we
call
that
safe
kit
or
that
sexual
assault,
forensic
evidence
kit
that
the
state
police
submit
to
the
crime
lab.
We
perform
head
to
toe
examinations,
and
I
know
you
all
you
all.
B
You
all
already
asked
a
question
about
physical
abuse
and
neglect,
and
I
will
say
that
we
see
a
lot
of
children
who
have
suffered
sexual
that
have
suffered.
Sexual
abuse
have
also
been
neglected
and
sometimes
physical
abuse
as
well.
So
we
we
always
look
at
every
child
from
head
to
toe.
We,
we
do
a
comprehensive
assessment
in
terms
of
history
taking
from
the
parent
and
the
child,
and
we
try
to
assess
other
risk
factors
that
that
would
go
along
with
neglect,
substance,
abuse
and
things
that
would
put
the
child
at
risk.
B
B
As
I
mentioned,
we
want
to
make
sure
that
the
child
doesn't
need
any
other
services
and
we
want
to
also
make
sure
that
their
emotional
needs
are
addressed
as
well
and
then,
certainly
as
in
the
case
of
the
the
girl
that
I
talked
about,
we
want
to
make
sure
that
the
child
knows
that
she
is
okay.
B
I
also
want
to
mention.
Sometimes
you
know,
even
though
a
child
has
been
seen
previously
by
another
provider,
it
is
important
for
a
child
to
come
and
have
some
follow-up
services
at
the
children's
advocacy
center
and
that
we,
I
won't
go
into
all
of
these
today
in
the
interest
of
time,
but
you
know
sometimes
that
there
is
a
if
the
provider
is
not
comfortable
with
what
they're
doing
in
the
emergency,
seeing
in
the
emergency
department
or
in
a
doctor's
office,
we
we
need
to
see
those
children
again.
B
Sometimes
if
they
have
an
acute
injury,
we
want
to
make
sure
the
injury
is
healed.
If
they
have
an
infection,
we
need
to
make
sure
the
infection
is
cured
if
they
have
received.
You
know,
for
instance,
hiv
prophylaxis
in
the
er
as
a
result
of
acute
assault.
We
need
to
make
sure
they
they're
taking
their
medicine
properly
because
that's
a
one
month,
commitment
of
medication.
B
So
there's
a
lot
of
reasons
why
we
we
see
kids
again
and
then
certainly
we
again
want
to
assess
their
mental
health
and
their
continued
safety
and
that's
important,
because
there's
a
lot
of
science
now
and
evidence
to
support
that
adverse
childhood
experiences
that
are
unaddressed
can
affect
kids
later
on,
and
this
is
a
diagram
from
the
cdc.
B
But
you
can
see
here
that
all
the
abuse
that
we've
already
mentioned
today
and
including
sexual
abuse,
emotional
abuse,
physical
abuse,
neglect
those
are
all
aces
or
adverse
childhood
experiences,
and
another
diagram
from
the
cdc
shows
you
that
you
know
when
these
things
are
not
addressed
in
childhood,
they
can
be
associated
with
negative
outcomes
later
on,
including
chronic
disease
like
cancer
and
diabetes.
B
B
So
why
why
is
that
so
important?
Well,
certainly
it's
it's
it's
important
for
the
child
themselves
and
the
child's
family
to
address
sexual
abuse
and
other
kinds
of
abuse,
but
there
there
is
an
economic
burden
for
all
of
us
in
society.
B
If
these
things
aren't
addressed-
and
it
is
estimated
by
from
cdc
data
that
the
total
lifetime
economic
burden
of
child
sexual
abuse
in
the
united
states,
at
least
in
2015,
was
estimated
to
be
9.3
billion
dollars.
So
that's
all
that's
a
huge
cost
to
society,
and
so
having
said
that,
just
as
the
child's
the
child's
trauma
does
not
end
once
they've
come
to
the
cac
they
need
to
have
their
problem
addressed
emotionally.
B
The
other
presenters
have
already
talked
about
the
importance
of
litigating
these
cases
properly,
and
so
one
job
that
the
medical
provider
has
to
do,
which
is
important,
is
to
communicate
their
impression
of
what
happened
to
the
child
and
their
findings
with
other
community
partners.
So
we
have
to
communicate
those
findings
with
the
investigators
convince
the
police
that
this
is
a
case
that
needs
to
be
investigated
and
go
forward,
talk
to
social
service
investigators
and
make
sure
they
understand
again
why
children
don't
disclose
immediately.
Why
sometimes
they
don't
have
any
signs.
B
B
We
have
to
be
able
to
assess,
interpret
lab
results
and
we
have
to
again
peer
review
those
findings.
So
this
is
different
than
you
know.
You
go
to
the
you.
Take
your
child
to
the
doctor's
office
for
strep
throat.
They
they
test,
they
swab
the
throat.
They
say
you
have
strep
throat.
Take
this
amoxicillin.
B
You
know
you're
done.
This
is
much
different,
because
the
work
does
not
end
when
the
child
leaves
the
office
it's
really
just
beginning
and
as
we
we've
already
talked
about
with
that
multi-disciplinary
team
and
the
model
of
the
cacs.
B
Some
of
it
involves
the
mental
health
providers
and
the
doctors
trying
to
figure
out
what
to
do
for
the
the
child's
emotional,
their
minds
and
their
bodies,
and
some
of
it
has
to
do
with
the
family
advocate
trying
to
decide
how
to
help
the
family,
because,
as
you
know,
children
aren't,
you
know,
have
to
go
back
to
the
family
at
the
end
of
the
day
and
the
parent
has
to
or
the
caretaker
is,
the
one
that
has
to
you
know
deals
with
the
child
for
the
rest
of
the
the
time
that
the
child's
not
in
school-
or
you
know
not
in
your
office,
obviously-
and
so
laura's
already
mentioned
those
advantages
of
that
multi-disciplinary
team,
which
the
cac
is
is
an
integral
part
of
and
again,
medical
professors.
B
Professionals
are
members
of
that.
Multi-Disciplinary
team,
and
so
again,
the
medical
professionals,
role
in
that
team
is
to
you
know,
make
recommendations
we
hear
about
kids
and,
and
sometimes
we're
asked
if
a
child
needs
to
have
a
medical
exam.
Sometimes
we
review
medical
records
from
other
providers
to
help
determined
if
and
when
they
need
that
exam.
We
review
lab
results
to
make
sure
we
can
determine
if
a
child
needs
any
sexually
transmitted
disease
testing.
B
So
things
like
that,
and
we
also
discuss
with
the
community
partners
why
an
exam
may
be
normal
or
abnormal,
and
so
you
know
I
I
want
to
say
that
sexual
abuse,
you
know
we,
we
really
don't
know
how
how
common
this
problem
is.
We
know
that
there
are
a
lot
of
people
and
they
come
to
our
office
all
the
time
with
their
children
who
will
say
as
we're
talking.
You
know,
I've
never
told
anybody
this
before,
but
I
was
abused
as
a
child
and
we
know
that
people
take
this
information
to
their
grave.
B
So
you
know
I
heard
that
number
earlier
three
percent.
I
think
that
the
the
child
abuse
clearing
health
status
is
a
little
bit
higher.
I
want
to
say
maybe
10
or
11
of
of
the
abuse.
If
you
make
a
big
pie
chart
and
certainly
neglect
is
the
biggest
part
of
that
pie
chart.
Usually
it's
about
70
or
75
percent.
But
again
we.
I
don't
know
that
we
know
the
whole
scope
of
the
problem.
B
In
addition
to
the
fact
that
disclosures
are
delayed,
we
often
have
a
lot
of
little
kids
and
you
know
those
kids.
We
have
little
kids
and
we
have
developmentally
delayed
children
too,
and
those
children
are,
you
know,
they're
the
perfect
victims,
I
would
say,
because
they
they
don't,
have
the
language
to
often
communicate
what
has
happened
to
them.
So
we
don't
know
the
whole
scope
of
the
problem.
B
But
again,
the
research
has
indicated
that
you
know
one
in
four
girls,
and
probably
one
in
13
boys
have
will
experience
some
form
of
sexual
abuse
in
childhood,
so
that
that
is
a
big
number
and
as
far
as
adolescents
go
I'll
just
mentioned
here,
I
don't
want
to
read
the
whole
slide,
but
you
know
that
teens
ages,
16
to
19,
are
about
three
and
a
half
more
times
likely
than
the
general
population
to
be
victims
of
rape,
attempted
rape
or
sexual
assault,
and
you
know
who
who
is
abusing
children
well,
while
the
the
relationship
of
the
people
abusing
kids
to
the
victim
can
be
variable.
B
The
majority
of
kids
that
we
that
are
abused
are
abused
by
people
they
know
is,
according
to
the
cdc
91
and
about
a
third
of
kids,
are
abused
by
family
members.
So
this
is
really
important,
especially
in
in
the
context
of
what
we've
all
just
experienced
with
this
pandemic,
because
we've
been
cooped
up
with.
B
You
know
family
members
and
we've
had
a
lot
of
children
in
families
that
we,
we
really
don't
know
what
would
happen
to
them
this
past
year
yet,
and
I
think
we're
only
beginning
to
find
out
so
in
addition
to
being
cooped
up
with
people
that
that
may
have
increased
the
time
they
spent
with
an
alleged
perpetrator.
You
know
they
had
very
little
outlet
to
make
a
disclosure
of
abuse,
because
school
was
online
for
a
big
period
of
time.
B
Extracurricular
activities
where
sometimes
the
child
might
tell
a
coach
or
a
another
trusted
adult
were
were
curtailed
as
well,
and
children
had
limited
access
to
support
services.
So
you
know
I
pulled
this
up.
This
associated
press
study
that
that
really
gave
some
shocking
information
that
said
that
child
abuse
neglect
reports
from
schools
fell
sharply
by
59.
B
This
was
some
information
from
interpol,
which
also
was
talking
about
what
happened
during
the
pandemic,
and
we
know
that
kids
did
a
lot
of
things
online
during
the
pandemic.
They
they
could
have
chatted
with
people,
they
they
socialized
through
games
and
they
could.
They
boredom,
could
have
led
to
increased
risk-taking
and
sharing
information
with
potential
offenders,
and
I
will
say
anecdotally
that
we
we've
seen
a
lot
of
those
children
at
the
cac
this
year,
a
lot
of
teens.
B
It
seems
more
than
usual,
who
met
people
during
this
pandemic
online,
and
so
we
we
did.
As
laura
said,
we
we.
It
was
quite
a
challenge
and
it
seems
like
it's
been
a
very
long
year,
but
we
we
really
did.
We
were
able
to
serve
a
lot
of
kids
despite
the
pandemic.
B
We
instituted
a
lot
of
precautions
that
were
quite
cumbersome
at
times,
but
we
were
able
to
serve
a
great
deal
of
kids.
That
way.
B
I
think
one
of
the
silver
linings
of
this
pandemic
right
before
the
pandemic
started
the
kentucky
association
for
sexual
assault
prevention
programs.
Advisory
committee
established
a
committee,
a
subcommittee
that
would
create
a
medical
protocol
for
sexual
abuse
that
could
be
used
across
the
state
and
we
met
weekly,
sometimes
more
than
once
a
week.
B
B
We've
also
completed
a
list
of
training
recommendations
to
be
used
for
statewide
education
and
we've
also
we've
just
completed
a
slide
set
that
can
also
be
used
for
education
across
the
state
regarding
sexual
assault,
exam
and
sexual
abuse
exams
for
children.
So
we
did
get
some
work
done
during
this
pandemic,
which
I
think
will
be
really
helpful
for
the
commonwealth
and
the
and
as
as
we
move
forward
in
the
future,
we
also
as
part
of
cac
kentucky,
which
I'm
proud
to
say,
really
took
the
lead
in
this
project.
B
We
were
able
to
we're
working
on
creating
we're
almost
at
this.
The
end
of
this
project,
too,
creating
a
website
to
house
important
medical
information
for
emergency
physicians
and
other
providers
that
they
can
access
quickly
when
they
have
a
child
that
that
presents
to
the
to
their
office
or
emergency
department.
B
Setting
we're
working
and
we've
been
working
to
establish
some
networks
to
create
some
peer
review
avenues
within
the
state
as
well,
and
our
hope
is
that
that
we
will
be
able
to
capture
with
this
project
that
laura
talked
about
and
through
education
initiatives,
a
lot
more
children
that
don't
come
to
the
attention
to
cacs
within
the
state.
B
I
will
say
that
you
know.
As
far
as
the
the
kids
that
I
talked
to
you
about,
you
know
I,
when
I
walked
the
the
little
boy
out
the
door,
you
know.
I
certainly
I
told
him
how
brave
he
was
for
you
know,
being
able
to
make
his
disclosure
and
thanked
him
for
coming,
and
he
kind
of
he
said
to
me
said
well.
Well,
thanks.
I'm
glad
I
came
to
so.
B
I
just
wanted
to
share
with
that
with
you,
and
the
little
girl
and
her
mother
were
were
very
appreciative
that
you
know
she
just
felt
really
good
that
she
she
was
not
what
she
called
damaged.
So
I
think
it
means
a
lot
to
kids
to
be
able
to
to
start
on
that
road
to
healing.
I
think
you
know
they
they.
B
And
so
I
I'll
leave
this
in
your
handout.
These
are
just
some
of
the
things
that
I've
already
talked
about.
I've
left
you
with
lots
of
reading
material
at
homework.
If
you
want
to
do
it,
and
I
I
thought
just
laura
and
I
will
be
happy
to
answer
any
questions
that
you
have.
E
Thank
you
and
I
really
appreciate
your
presentation.
It's
it's
a
lot,
but
it's
a
lot
that
we
all
need
to
know,
and
it's
a
lot
because
I
was
just
talking
with
ben
up
here-
are
numbers
I
think
we're
going
to
just
see
an
explosion
in
numbers
once
kids
get
back
in
school
once
kids
start
to
activities,
I
mean
it's.
E
This
is
not
the
time
to
your
point
to
decrease
anything
or
minimize
any
this
situation
that
we're
going
to
find
ourselves.
So
I
appreciate
your
testimony.
Senator
westerfield
has
the
first
question.
D
Thank
you,
madam
chair
doctor.
Thank
you
for
sharing
laura
good
to
see.
You
appreciate
you
and
I
appreciate
the
work
of
the
statewide
board,
which
I
was
proud
to
be
a
member
of
for
several
years,
a
huge
fan
and
and
thankful
immeasurably
thankful
for
every
one
of
the
cacs
around
the
state
and
the
work
that
they
do
and
at
least
in
christian
county
in
the
penrose
area.
The
the
peneral
children's
advocacy
center
is
not
something.
A
lot
of
people
are
aware.
D
Is
there
but
man
when
the
families
need
that
service
when
they
need
that
provision?
That's
it's
an
incredible
and
challenging
and
heart
breaking
thing
for
families
to
go
through
now,
but
I'm
so
thankful
that
that
they're
there
and
there
are
staff
and
caring,
loving
professionals,
they're
willing
to
do
that.
Important
work
you
mentioned,
and
the
chair
just
made
reference
to
this
on
one
of
the
slides
lara
you
showed.
D
The
number
of
of
cases
was
seven
thousand
one
hundred
and
something
in
nineteen
and
then
dropped
to
fifty
five
hundred
and
it's
back
to
a
projection
of
seven
thousand.
Some
odd
just
another
bit
of
proof,
madam
chair
and
mr
chairman,
that
kids
out
of
the
classroom
obviously
didn't
mean
that
the
the
abuse
didn't
happen.
D
D
But
in
my
private
practice
I
represent
a
community
meal
health
center
and
I
was
just
curious
whether
or
not
any
of
the
cacs
are
partnering,
with
the
cmhcs
in
their
area
to
provide
that
mental
health
staff
and
if
they
aren't,
because
there's
a
cac
that
that
serves
every
county
and
the
community
health
centers
serve
every
county.
There's
not
a
physical
presence,
necessarily
in
every
single
county,
but
they
serve
every
one
of
the
counties.
So
I'm
curious,
if
that's
not
something
that
can
be
done,
if
it's
not
already
being
done.
I
In
several
children's
advocacy
centers,
there
are
specific
affiliate
agreements
in
place
with
the
community
mental
health
centers
for
a
particularly
for
subset
of
therapists,
who
would
have
the
trauma
training
and
to
be
able
to
provide
the
specific
trauma
services.
So
that
is
a
resource
that
many
of
the
centers
do
use,
and
this
request
is
more.
I
Concerning
kind
of
a
with
the
american
rescue
plan
funds,
more
specific
to
the
anticipated
increase
in
need
for
trauma-specific
services,
and
but
yes,
many
of
the
centers
have
have
some
kind
of
referral
or
affiliate
agreement
with
either
community
mental
health
or
both
community
mental
health,
centers
and
additional
mental
health
providers
in
their
region.
Because
you
know
the
map
that
you
can
see.
Even
with
the
satellite
locations,
there's
not
a
location
convenient
for
every
family
to
have.
F
I
There
can
be
some
significant
differences
between
where
you
go
to
receive
services
depending
on
your
region,
and
many
kids
feel
more
comfortable
returning
to
the
children's
advocacy
center
to
work
on
their
trauma
issues
because
they
know
that
those
staff
already
know
their
story.
They
already
know
why
they're.
D
D
And
they
don't
have
to
may
not
have
to
retell
it
multiple
times
times
and
times
again.
If
I
may,
madam
cheer,
ask,
thank
you:
does
the
900
would
that
put
a
mental
health
professional
in
all
15,
or
only
in
the
ones
that
don't
currently
have
an
agreement
with
the
cmhc.
D
C
Thank
you.
Thank
you
for
interesting,
disturbing
presentation.
This
is
you
know,
information
that
we
have
to
know,
and
my
question
doesn't
require
an
answer
today,
but
I'm
wondering
specifically
dr
sugarman,
you
know
here
in
kentucky.
C
We
require
certain
education
on
an
annual
or
every
other
year
for
physicians,
like
your
hiv
and
opioid
epidemic.
Would
there
be
an
advantage
to
requiring
some
education
either
on
the
medical
school
level
or
the
residency
level
or
on
the
physician
level.
You
know
on
an
annual
or
semiannual.
You
know
every
other
year
basis
that
we
a
requirement
to
better
educate
our
general
health
care
providers
in
this
state
as
to
one
what
to
look
for.
You
know
how
to
be
aware
how
to
refer
patients.
C
B
Yeah,
I
think
that
you
know,
I
know
physicians
don't
like
requirements,
but
I
do
think
that
it
would
be
helpful
for
for
people
to
to
know
especially
how
to
report
what
their
obligations
are
and
what
you
know.
Yes,
what
kind
of
signs
and
symptoms
to
at
least
make
you
think
about
sexual
abuse?
I.
C
I
would
think
that,
even
though
you're
right
physicians
don't
like
requirements,
but
that
might
be
just
a
really
easy
starting
space
require
our
healthcare
providers
to
get
up
to
speed
on
this
subject
and
to
be
eyes
and
ears
and
helpful
hands
as
to
where
you
send
your
patients
and
what
you
do
and
what
options
you
have.
I
mean
I
think
that
could
be
a
very
productive
place
to
begin.
B
A
Banta,
yes,
I'm
sorry
drop
the
phone.
I
was
just
curious
and
thank
you
for
your
presentation.
It
was
awesome
how
how
do
you
work
well
or
do
you
work
well
or
is
there
anything
you
need
from
the
police,
because
I
assume
in
my
head,
I
immediately
want
to
go
to
punishment.
So
do
you
have
a
seamless
march
to
jail
for
people
that
are
the
abusers.
I
Well,
this
is
where
the
multi-disciplinary
team
approach
comes
in,
and
law
enforcement
is
definitely
a
key
partner
in
the
mdt
process,
and
so
they
are
involved
in
the
cases
you
know,
but
that
is
something
that
is
a
challenge
when
you
have
a
team
of
people
who
work
together,
but
you
basically
in
some
regards,
don't
have
a
coach.
E
E
Okay-
and
so
the
two
million
is
just
to
kind
of
get
you
back
up
to
speed
to
handle
the
flow
that
we
anticipate
coming,
I
guess,
particularly
in
august,
so
that
there
is
some
time
sensitivity
to
that
request.
E
You
also
mentioned
the
five
million
dollars
for
the
general
fund
is:
are
those
dollars
mainly
in
your
brain,
going
to
this
multi-disciplinary
approach
to
implement
that,
or
are
they
just
dollars
that
are
needed
to
keep
up
with
how
we
need
to
handle
this
crisis
that
we're
in
right.
I
This
would
be
to
expand
that
pilot
project
with
the
larger
involvement
in
the
multidisciplinary
approach,
which
will
also
increase
the
number
of
services.
Provided.
You
know,
if
we're
seeing
more
children
through
the
coordination,
then
we're
going
to
be
providing
more
forensic
interviews
more
victim
advocacy
services.
So
it
takes
into
account
the
staffing
needed
to
coordinate
the
teams,
as
well
as
to
provide
the
direct
services
to
the
children.
E
Just
two
more
quick
questions
and
the
I
think
one
of
the
struggles
at
least
I've
been
educated
on
a
struggle
is
that
medicaid
has
not
increased
its
reimbursement
rates
for
a
lot
of
the
activities
that
you
all
perform
is
that
is
that
something
that
can
be
targeted
when
we
update
our
state
health
plan
is
that
something
that
we
need
to
have
a
waiver
on?
Is
that
something?
How
how
do
we
are
we
just
stuck
in
an
old
reimbursement
rate
that
we'll
never
see
the
light
of
day?
Can
you
help
me
understand
that.
I
Sure,
currently,
in
the
regulation,
there
is
a
medicaid
relation,
a
regulation
specific
to
children's
advocacy
centers
for
to
have
specialized
children's
medical
clinics,
and
it
does
have
a
set
reimbursement
rate
of
538
dollars.
That's
been
the
same
rate
for
20
years
and
we
actually
looked
up
when
that
regulation
went
into.
B
I
Originally-
and
it
was
20
years
ago
next
month-
I
believe,
and
so
that
that
rate
has
not
increased.
I
E
That
I
think
that
is
a
an
area
that
we
should
try
to
figure
out
how
we
could
keep
them
connected,
but
disconnect
them
so
that
we
can
hopefully
increase
some
dollars
coming
in
okay
and
then
the
last
thing
I'll
say
is
is
the
reason
that
reimbursement
rate
is
so
low.
Is
that
why
you
need
to
bring
in
those
trust
fund
dollars?
E
You
know,
I
know
that
there
was
testimony
before
you
that
they
used
to
give
150
or
they
used
to
give
75,
and
now
they
give
150
to
try
to
make
up
those
provider
costs
is
that
kind
of
where
all
this
stems
from?
Yes,
okay,
okay,
just
trying
to
get
it
all
correct
in
my
brain
here
as
we
move
forward,
are
there
any
other
questions
from
any
committee
members?
E
Okay,
seeing
none!
Thank
you
for
your
testimony.
We
will
continue
to
be
in
conversations
because
these
are
such
important
issues
and-
and
I
think
we
can-
we
can
figure
out
some
some
directions
to
go.
That
can
help
everybody
involved.
So
thank
you
and
thank
you
to
everybody
who
attended
the
committee
today.