Unbiased Reporting

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Isabella Brooke Knightly and Austin Gamez-Knightly

Isabella Brooke Knightly and Austin Gamez-Knightly
In Memory of my Loving Husband, William F. Knightly Jr. Murdered by ILLEGAL Palliative Care at a Nashua, NH Hospital

Saturday, September 17, 2011

N E W H A M P S H I R E’ S C H I L D R E N 2 0 1 1

New Hampshire's Children 2011

CHILD ABUSE AND NEGLECT
• New Hampshire had 17,322 total referrals for child abuse and neglect in
2009. Of those, 7,880 reports were referred for investigation.
7
• In 2009, 676 children were substantiated or indicated as abused or
neglected in New Hampshire, a rate of 11.9 per 1,000 children,
representing a 0.8% decrease from 2006. These children experience
varied—sometimes multiple—forms of maltreatment; 80.4% were
neglected, 12% were physically abused, and 16.1% were sexually
abused.
8
• In 2009, 1 New Hampshire child died as a result of abuse or neglect.
9
• In 2009, 930 children in New Hampshire lived apart from their families in
out-of-home care, compared with 959 children in 2008. In 2009, 295 of
the children living apart from their families were age 5 or younger, and
214 were 16 or older.
10
• Of New Hampshire children in out-of-home care in 2009, 713 were
white, 28 black, 74 Hispanic, 3 American Indian/Alaskan Native, and 26
of other races and ethnicities.
11
ADOPTION, KINSHIP CARE, AND PERMANENT FAMILIES FOR CHILDREN
• Of the 558 children exiting out-of-home care in New Hampshire in 2009, 228 were reunited with their parents or other
family members.
12
• In 2009, 135 children were legally adopted through the public child welfare agency in New Hampshire, a 14% increase
from 145 in 2008.
13
• Of the 930 children in out-of-home care in 2009, 272 or 29.2% were waiting to be adopted.
14
• In 2009, approximately 6,257 New Hampshire grandparents had primary responsibility caring for their grandchildren.
15
• Of the 930 children in out-of-home care in 2009, 176 were living with relatives while in care.
16
• Of all New Hampshire children in kinship care in 2009, 146 were white, 4 were black, 12 were Hispanic, and 14 were
other races.
17
CHILD POVERTY AND INCOME SUPPORT
• The total number of individuals receiving Temporary Assistance for Needy Families (TANF) in New Hampshire
decreased from 13,114 in September 2009 to 11,048 in September 2010, a 7.4% decrease. The number of families
receiving TANF in September 2010 was 5,299, a 12% decrease from September 2009.
18
• In 2006, a family of three receiving only TANF and food stamp benefits in New Hampshire was at 66% of the federal
poverty guideline.
19
• In 2009, New Hampshire spent $44,093,332 in TANF funds, including 77% on basic assistance, 0% on child care, 0% on
transportation, and 38% on nonassistance.
20
• In 2010, New Hampshire spent $7,174,633 on the Special Supplement Nutrition Program for Women, Infants, and
Children (WIC), serving 17,897 participants.
21
NEW HAMPSHIRE’s
Children
At a Glance
State Population
1
…………1,324,575
Population, Children
Under 18
2
……………..297,421
State Poverty Rate
3
………7.8%
Poverty Rate,
Children Under 18
4
……10.5%
Poverty Rate,
Children Ages 5–17
5
…..9.6%
Poverty Rate,
Children Under 5
6
……..13.0%
All “At a Glance” statistics are for 2008.              1726 M Street NW, Suite 500 • Washington, DC 20036  
              202‐688‐4200 • www.cwla.org 2
• In 2009, New Hampshire collected and distributed $82,354,776 in child support funds, a 5.2% decrease from 2007.
22
• In 2010, the fair-market rent for a two-bedroom apartment in New Hampshire was $1,023 per month. The wage needed
to afford this rent was $19.67 per hour, working a 40-hour week.
23
CHILD CARE AND HEAD START
• In 2009, New Hampshire had a monthly average of 7,600 children served by subsidized child care; 7,700 children
received subsidized child care in 2008, and 7,200 in 2007.
24
• In 2010, to be eligible for subsidized child care in New Hampshire, a family of three could make no more than $45,775,
which is equivalent to 61% of the state’s median income.
25
• As of early 2010, New Hampshire had 1,845 children on its waiting list for child care assistance.
26
• In 2009, Head Start served 1,632 New Hampshire children, a 0% same from 2007.
27
HEALTH AND SUBSTANCE ABUSE
• In 2007, 86,900 children younger than 19 were enrolled in Medicaid in New Hampshire—60.6% of the total number of
enrollees.
28
• In 2008, 2,690 children were enrolled in Medicaid in New Hampshire on the basis of being in foster care.
29
• Of these 2,690 children, 0 received Targeted Case Management services, and 153 received Rehabilitative Services.
30
• In 2008, New Hampshire had 7,905 children enrolled in its State Children’s Health Insurance Program, a 1.3% decrease
from 2007, when 8,009 children were enrolled.
31
• In 2009, New Hampshire had 4,000 uninsured children, representing 1.2% of its child population.
32
• In 2008, 890 babies were born weighing less than 2,500 grams, giving New Hampshire a rank of 5 nationally in percent
of low-weight births (1 being the best, and 50 the worst).
33
• In 2007, 76 infants under age 1 died in New Hampshire, giving it a rank of 7 nationally in terms of infant mortality rates
(1 being the best, and 50 the worst).
34
• In 2008, the birth rate for teens 15–17 in New Hampshire was 8 births per 1,000 girls; for teens 18–19, the rate was 38.
This reflects a total rate of 20 births per 1,000 girls ages 15–19.
35
• Cumulative through 2009, 1,248 adults and adolescents, as well as 10 children younger than 13, were reported as having
HIV/AIDS in New Hampshire.
36
• In 2008, an estimated 13,000 children ages 12–17, and 68,000 adults age 26 and older, were dependent on or abusing
illicit drugs or alcohol in New Hampshire.
37
VULNERABLE YOUTH
• In 2009, 72 children aged out of out-of-home care in New Hampshire.
38
• In 2009, 2,000 New Hampshire teens ages 16–19 were high school dropouts.
39
• In 2009, 5% of New Hampshire teens ages 16–19 were not enrolled in school and were not working.
40
• In 2009, 14,000 people ages 18–24 in New Hampshire were not enrolled in school, were not working, and had no degree
beyond high school.
41
• In 2008, approximately 5,000 children ages 12–17 in New Hampshire needed but had not received treatment for illicit
drug use in the past year.
42              1726 M Street NW, Suite 500 • Washington, DC 20036  
              202‐688‐4200 • www.cwla.org 3
• In 2008, approximately 7,000 children ages 12–17 in New Hampshire needed but had not received treatment for alcohol
use in the past year.
43
• In 2007, 7 New Hampshire children younger than 20 committed suicide, a rate of 1.95 per 100,000 children.
44
JUVENILE JUSTICE AND DELINQUENCY PREVENTION
• In 2007, 0 children under age 18 were killed in firearm homicides in New Hampshire, a 100% decrease from 1 in 2006.
45
• In 2009, 7,417 children younger than 18 were arrested in New Hampshire, a 7.4% increase from 6,906 arrests in 2008.
Of the arrests in 2009, 90 were for violent crimes and 15 were for possession of a weapon.
46
• A 2007 census of juvenile offenders showed 156 children in juvenile correction facilities in New Hampshire.
47
FUNDING CHILD WELFARE SERVICES FOR NEW HAMPSHIRE’S CHILDREN
• In 2006, New Hampshire spent $81,554,399 for child welfare services. Child welfare services are all direct and
administrative services the state agency provides to children and families. Of this amount, 59% was from federal funds,
33% from state funds, and 8.2% from local funds.
48
• In 2006, of the $48,316,595 in federal funds received for child welfare, 36% was from Title IV-E Foster Care and
Adoption Assistance, 4% came from Title IV-B Child Welfare Services and Promoting Safe and Stable Families, 34%
was from Medicaid, 9% came from Social Services Block Grant, 13% was from TANF, and 5% came from other federal
sources.
49
• Out of 930 children in out-of-home care in New Hampshire in 2009, only 406, or 43.7%, received Title IV-E federal
foster care assistance.
50
NEW HAMPSHIRE’S CHILD WELFARE WORKFORCE
• A 2003 General Accounting Office (GAO) report documented that staff shortages, high caseloads, high worker turnover
and low salaries impinge on delivering services to achieve safety, permanence, and well being for children.
51
• The federal Child and Family Service Reviews have clearly demonstrated that the more time a caseworker spends with a
child and family, the better the outcomes for those children and families.
52
• According to the 2003 GAO report, the average caseload for child welfare/foster care caseworkers is 24–31 children;
these high caseloads contribute to high worker turnover and insufficient services being provided to children and families.
CWLA recommends that foster care caseworkers have caseloads of 12–15 children.
53
• In 2009, the median annual salary for a caseworker responsible for investigating reports of abuse and neglect in New
Hampshire was $37,870; the median income for a family of four in New Hampshire was $88,538.
54              1726 M Street NW, Suite 500 • Washington, DC 20036  
              202‐688‐4200 • www.cwla.org 4
NOTES AND REFERENCES
1. U.S. Census Bureau, Population Division (2009). Table GCT-T1: Population Estimates: April 1, 2000 to July 1, 2009. Retrieved
March 7, 2011, from http://factfinder.census.gov.
2. U.S. Census Bureau. (2010). 2010 American Community Survey, Data Profile. Selected Population Profiles: 2009. Retrieved March 7,
2011, from http://factfinder.census.gov/servlet/DatasetMainPageServlet?_program=ACS.
3. U.S. Census Bureau. (2010). Current Population Survey, 2010 Annual Social and Economic Supplement. Poverty Status by State:
2009. Washington, DC: Author. Retrieved March 7, 2011, from www.census.gov/hhes/www/cpstables/032010/pov/new46_100125
_01.htm.
4. U.S. Census Bureau. (2010). Current Population Survey, 2010 Annual Social and Economic Supplement. Poverty Status
by State: 2009: People Under 18 Years of Age. Washington, DC: Author. Retrieved March 7, 2011, from www.census.gov/hhes/
www/cpstables/032010/pov/new46_100125_03.htm.
5. U.S. Census Bureau. (2010). Current Population Survey, 2010 Annual Social and Economic Supplement. Poverty Status by
State: 2009: Related Children 5 to 17 Years of Age. Washington, DC: Author. Retrieved March 7, 2011, from
www.census.gov/hhes/www/cpstables/032010/pov/new46_100125_02.htm.
6. U.S. Census Bureau. (2010). 2009 American Community Survey, Data Profile. Selected Population Profiles: 2009. Retrieved March 7,
2011, from http://factfinder.census.gov/servlet/DatasetMainPageServlet?_program=ACS.
7. U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth, and
Families, Children’s Bureau. (2010). Child Maltreatment 2009. Washington, DC: Author. Retrieved March 7, 2011, from
www.acf.hhs.gov/programs/cb/pubs/cm09/index.htm.
8. Ibid.
9. Ibid.
10. Special tabulation of the Adoption and Foster Care Analysis Reporting System (AFCARS) by the National Data Archive for Child
Abuse and Neglect (NDACAN) and CWLA. (2010).
11. Other races and ethnicities includes Asian, Pacific Islander, Hawaiian Native, unknown or unable to determine, missing data, and two
or more races. CWLA, special tabulation from AFCARS.
12. Ibid.
13. Ibid.
14. Ibid.
15. U.S. Census Bureau. (2010). 2009 American Community Survey, Data Profile. Selected Social Characteristics in the United States:
2009. Retrieved March 7, 2011, from http://factfinder.census.gov.
16. Special tabulation of the Adoption and Foster Care Analysis Reporting System (AFCARS) by National Data Archive for Child Abuse
and Neglect (NDACAN) and CWLA.
17. Ibid.
18. U.S. Administration for Children and Families, Office of Family Assistance. (2010). Temporary Assistance to Needy Families,
Caseload Data. Washington, DC: HHS. Retrieved March 7, 2011, from www.acf.hhs.gov/programs/ofa/data-reports/
caseload/2009/2009_recipient_tan.htm and www.acf.hhs.gov/programs/ofa/data-reports/caseload/caseload_current.htm#2010.
19. Calculations by CWLA, based on: U.S. Department of Health and Human Services. (June 2009). Temporary Assistance for Needy
Families (TANF) Program: Eighth Annual Report to Congress. Washington, DC: Author. Retrieved March 9, 2011, from
www.acf.hhs.gov/programs/ofa/data-reports/annualreport8/ar8index.htm.
U.S. Food and Nutrition Service. (September 2007). Food Stamp Program—Report No. FSP-07-CHAR. Characteristics of Food
Stamp Households: FY 2006. Washington, DC: U.S. Department of Agriculture. Retrieved March 9, 2011, from
www.fns.usda.gov/oane/menu/Published/SNAP/FILES/Participation/2009Characteristics.pdf.
Office of the Assistant Secretary for Planning and Evaluation. (2006). The 2006 HHS Poverty Guidelines. Washington, DC: U.S.
Department of Health and Human Services. Retrieved March 9, 2011, from http://aspe.hhs.gov/poverty/06poverty.shtml.
20. Administration for Children and Families. (2010). Combined Spending of Federal and State Funds with ARRA Funds Expended in FY
2009. Retrieved March 7, 2011, from www.acf.hhs.gov/programs/ofs/data/2009/table_f3_2009.html.
Administration for Children and Families. (2010). Combined Spending of Federal Funds Spent in FY 2009. Retrieved March 7, 2011,
from www.acf.hhs.gov/programs/ofs/data/2009/table_a1_2009.html.               1726 M Street NW, Suite 500 • Washington, DC 20036  
              202‐688‐4200 • www.cwla.org 5
21. Food and Nutrition Service. (2011). WIC Program: Food Cost. Retrieved March 7, 2011, from www.fns.usda.gov/pd/24wic
food$.htm.
Food and Nutrition Service. (2011). WIC Program: Total Participation. Retrieved March 7, 2011, from www.fns.usda.gov/pd/
26wifypart.htm.
22. U.S. Department of Health and Human Services, Administration for Children and Families, Office of Child Support Enforcement.
(2010). Office of Child Support Enforcement FY 2009 Preliminary Report. Retrieved March 7, 2011, from www.acf.hhs.gov/
programs/cse/pubs/2010/reports/preliminary_report_fy2009/state.html.
23. National Low Income Housing Coalition. (2010). Out of Reach. Retrieved March 7, 2011, from www.nlihc.org/oor/oor
2010/data.cfm?getstate=on&state=_all&CFID=79866003&CFTOKEN=51041781.
24. Administration on Children and Families, Child Care Bureau. (2011). FFY 2009 CCDF Data Tables (Preliminary Estimates);
Average Monthly Adjusted Number of Children and Families Served. Retrieved March 7, 2011, from www.acf.hhs.gov/
programs/ccb/data/ccdf_data/09acf800_preliminary/table1.htm.
Administration on Children and Families, Child Care Bureau. (2009). FFY 2008 CCDF Data Tables (Final, July 2008); Average
Monthly Adjusted Number of Children and Families Served. Retrieved March 7, 2011, from www.acf.hhs.gov/programs/ccb/
data/ccdf_data/08acf800_preliminary/table1.htm.
Administration on Children and Families, Child Care Bureau. (2008). FFY 2007 CCDF Data Tables and Charts; Average Monthly
Adjusted Number of Children and Families Served. Retrieved March 7, 2011, from www.acf.hhs.gov/programs/ccb/data/
ccdf_data/07acf800_preliminary/table1.htm.
25. Schulman, K. & Blank, H. (2010). State Child Care Assistance Policies 2010: New Federal Funds Help States Weather The Storm.
Washington, DC: National Women’s Law Center. Retrieved March 9, 2011, from www.nwlc.org/sites/default/files/pdfs/
statechildcareassistancepoliciesreport2010.pdf.
26. Ibid.
27. Administration for Children and Families, Office of Head Start. (2011). Head Start Program Fact Sheet, Fiscal Year 2011. Retrieved
March 7, 2011, from www.acf.hhs.gov/programs/ohs/about/fy2010.html.
28. Kaiser Commission on Medicaid and the Uninsured. (n.d.). State Medicaid Fact Sheets. Menlo Park, CA: Henry J. Kaiser Family
Foundation. Retrieved March 7, 2011, from www.statehealthfacts.org/medicaid.jsp.
29. Centers for Medicare and Medicaid Services. (n.d.). Medicaid Statistical Information System. Retrieved March 7, 2011, from
http://msis.cms.hhs.gov.
30. Ibid.
31. Henry J. Kaiser Foundation. (2011). Individual State Profiles: Annual CHIP Enrollment. Retrieved February 28, 2011, from
www.statehealthfacts.kff.org/profile.jsp.
32. U.S. Census Bureau. (2010). Current Population Survey, 2010 Annual Social and Economic Supplement. Washington, DC: Author.
Retrieved March 7, 2011, from www.census.gov/hhes/www/cpstables/032010/health/h10_000.htm.
33. Annie E. Casey Foundation. (2011). Low-birthweight babies (Number) – 2008. Retrieved March 7, 2011, from
http://datacenter.kidscount.org/data/acrossstates/Rankings.aspx?loct=2&by=a&order=a &ind=5425 &dtm=11984&tf=35.
34. Annie E. Casey Foundation. (2010). Infant mortality (Number) – 2007. Retrieved March 7, 2011, from
http://datacenter.kidscount.org/data/acrossstates/Rankings.aspx?loct=2&by=a&order=a&ind=6051&dtm=12718&tf=18.
35. Annie E. Casey Foundation. (2011). Teen births by age group (Rate per 1,000) – 2008. Retrieved March 7, 2011, from
http://datacenter.kidscount.org/data/acrossstates/Rankings.aspx?ind=5427.
36. Centers for Disease Control and Prevention. (2011). HIV/AIDS Surveillance Report, 2009. Vol. 21. Atlanta: Author. Retrieved March
5, 2011, from www.cdc.gov/hiv/surveillance/resources/reports/2009report/pdf/table20.pdf.
37. Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (2010). State Estimates of Substance Use &
Mental Health from the 2007–2008 National Surveys on Drug Use and Health. Rockville, MD: Author. Retrieved March 11, 2011,
from www.oas.samhsa.gov/2k8State/ageTabs.htm.
38. Children who age out of foster care are captured by the AFCARS emancipation data element. Children who exit care to emancipation
are those who reach the age of majority according to state law by virtue of age, marriage, etc. CWLA, special AFCARS tabulation.
39. Annie E. Casey Foundation. (2010). Teens ages 16 to 19 not in school and not high school graduates (Percent) – 2009. Retrieved
February 14, 2011, from http://datacenter.kidscount.org/data/acrossstates/Rankings.aspx?loct=2&by=a&order=a&ind=73&
dtm=380&tf=38.
40. Annie E. Casey Foundation. (2010). Teens ages 16 to 19 not attending school and not working (Percent) – 2009. Retrieved February,
14, 2011, from http://datacenter.kidscount.org/data/acrossstates/Rankings.aspx?loct=2&by=a&order=a&ind=5062&dtm=
11483&tf=38.               1726 M Street NW, Suite 500 • Washington, DC 20036  
              202‐688‐4200 • www.cwla.org 6
41. Annie E. Casey Foundation (2010). Persons age 18–24 not attending school, not working, and no degree beyond high school:
(Number) – 2009. Retrieved February 14, 2011, from http://datacenter.kidscount.org/data/acrossstates/Rankings.aspx?loct=2&by=a&
order=a&ind=5063&dtm=11485&tf=38.
42. Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (2010). State Estimates of Substance Use &
Mental Health from the 2007–2008 National Surveys on Drug Use and Health. Rockville, MD: Author. Retrieved March 11, 2011,
from www.oas.samhsa.gov/2k8State/ageTabs.htm.
43
.
Ibid.
44. National Center for Injury Prevention and Control. (2010). Injury Mortality Reports, 1999–2007. Atlanta: Centers for Disease Control
and Prevention. Retrieved March 11, 2011, from http://webappa.cdc.gov/sasweb/ncipc/mortrate10_sy.html.
45. Ibid.
46. Federal Bureau of Investigation. (2010). Crime in the United States 2009 (Table 69). Washington, DC: Author. Retrieved February 21,
2011, www.fbi.gov/ucr/cius2009/data/table_69.html.
47. Sickmund, M. (2010). Juveniles in Residential Placement, 1997–2008. Washington, DC: Office of Juvenile Justice and Delinquency
Prevention. Retrieved February 7, 2011, from www.ncjrs.gov/pdffiles1/ojjdp/229379.pdf.
48. Examples of direct services include child abuse/neglect investigations, foster care, community-based programs, case management, and
all such services required for the safety, permanency, and well-being of children. Examples of administrative services include
management information systems, training programs, eligibility determination processes, and all services that provide the
infrastructure supports for the public agency.
DeVooght, K., Allen, T., & Geen, R. (2008). Federal, state, and local spending to address child abuse and neglect in SFY 2006.
Washington, DC: Child Trends.
49. Ibid.
50. Special tabulation of the Adoption and Foster Care Analysis Reporting System (AFCARS) by the National Data Archive for Child
Abuse and Neglect (NDACAN) and CWLA.
51. U.S. General Accounting Office. (2003). Child welfare: HHS could play a greater role in helping child welfare agencies recruit and
retain staff. Washington, DC: Author. Retrieved January 27, 2011, from www.gao.gov/new.items/d03357.pdf.
52. Ibid.
53. Ibid.
54. U.S. Department of Labor, Bureau of Labor Statistics. (2009). May 2009 state occupational employment and wage estimates.
Retrieved February 25, 2011 from www.bls.gov/oes/2009/may/oessrcst.htm.
U.S. Census Bureau. (2009). Median family income in the past 12 months by family size. Retrieved February 25, 2011, from
www.census.gov/hhes/www/income/data/medincsizeandstate09.xls.

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