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Disabled Child Attorney: In Dramatic Shift, AHCA Changes Rules to Help State’s Kids, Parents

To any Florida attorney who fights and sues to protect the rights of and prevent damages to disabled, vulnerable or foster children, the past two years have been tough to watch. Over that time, Florida’s Agency for Health Care Administration has been attempting to balance its budget on the backs of Florida’s Medically Fragile Children and their parents who want to care for them at home by violating the Federal Medicaid Act and chopping the number of hours that they are willing to reimburse parents for medically necessary private duty nurses.

Through their contracted agent, eQ Health Solutions, Inc, AHCA ignores the medical histories and the number of hours these parents have received and are entitled to in attempt to force the parents, many of whom have full time jobs to care for these children — many of whom are on ventilators, have trach tubes to breath and are fed through G-tubes. AHCA ignores the capacities or lack of capacity of many of the parents to assess emergencies and intervene with life saving procedures.

The ground is shifting. The rules are changing. In the Legislature and AHCA itself, change has come, according to this Miami Herald story.

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Divided Verdict in Rilya Wilson Child Abuse, Murder Case Raises More Questions

When jurors this week convicted Geralyn Graham of abusing and kidnapping foster child Rilya Wilson, who had been left in her care and later lost for almost two years by the Florida Department of Children and Families – but deadlocked on the murder charge — it represented a partial victory for the system and little Rilya. The kidnapping charge comes with 30 years to life in prison, with the aggravated child abuse bringing 30 years with five additional years for child abuse. But 10 years after her disappearance, questions and concerns still remain for those concerned about avoiding child abuse, personal injury and damages t0 Florida’s most vulnerable.

Although justice was done today when the jury finally convicted Graham of kidnapping and aggravated child abuse, Florida DCF has forgotten many of the lessons learned from the Blue Ribbon Panel about the 193 other children who are listed n DCF’s web site as missing from their placement today.

They are ages 6 through 18 and the public has no idea how long each of the children has been missing. One is as young six years old girl, and DCF does not know where she is today.

How many other Rilya Wilsons are out there. How many will perish? How many are victims of physical and sexual assault? How many are in harm way?

These are questions we need asked – and answered. Read more about Geralyn Graham’s verdict here.



Sexual Assault of Teens at Kids Shelter Has Foster Child Abuse Attorney Concerned About Security

January 25th, 2013   No Comments   Abuse, Court Cases

Colodny, Fass, Talenfeld, Karlinsky, Abate & Webb shareholder and foster child advocate and personal injury attorney Howard Talenfeld was interviewed on WSVN 7 News Miami regarding a suspected sexual abuser who attacked two teens at Kids in Distress in Wilton Manors. In the aftermath of the assault, two child care workers at the emergency shelter for abused and neglected children were fired. But the two victims could suffer life-long mental pain following the assault, Talenfeld said.

Meanwhile, police continue to search for man who jumped the fence, sexually assaulted the two teens, then ran off. Police now are distributing a police sketch of the man, who police believe has a tattoo on one shoulder and the scar from a gunshot wound on the other shoulder, the Sun-Sentinel reports.



Advocates Wonder About Another Lost in South Florida Child Protection Maze

Several years ago, Rilya Wilson went missing while under the care of a foster parent – and the apparent watchful eyes of Florida Department of Children and Families case workers. Now, word has emerged that Dontrell Melvin hasn’t been seen by county and regional child protective services since summer 2011.

Another child slipped through the cracks and is lost. The news raises serious questions about the Florida Department of Children and Families, its children hotline and the wisdom of recent budget cuts. To be sure, these two cases are dissimilar. Rilya was in foster care; Dontrell is more a case of investigative woes by the Broward Sheriff’s Office and Child Net’s failure to provide protective services.

Yet, the end result is the same. A child is missing – and no one knows where he or she is. Read the story here.

More to the point, in the case of little Dontrell, no one even looked for about 18 months. Now, Hallandale Beach Police are on the hunt.

Unlike Rilya’s case, where her foster mother, Geralyn Graham is being tried in Rilya’s purported death (as no body ever has been found), one can only hope for a positive outcome. UPDATE: Police on Friday reportedly found human remains in the Melvin yard.

Still, police are asking anyone who knows anything of Dontrell’s whereabouts or details to call 954-457-1400 or Broward County Crime Stoppers at 954-493-8477.



Foster Child Attorney: Proposed Federal Changes to Florida Disabled Child Program Welcome

Florida child advocates, attorneys and legal guardians who have seen physical abuse, mistreatment and neglect of the state’s most medically and at-risk disabled children applaud the U.S. Department of Justice proposed overhaul of the state’s programs for these vulnerable populations – even as  leaders from the Florida Department of Children and Families and the Agency for Healthcare Administration defend their practices.

The federal government this week pressured state leaders to improve its care and treatment of those children who suffer from severe medical conditions. The harsh indictment of Florida’s program and history of care for this population came in the form of a 17-page settlement proposal from federal civil rights lawyers, who offered “a comprehensive blueprint for overhauling the state’s system of care for frail youngsters,” wrote the Miami Herald.

In it, the DOJ “demands the state stop slicing in-home nursing services for frail youngsters, stop ignoring the requests of family doctors who treat disabled children and stop sending hundreds of children to geriatric nursing homes — where they often spend their childhoods isolated from families and peers,” the paper wrote.

Meanwhile, leaders from heads of three state agencies, including the Agency for Healthcare Administration and the Florida Department of Children and Families, defended at a Tallahassee news conference the state’s process of housing of hundreds of disabled children in nursing homes.

Read the entire article here.



At-Risk, Foster Child Attorney: Parents Speak Out about State’s Care of Disabled Children

As parents this week complained about the care of their disabled children – claiming the state chooses to warehouse these medically fragile youths in senior nursing homes instead of letting them be cared for by family in their own homes – Florida child advocates, attorneys and legal guardians wonder when the state’s practice will stop. The lack of appropriate oversight, as well as the potential physical abuse, mistreatment and neglect of the state’s most medically and at-risk disabled children, leaves this vulnerable populations crying for better care.

In one case, lawmakers heard about Christian Perez. Twice in the past year, state health administrators ignored the boy’s pediatrician’s prescribed care regimen and reduced how many hours caregivers assisted the severely disabled boy at his Miami-area home.

Parents at the meeting rebuked state agency leaders who said private vendors contracted to administer care and oversight huddled with children’s primary care physicians before making decisions regarding care.

Read the entire story here.



A Child Advocate Attorney Considers Sandy Hook’s Legacy and the Commitment to Real Change

January 7th, 2013   No Comments   Advocacy, Commentary

North Florida and Gainesville foster child advocate attorney and Florida’s Children First Board Member Gloria Fletcher wrote the following commentary on the lasting impact of December’s Sandy Hook Elementary School shooting – and the need to press for real change in the laws and statutes that can better protect Americans.

Newtown, Aurora, Sanford, Tucson, Blacksburg, Fort Hood, Littleton. The names of these towns and locations – and the haunted memories of the killings committed there – have been seared into the collective American consciousness like scars on our psyches. As a North Florida and Gainesville foster child advocate attorney who’s seen the abuse of at-risk and foster children, I’m as saddened and heartbroken as any witness anywhere.

We’re all left to find solace. To soothe our pain and even our guilt following each, we promise change – to gun laws, to access to firearms by those deemed incompetent by the courts or physicians, to information-sharing and protections that may help prevent such incidents from ever happening again. We’re emboldened by a purpose-driven mission to right our course.

Then, over time, our outrage fades. Inevitably, something else – a “fiscal cliff” debate, a bowl season, the malaise of summer, the deceptive healing power of time itself – overtakes our seemingly limited capacity to sustain outrage and follow through on our demands for change.

We let our guard down. We forget. And it happens again.

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Pro Bono Attorney: Florida’s Practice of ‘Warehousing’ Disabled Children in Geriatric Nursing Homes

The case was dramatic – where most tend not to be. In a hearing room, a single mother – present with her severely disabled 10-year-old daughter – fought state healthcare administrators to give her child the care doctors say she needs. With child advocacy attorney Howard Talenfeld at her side, the woman alternated between stating her case – and providing the type of care she insists the child will not get if sent off to a geriatric nursing home, like so many such disabled children are under Florida guidelines and practices.

She’s not alone. “In September, the U.S. Justice Department said Florida had ‘planned, structured and administered a system of care that has led to the unnecessary segregation and isolation of children, often for many years,’ in geriatric nursing homes,” reported the Miami Herald.

“Children in such homes often spend their days in virtual seclusion, lying in bed or watching television, the civil rights division wrote.” With Talenfeld at her side and handling the case pro bono, the single mother sought to fight the way Florida cares for its most at-risk, disabled children.



Children’s Rights Attorneys, DJJ Officials Dismayed at Juvenile Guard’s Reported Abuse of Teen

Attorneys and guardians who advocate for children’s rights and protection from abuse and neglect are alarmed after a video was released showing a guard at a juvenile prison battering a teenage detainee. The guard, Shannon Linn Abbott, 33, was arrested. Yet, after she bailed out of jail, she returned to her job the next day supervising children. Administrators with the Department of Juvenile Justice expressed dismay.

This week, the department officially requested that the privately managed youth prison’s director remove Abbott from having any access to children, the Miami Herald reported. A video is available on the Herald site.

“It is our expectation, at the very least, that this staff member will have no contact with youth in any of our programs,” wrote Laura K. Moneyham, a DJJ assistant secretary.



Florida Foster Child News Update: Mistreated Disabled Adoptees Get $9.7 Million in NYC Settlement

December 11th, 2012   No Comments   Abuse, Adoption, Court Cases

The Daily Business Review in Miami / South Florida reports on the 10 severely disabled adults, including four who are homeless, who will get help under a $9.7 million settlement with New York City for abuse they suffered as children or young adults in an adoption scam perpetrated by Judith Leekin.

Two South Florida law firms – one whose partner is Howard Talenfeld, considered among the top child abuse, personal injury, damage claims and wrongful death attorneys focused on foster child and at-risk populations – negotiated the settlement.

The lawsuit filed in New York federal court in 2009 in collaboration with Children’s Rights Inc., a New York-based nonprofit law firm.

“The partial settlement could not have come at a better time because four of these young adults are homeless and need the settlement immediately just to survive,” said Talenfeld, with Fort Lauderdale firm Colodny, Fass, Talenfeld, Karlinsky, Abate & Webb said. “We’ve come too close to losing one or two former Leekin children, and we had to act.”

The other attorney, Ted Babbitt of Babbitt, Johnson, Osbourne & Le Clainche in West Palm Beach, said $3 million each would go to two adoptees placed with foster mother Judith Leekin through a city-run adoption office. The city’s liability was higher in those cases because of its direct involvement.

Read the entire story here.



Plaintiffs Awarded $9.7 million in New York City Case of Foster Child Fraud, Physical Abuse

December 7th, 2012   No Comments   Abuse, Court Cases, Damage Claims

In a 15-year-old court case against a “colossal breakdown” of New York City’s foster care system, damages were awarded to 10 disabled people whom their plaintiff attorney said were fraudulently adopted and subsequently subjected to years of horrible child abuse and physical abuse. The $9.7 million award settlement for damage claims in the case of foster parent Judith Leekin, who moved to Florida and now at 67 is in prison for a fraud conviction, comes at “a crucial time” for the plaintiffs, said plaintiff attorney and Florida child advocacy lawyer Howard M. Talenfeld, as quoted in the New York Times. The former foster children now are mostly in their 20s. Some are homeless. All have special needs, from physical and developmental disabilities, to retardation and autism. Because of the precariousness of the plaintiffs’ situation, Talenfeld told the paper, trusts or structured settlements will be used to ensure they “will have resources to protect them in the future.”

City officials admitted no fault in the settlement. The city was the first of four defendants in the case. Cases against three private adoption agencies that had contracts with the city are pending. In all, Ms. Leekin collected $1.68 million in foster child subsidies by using aliases to adopt the children. Instead of providing them care, she restrained them with plastic ties and handcuffs, beat them with sticks and hangers – and personally lived a lavish lifestyle.

Read the entire story here.



Teen’s Death in Senior Nursing Home a ‘Travesty,’ Leads Florida Department of Children and Families to Alter Policy

In the wake of the death of Marie Freyre – the 14-year-old Tampa child with cerebral palsy forcibly removed from her home and placed in an adult nursing home, where she soon died – the Florida Department of Children and Families now is pushing to curb the practice of steering foster kids to such institutionalized care.

Administrators are demanding “high-level approval” before kids can be admitted to a nursing home or moved from one to another. The agency also will recruit foster parents with the skills to care for the state’s most fragile and at-risk children.

Christina Spudeas, executive director at Florida’s Children First, the state’s premier child advocacy organization, told the paper that DCF must do more than slow the move of kids into nursing homes. It must remove them all children from such institutions.

“It’s a travesty,” Spudeas told the Herald. “There is no doubt at all that children need proper supports in the home environment.”

The original policies not only seemingly made little sense – in Marie’s case, taking her from her mother, who’d provided care for all her life. In-home care and oversight can be far less expensive than in-facility services.

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