Death and Dollars
Thursday, District Attorney Lynne Abraham announced charges against nine people in connection with the death of a 14-year-old girl who was supposed to be in the care of the Department of Human Service. Danieal Kelly, who suffered from cerebral palsy, starved to death while her parents and social workers assigned to her case did nothing. Abraham released several incredibly disturbing photographs of Kelly's emaciated body. The Daily News has a short but powerful editorial about the indictment and what it means:
ON MANY SCORES, the grand-jury report on the short life and horrendous death of Danieal Kelly is a remarkable document. From its opening line, "We almost wish this had been a whodunit," to its last, "No More." the report has an element rarely found in legal documents: humanity. Clearly, the author of the report was outraged at how multiple failures - of parents, DHS, DHS providers and others - caused the death of a neglected, bedsore-ridden 14-year-old girl who weighed 42 pounds when she died. The report is as compelling as a work of fiction. And sickening, because it's true.
What's also remarkable about this case is the fact that two DHS workers and two private social workers were charged in Danieal's death. This unusual move may finally bring long-overdue changes to DHS. But DHS isn't the only one that needs to change: we all do. Because her story is not the first, we are all complicit in tolerating the level of institutional failure that killed her.
The grand-jury report is on www.philly. com. Because it includes Danieal's autopsy photo, it comes with a warning. We'll add another: By the time you finish reading the story of her death, a small part of your soul will have died, too. *
Tragic. Of course, no story about the complete failure of city government is complete without looking at the money. Danieal Kelly was supposed to have been watched over by a private non-profit that had a contract with DHS. MultiEthnic Behavioral Health Inc. was paid $3.5 million by keep tabs on abused and neglected children. The contract was awarded by DHS to the agency despite numerous complaints about the non-profit. For example, according to reports in the Philadelphia Inquirer, in 1997, the executive director was stripped of his state certification as a drug and alcohol counselor after being convicted for abusing his girlfriend.
This really should cause the city to reconsider the relationship between DHS and various the non-profit groups they contract with. For one thing, these contracts are not transparent, and the bidding process is exempt from the kind of openness that other contracts are subjected to. DHS has a total budget of nearly $600 million (much of it state funds) and spends about $500 million on contracts. About $30 million goes to non-profits responsible for monitoring at-risk youth.
Many non-profits are able to perform certain functions --- such as casework and providing direct services to clients--- much cheaper than the unionized employees who work for the city. However, in cases like Danieal’s, the cost cutting comes with a price. Workers for non-profits often receive much less training than city employees and may be assigned to a case in a neighborhood they are not familiar with. We clearly need controls in place that ensure the work contracted out by DHS is going to people with comparable skills to social workers employed by the city. Less money is not always best, particularly when we're talking about child safety.
Of course, employees who work directly for DHS are often no better. Abraham's indictment makes clear that some workers are both incompetent and indifferent. We shouldn't be wasting a cent on the kind of do nothing attitude that caused Danieal's death.
Abraham's report on Danieal went beyond the narrow confines of a single case to include recommendations for the reforms needed to prevent another tragedy. First and foremost, the grand jury says that we need more transparency at DHS so that independent watchdogs can monitor how the agency functions. They also suggested appointing an ombudsman to provide oversight and a citizen-review panel to keep an eye on the agency.
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