Cover art from "Kinship Across Kentucky: Recommendations from Caregiver Voices in 2024." Around 55,000 Kentucky children are being raised by a relative or fictive kin, according to the report. (Kentucky Youth Advocates)

Kentuckians who are raising a minor relative need better access to mental health care, housing and other basic support services, according to a new report released Tuesday.

The report, from Kentucky Youth Advocates and the Kinship Families Coalition of Kentucky, is based on two online surveys and nine in-person listening sessions aimed at learning more about the challenges facing kinship caregivers.?

Most of the caregivers surveyed were white women. They reported needing assistance with food, clothing and school supplies. Participants also said they needed help with finances, housing, information technology, peer support, respite care, mental health care and legal assistance, according to the report. They also reported child care as one of the most difficult supports to access.?

Norma Hatfield, president of the Kinship Families Coalition of Kentucky, said during a Wednesday forum discussing the report that sometimes kinship caregivers like herself focus on caring for the youth in their charge and “don’t always take care of themselves.”?

“It’s pretty darn stressful,” she said. “You may need somebody, from a therapeutic perspective, to have some of those conversations, especially if the abuse is really bad and there’s a criminal case going on.”

Kinship caregivers may be caring for a grandchild, for example, who’d been abused by the grandparent’s child.?

“I look at it as: to kind of help me deal with my emotion, process that, and then step back and (see) how can I best help the child at the same time? And that’s hard. That’s why it’s challenging and confusing, because you also have yourself and how you feel, and you also have the child and the system.”?

Sometimes that mental health support may include medication or more intensive services, Hatfield said, but most of the time talk therapy addresses the need.?

Lesa Dennis, the commissioner for the Department of Community Based Services, spoke alongside Hatfield during the KYA forum and said kinship care in Kentucky is a “priority” for her department.?

“We still have a lot of work to do in this space, and we’re very committed to it,” Dennis said.?

During the 2024 legislative session, the General Assembly passed a law that allows relatives who take temporary custody of a child, when abuse or neglect is suspected, to later become eligible for foster care payments. However, a funding dispute that arose after the fact has left that help hanging, more than two months after the law went into effect.?

Policy recommendations?

The report makes numerous recommendations, including:

• Expand community-based mentorship opportunities for youth in kinship care and their caregivers.?
• Provide or facilitate comprehensive reunification services for kinship families to create opportunities for children to return safely to their birth families, when appropriate.?
• Provide judges a bench card related to kinship care utilization and needed supports
• Increase the frequency and accessibility of trainings on the unique experiences and needs of kinship families to DCBS staff, private foster care agency staff and community mental health providers.
• Provide comprehensive informational packets and educational materials for new kinship caregivers.?
• Utilize best practices to actively seek the most appropriate placement for the child when identifying kinship and fictive kin caregivers, including addressing disproportionality in the placement of children of color into foster care instead of kinship care.

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It’s not clear yet which of these policies, if any, would require legislation during the next session.?

“I think a lot of those things can be accomplished through working together with the Cabinet for Health and Family Services and the Department for community based services,” said Shannon Moody, chief policy and strategy officer for the nonpartisan KYA. “We would definitely want to have some additional conversations to figure out what would need or require statutory change, but I don’t know if we anticipate any of those recommendations being moved forward for pursuit in the 2025 legislative session.”?

Around 55,000 Kentucky children are being raised by a relative or fictive kin, according to the Tuesday report. That includes both formal (the state is involved) and informal (the state is not involved) situations. In 2023, about 1,500 Kentucky children were placed in a relative or fictive kin home by the state.?

Kentucky’s known prevalence of kinship care is 6%, according to the report, making it twice as high as the national average.