In April 2023, a distinguished panel of scientists, advocates, and child health policy experts convened by the American Enterprise Institute (AEI) issued a report entitled, "Why Foster Children Are Sleeping in Offices and What We Can Do About It."1 It concluded that the 2018 Family First Prevention Services Act (FFPSA), which was intended to protect children and adolescents from hazards of institutional care, precipitated a cascade of unintended consequences resulting in large numbers of foster children and adolescents with higher levels of need living in a range of inappropriate settings, including child welfare offices, emergency rooms, hotels, and homeless shelters. Across the United States, FFPSA resulted in severe shortages of placement options for undomiciled foster youth, which were precipitated by constraints in the following: (1) resources, (2) qualifications for reimbursement eligibility, and (3) numbers of beds (by broad extension of the institutions for mental disease [IMD] exclusion in Medicaid restricting bed capacity to 16) for congregate care settings that could otherwise be providing compassionate, qualified, appropriate care to this vulnerable population.

中文翻译：

---

恢复对无住所寄养青年的照顾的体面


2023 年 4 月，由美国企业研究所 （AEI） 召集的由科学家、倡导者和儿童健康政策专家组成的杰出小组发布了一份题为“为什么寄养儿童睡在办公室以及我们能做些什么”的报告。1 它的结论是，2018 年《家庭第一预防服务法》（FFPSA） 旨在保护儿童和青少年免受机构护理的危害，引发了一连串意想不到的后果，导致大量需求较高的寄养儿童和青少年生活在一系列不适当的环境中，包括儿童福利办公室。 急诊室、酒店和无家可归者收容所。在美国，FFPSA 导致无住所寄养青年的安置选择严重短缺，这是由以下限制造成的：（1） 资源，（2） 报销资格，以及 （3） 床位数量（通过广泛扩展医疗补助计划中的精神疾病机构 [IMD] 排除，将床位容量限制为 16 个）用于集体护理环境，否则可以提供富有同情心， 为这些弱势群体提供合格、适当的护理。