The House Committee on Early Childhood and Human Services convened on March 11, 2025, to discuss pressing issues surrounding child welfare and behavioral health services in Oregon. A significant focus of the meeting was the alarming decline in the capacity of behavioral rehabilitative services (BRS) providers, which has dropped nearly 80% over the past five years. This decline coincides with a decrease in the number of children in foster care, raising concerns about the adequacy of services available for those who remain in the system.

The committee reviewed data indicating that while the number of children in foster care has decreased, the utilization of BRS, particularly in qualified residential treatment programs (QRTP), has seen a dramatic fall. From approximately 210 children served in these settings, the number plummeted to just 30. The primary reason cited for this decline is the refusal of providers to accept children exhibiting aggressive behaviors, which complicates the placement process.

Committee members expressed concern about the implications of these denials, particularly for foster youth who may not have additional behavioral issues but struggle with aggression. The discussion highlighted the need for more behavioral health supports to assist resource families in managing these complex cases. Many families are willing to provide care but feel overwhelmed without adequate community support.

The meeting also touched on the stigma surrounding mental health services, which can hinder families from seeking help for their children. Officials emphasized the importance of culturally specific programs that resonate with diverse communities to improve access to necessary services.

A stark statistic presented during the meeting revealed that Oregon ranks last in the nation for access to youth behavioral care. This prompted questions about the underlying causes of this issue, including potential fiscal constraints and the need for systemic changes to improve service delivery.

As the meeting progressed, the committee acknowledged the increasing complexity of cases among children remaining in foster care. With fewer available resources and a growing number of children with severe needs, the gap between those requiring services and those receiving them continues to widen.

In conclusion, the committee's discussions underscored the urgent need for enhanced behavioral health services and support systems for both children in foster care and their families. The challenges highlighted during the meeting call for immediate attention and action to ensure that all children in Oregon have access to the care they need.