The Walworth County Health & Human Services Board meeting on June 18, 2025, focused on the future of the Birth to 3 program, with significant concerns raised about proposed budget cuts that could lead to the outsourcing of services. Three therapists from the program—Carlene Liberto, Jeanne Lutke, and Heather Abels—expressed their deep commitment to the children and families they serve, emphasizing the potential negative impacts of transitioning to contracted employment.

Carlene Liberto, a speech language pathologist, highlighted her 24 years of experience in the program, advocating for the retention of the current team. She noted that the therapists have built strong relationships with families and have developed a cohesive working environment that is crucial for effective service delivery. Liberto warned that losing county employment would result in diminished resources, such as access to county vehicles and workspace, which are essential for their home visits and collaboration.

Jeanne Lutke, an occupational therapist, echoed these sentiments, arguing that outsourcing could lead to high staff turnover and reduced service continuity. She stressed the importance of being county employees, which allows for direct accountability and better communication with families and other agencies. Lutke expressed concern that the proposed changes could disrupt the critical support provided to families during a pivotal stage of child development.

Heather Abels, a physical therapist with 25 years of experience, raised alarms about the historical struggles of private agencies to maintain staffing levels in the Birth to 3 program. She pointed out that the current team’s extensive experience is vital, especially given the nationwide shortage of physical therapists. Abels warned that outsourcing could jeopardize the quality of care provided to children with developmental delays, as the county's current team has established effective processes and collaboration.

The therapists collectively urged the board to reconsider the proposed budget strategy, emphasizing the long-term implications for the Birth to 3 program and the families it serves. They expressed a strong desire to continue their work within the county framework, advocating for stability and continuity in a program that is essential for early childhood development in Walworth County. The board's decision on the budget strategy will have significant consequences for the future of the Birth to 3 program and its dedicated staff.