[Senate Hearing 118-614]
[From the U.S. Government Publishing Office]



                                                        S. Hrg. 118-614

                         ABUSE IN FOSTER CARE:
                             A DEEPER LOOK

=======================================================================





                                HEARING

                               before the

                SUBCOMMITTEE ON HUMAN RIGHTS AND THE LAW

                                 of the

                       COMMITTEE ON THE JUDICIARY
                          UNITED STATES SENATE

                    ONE HUNDRED EIGHTEENTH CONGRESS

                             FIRST SESSION
                               __________

                            NOVEMBER 6, 2023
                               __________

                            ATLANTA, GEORGIA
                               __________

                          Serial No. J-118-41
                               __________

         Printed for the use of the Committee on the Judiciary




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                       COMMITTEE ON THE JUDICIARY

                   RICHARD J. DURBIN, Illinois, Chair
SHELDON WHITEHOUSE, Rhode Island     LINDSEY O. GRAHAM, South Carolina, 
AMY KLOBUCHAR, Minnesota               Ranking Member
CHRISTOPHER A. COONS, Delaware       CHARLES E. GRASSLEY, Iowa
RICHARD BLUMENTHAL, Connecticut      JOHN CORNYN, Texas
MAZIE K. HIRONO, Hawaii              MICHAEL S. LEE, Utah
CORY A. BOOKER, New Jersey           TED CRUZ, Texas
ALEX PADILLA, California             JOSH HAWLEY, Missouri
JON OSSOFF, Georgia                  TOM COTTON, Arkansas
PETER WELCH, Vermont                 JOHN KENNEDY, Louisiana
LAPHONZA BUTLER, California          THOM TILLIS, North Carolina
                                     MARSHA BLACKBURN, Tennessee
             Joseph Zogby, Chief Counsel and Staff Director
      Katherine Nikas, Republican Chief Counsel and Staff Director



                Subcommittee on Human Rights and the Law

                       JON OSSOFF, Georgia, Chair
RICHARD BLUMENTHAL, Connecticut      MARSHA BLACKBURN, Tennessee,     
PETER WELCH, Vermont                   Ranking Member
LAPHONZA BUTLER, California          JOHN KENNEDY, Louisiana
                                     JOSH HAWLEY, Missouri
                Jessica Jensen, Democratic Chief Counsel
                 Josh Divine, Republican Chief Counsel
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                            C O N T E N T S

                              ----------                              

                           OPENING STATEMENT

                                                                   Page

Ossoff, Hon. Jon.................................................     1

                               WITNESSES

Atkinson, Brian..................................................    17
    Prepared statement...........................................    30

McLean-Camp, Tiffani.............................................     3
    Prepared statement...........................................    34

Sahl, Samantha...................................................    12
    Prepared statement...........................................    37

Winfrey, Earnelle................................................    14
    Prepared statement...........................................    44


 
                  ABUSE IN FOSTER CARE: A DEEPER LOOK

                              ----------                              

                        MONDAY, NOVEMBER 6, 2023

                      United States Senate,
          Subcommittee on Human Rights and the Law,
                                Committee on the Judiciary,
                                                  Atlanta, Georgia.
    The Subcommittee met, pursuant to notice, at 11 a.m., in 
Room 041, Georgia State University College of Law, Hon. Jon 
Ossoff, Chair of the Subcommittee, presiding.
    Present: Senator Ossoff [presiding].

             OPENING STATEMENT OF HON. JON OSSOFF,
            A U.S. SENATOR FROM THE STATE OF GEORGIA

    Chair Ossoff. The Subcommittee on Human Rights and the Law 
will come to order. Thank you, all, for joining us.
    Eight months ago, the Subcommittee opened a bipartisan 
inquiry into the safety and human rights of children in foster 
care because protecting America's most vulnerable children from 
abuse and neglect is a moral imperative.
    Please remember, we are talking about the most vulnerable 
children in the United States and the most vulnerable children 
in the State of Georgia: children who have faced abuse, 
children who have been trafficked, children who have faced 
neglect and who have been orphaned.
    For these children here in Georgia, the Georgia Division of 
Family and Children Services, or DFCS, is meant to be a 
sanctuary.
    But watchdogs, oversight bodies, and advocates have been 
sounding the alarm for years about alleged systemic failures at 
DFCS, which receives hundreds of millions of dollars in Federal 
funding each year and which is subject to Federal child welfare 
standards.
    According to the Georgia Office of the Child Advocate, or 
OCA, in 2021, DFCS received reports of failures directly from 
several local child advocacy centers and from the statewide 
organization, Child Advocacy Centers of Georgia.
    OCA characterized these reports as evidence of, quote, 
``systemic threats to children who are victims of physical and 
sexual abuse.''
    The following year, in 2022, OCA issued their own report 
outlining 15 breakdowns within DFCS, and OCA described them as, 
quote, ``systemic'' and reported that in all cases they 
reviewed to produce their investigation, quote, ``DFCS failed 
to take adequate steps to respond to allegations of physical 
and sexual abuse.'' They went on to say that OCA itself 
encountered those same systemic failures, quote, ``consistently 
throughout the State through OCA's day-to-day investigative 
work.''
    In response to this OCA investigation, Georgia DFCS denied 
OCA's findings. OCA stood by its report.
    These allegations of widespread failures that leave 
Georgia's foster children vulnerable to abuse and neglect 
demand investigation, and Georgia, as a case study informing 
our Subcommittee's inquiry, will yield crucial insights about 
threats to the health and safety of foster children nationwide.
    To date, the Subcommittee has interviewed over 100 
witnesses and sources and has reviewed thousands of pages of 
records.
    The Subcommittee has already held two hearings where we 
have heard from former foster youth, from a Georgia mother 
whose child was murdered after being placed with unfit 
caregivers, from experts and practitioners in child welfare 
law, and from juvenile court judges who interact with children 
in Georgia's foster care system, and with Georgia DFCS.
    In between those hearings, we also discussed analysis 
conducted by the Center for Missing & Exploited Children, or 
NCMEC, which found that 1,790 children in DFCS care were 
reported missing to NCMEC between 2018 and 2022.
    As a reminder, the Federal Preventing Sex Trafficking and 
Strengthening Families Act, signed into law in 2014, requires 
State agencies to report a missing child to both law 
enforcement and to NCMEC within 24 hours of receiving 
information about a missing child under their care.
    NCMEC was designated by Congress to serve as the national 
clearinghouse on issues relating to missing and exploited 
children. NCMEC is funded partially by a mandatory Federal 
grant from the Department of Justice and serves as a reporting 
and case management center for issues related to the prevention 
of and recovery from child victimization.
    Our investigation continues today with a third public 
hearing. We will hear from and about children subjected to the 
worst forms of abuse, including sex trafficking, exploitation, 
and sexual abuse.
    This is an investigation about children, the most 
vulnerable children in the Nation. The investigation is active 
and ongoing, and I believe it can and must spur the long-
overdue reform that these children deserve.
    First, we will hear from Tiffani, a young woman from 
Georgia who will testify today about her experience within the 
Georgia foster care system.
    And after Tiffani, we will have an opportunity to hear 
directly from the National Center for Missing & Exploited 
Children on their findings as well as further experts on the 
challenges and risks facing foster children here in Georgia.
    I will now introduce Tiffani, and, Tiffani, thank you, 
again, for joining us today. Tiffani McLean-Camp will be our 
witness on our first panel, and, Tiffani, if you would please 
rise and raise your right hand.
    Do you solemnly swear that the testimony you are about to 
give before the Subcommittee is the truth, the whole truth, and 
nothing but the truth, so help you God?
    Ms. McLean-Camp. Yes.
    Senator Ossoff. Let the record note that the witness 
answered in the affirmative.
    Tiffani, please take your seat. I will ask your colleague 
to ensure that your microphone is enabled with the red light 
showing, and whenever you are ready, Tiffani.
    With gratitude from the Subcommittee for your courage in 
coming forward and speaking with us today, you may offer your 
opening statement.

     STATEMENT OF TIFFANI MCLEAN-CAMP, NINETEEN-YEAR-OLD
      WITH EXPERIENCE IN  FOSTER CARE SYSTEM,  SAVANNAH,
      GEORGIA

    Ms. McLean-Camp. Thank you. My name is Tiffani McLean-Camp. 
I am 19 years old.
    I first entered foster care in Georgia when I was 15, but 
that is not where my story begins.
    I was born in Detroit and removed from my biological mother 
when I was 2 years old. At the age of 3, I was adopted.
    From the age of 3 until I was 15, I was physically abused 
and neglected by my adoptive parent and sexually abused by a 
family friend. My adopted parents were involved in 23 Child 
Protective Services reports.
    While living in Michigan, at one point I was removed from 
my adopted parents and placed in foster care. We moved to 
Georgia in 2019, but that--but the abuse did not end there.
    One day I told the teacher that I was afraid to go home, 
and they called DFCS. A case manager came out to our home and 
asked me a question right in front of my parents. I was afraid 
I would get in trouble, so I said everything was okay.
    When no one protected me, I tried to protect myself. I 
tried to run away and tried to fight back, anything I could to 
escape.
    I was arrested for trying to protect myself from my 
father's abuse. He was never arrested, and DFCS said that I was 
the problem.
    No one listened to me. No one believed me. When I was put 
in foster care, DFCS didn't believe that I had been abused or 
neglected even after I told them. To them, I was unruly, a 
runaway, and a behavior problem.
    I was in DFCS custody until I was 18. While in DFCS 
custody, I experienced abuse, medical neglect, educational 
neglect, and was even sexually assaulted and trafficked.
    I moved placements more than 20 times. I was put in group 
homes, detention centers, and foster homes.
    Like Mon'a, I was in--I was at Devereaux. For the nearly 8 
months I was there, I don't remember my case manager coming to 
see me once in person.
    Like Mon'a, I remember the barbed wire fence, being 
overmedicated and put in isolation. I remember staff forcing my 
pants down and forcing me to get a shot on my bottom and then 
feeling drowsy. They treated me like I wasn't human.
    I was placed in a few different group homes that were 
supposed to be safe houses for girls who was trafficked. At one 
of these placements, I witnessed the staff fighting with the 
other girls in the home that was smoking marijuana, and not 
being allowed to go to school in person, not for my protection, 
but to protect group homes and staff's other children.
    Staff would call me and the other girls the ``B'' word. One 
time I even heard the staff call other girls in the home a 
``slut.''
    When I was 18, I signed myself out of care but then found 
out I was pregnant. I called my case manager to tell her to get 
what I needed to prepare myself for motherhood. For example, 
DFCS still had my social security card and birth certificate. I 
needed information about transportation.
    My son was born premature and was in the NICU for 3 weeks. 
Foster care left me without housing or assistance. I needed to 
take care of myself and my child. I wanted a better life for my 
son, so I called DFCS to sign back into care.
    DFCS couldn't find a placement for us, so my son and I had 
to spend the first 6 weeks of his life in an emergency shelter. 
Then I was placed in a group home for teen moms. A staff member 
falsely accused me for neglecting my son, and DFCS took him 
from me for a month.
    The court ordered DFCS to find a placement for me and my 
son to be together, and if they couldn't find somewhere for us, 
that I get to see him 3 times a week. But I didn't get to see 
him 3 times a week, and we weren't placed together.
    For a month, three bonds was broken: the bond between a 
mother and her child; the bond we were building for the first 3 
months of his life while I was breastfeeding; the bond created 
through skin-to-skin and other interactions important for his 
development.
    Instead, DFCS tried to force me to sign myself out of 
foster care and kept me and my child apart. After 1 month of 
being apart, my son returned to me. The court found that DFCS 
did not have any evidence that I was abusing or neglecting my 
son.
    During all of this, DFCS was neglecting me as I signed 
myself back into care. I had been asking for therapy to help 
my--help me with the past and trauma and postpartum depression. 
I asked to see a doctor for infections I had related to past 
abuse. In my pregnancy, I had an infection caused by pieces of 
leftover placenta. I didn't see an OBGYN until more than 6 
months after giving birth to my son.
    Despite how DFCS has treated me, I am still here because I 
have to focus on what is best for my son. I am working on 
getting my GED and planning on going to nursing school.
    Because I have an attorney at CASA who will fight for me 
and listen to me and believe me, my son and I are now living in 
a foster home where we feel safe and supported.
    I have a new case manager who listens to me and asks me 
what I need.
    For the first time since I was 15, I hope--I have hope.
    I hope through my testimony, other children won't have to 
go through what I went through. Thank you.
    [The prepared statement of Ms. McLean-Camp appears as a 
submission for the record.]
    Senator Ossoff. Tiffani, thank you for sharing your story 
with us. No child should have to go through the experiences 
that you've survived.
    And I know it must be painful to revisit and to relive 
these things, but the public and the Senate are grateful to you 
for having the courage to speak out.
    You testified that you were trafficked while in DFCS care. 
Trafficking while in foster care represents one of the worst 
ways that the State can fail a young person.
    I also understand that there is or will be a criminal case 
against those who attacked you, so I'm not going to ask you to 
talk about that experience in more detail, given the other 
ongoing legal matter.
    But I do want to ask you some questions to understand your 
experiences in foster care.
    You testified that when you moved to Georgia, you tried to 
report abuse in your home to a teacher. But when DFCS 
interviewed you, they did so right in front of your parents. 
Did you feel like you could tell DFCS about the abuse you were 
experiencing in that setting?
    Ms. McLean-Camp. Honestly, no. I felt like I couldn't tell 
them because it was my parents that I--that they interviewed me 
in front of. And then I knew that my siblings was there. So 
it's, like, I couldn't explain or show how I really felt inside 
because I felt like if I did, I was going to be--hold 
accountability with my parents of, like, anger and hatred 
toward me, or they would look at me a different way--me, you 
know, reporting them.
    So I tried to, like, tell them it's okay or I'm okay, I'm 
going to get through it, I'm fine. And I just remember my case 
manager was like, ``Well, you can say what you have to say.''
    But I was, like, ``No, it's okay.'' And I kept saying I was 
okay because I didn't want to get in trouble by my parents, so 
I tried to hide everything with, ``No, I'm okay,'' and tried to 
change the subject to, like, ``Oh, I'm doing this in school,'' 
``I'm working on a project''--so trying to hide all that dark 
moment inside because I didn't want to deal with consequences 
with my parents.
    Senator Ossoff. And, Tiffani, I can hear you fine. I want 
to make sure that everybody can. Ma'am, if you wouldn't mind 
perhaps just moving the microphone a little bit closer to 
Tiffani, I'd be grateful to you.
    Now, Tiffani, I can only imagine, again, how challenging it 
is to speak publicly about these things, and so if at any time 
you need a break, you just let me know. We're all grateful to 
you for speaking today.
    You testified that when you did eventually enter foster 
care, you had 20 placements.
    Ms. McLean-Camp. Yes.
    Senator Ossoff. What was it like to move around so often?
    Ms. McLean-Camp. To move around so often, it was scary, 
especially because they was all in--located in different areas 
that I have never been to, so it was like--it was scary.
    And then being in different settings with other youths that 
been through what I went through and then dealing with staff. 
It was hard because you had staff that was rude to the girls, 
judging them, making us, like, make them feel like they wasn't 
worth being, you know, being part of this world.
    Like, you had staff like, ``Oh, why are you wearing that--
that's not cute,'' or, ``Why you do your hair like that? '', 
or, ``Oh, you think that perfume smells good on you? '' And it 
was like, I felt like that wasn't appropriate because it's, 
like, everybody should feel comfortable in their skin.
    And it was a group home where they didn't even let us go to 
school. So it's, like, how are we supposed to learn when we're 
locked down 24/7? You rarely even--you don't go outside. You're 
just trapped.
    So it's like, how are we supposed to learn any type of life 
skill or education skills or just different activities in the 
community when you have no skill or you don't have no mindset 
to even do anything where you're not taught mind skills or life 
skills.
    You don't have that type of skill because imagine being in 
a group home with 6 to 10 girls, and we're like, you know, what 
are we supposed to do? Like, are we learning anything today, or 
can we go outside, and staff's like, ``Oh no, you can't go 
outside.'', ``You can't do this.'' So it's like, well, what is 
there to do?
    And when I asked about more toward going to school, I was 
like, why are we not going to school? ``Oh, we're just trying 
to protect you guys from going out to the community and 
interacting with other kids.''
    Well, I didn't really understand what she meant by that, so 
I was like, ``What do you mean about, like, protecting us from, 
like, other kids? ''
    It was a cover-up, as in, staff was doing things they 
shouldn't have been doing in the group home.So they really was 
trying to protect theirselves from us telling, like, other kids 
or teachers, even if we went to school, to not to say anything.
    So they will punish us as though, ``Oh, you have to do 
school inside the group home.'' But we was barely even doing 
schooling inside the group home. It was a lack of education to 
even learn any type of skills.
    Like, you had some youth, even including me, like, how are 
we supposed to learn how to do math when we don't know no 
skills? How we supposed to learn how to read? How we supposed 
to do anything because your education is going to take you so 
far in life. It's going to get you where you need to be.
    So it's like, if this is supposed to be a setting for young 
females, and then not only just that, the staff's you're all, 
women, too, to like, help us, help each other to get better--
and it wasn't no support or care in there.
    It was like, ``Well, we're the staff, you're all locked 
down, you all can't do what you all want to do. You all can 
watch TV, and that's it.''
    So it--it felt like being in prison, like you're in a jail 
cell, but you've just been locked down forever, and, it's like, 
when are--when am I going to get out? Because, like, you had 
other young ladies, including me, want to run away from the 
problem because it is like, why be stuck and why are we stuck 
when I can just run?
    But even when you try to run away, they punish you for 
that, too. But I just never got the understanding of, like, why 
are we being treated like that when we all come from different 
backgrounds? We all come from different traumas?
    So it's like, where is that therapy, support? Where is that 
caring, loving support? Where is just any type of support? 
Where--just, there's--where's there any type of--sorry--any 
communication skills? Where--where is it? And I just feel 
like--it made me feel like I wasn't human. It just made me feel 
like an animal that's locked up in a cage.
    Senator Ossoff. You testified about your experience at 
Devereaux.
    Ms. McLean-Camp. Yes.
    Senator Ossoff. What was Devereaux like?
    Ms. McLean-Camp. It was like jail. I remember the first 
time I came in, it was around June, and you just see a gate and 
barbed wires, and I'm like, what is this place?
    They was like, ``This is your new group home.'' But I'm 
like, this don't look like no group home. This look like jail.
    They was like, ``No, it's not jail. It's friendly here. 
You're going to like it.''
    So the two first months that I have been there, I'm like, 
this is not okay.
    You have staff abusing young men and young females. You 
have staff body slamming them, choking them, injecting them 
with medication, over drugging them.
    And it's like, this is what we came here to be treated for?
    And it just feel horr--it felt like a horror movie that 
you're just stuck in, like, you can't never get out of.
    And you have kids that been there for 2 years and dealing 
with that. You have kids that been there for 4, 5 years, and 
it's like, that time--that they've been here for years, what 
are you guys doing to help them? What are you guys doing to 
better them?
    And it's like, you just see kids crying, begging to go 
home, or ``Can I talk to my caseworker?'', ``Can I talk to 
somebody?'', ``I want to leave.''
    And it's like, ``Oh, well, you are not going to leave.'', 
``You're not going to see your family, your friends.'', 
``You're here to get treatment.''
    But it's like, how are we here to get treatment if you're 
all abusing us and just drugging us? That's not the right 
treatment.
    I feel like, in a youth--the youth in a group home, the 
treatment that we needed was love and care and a support 
system. And it should've been more support because they'll try 
to say, ``Well, you know, sometimes you guys push out--your own 
selves in situations that you shouldn't have put yourself in 
the situation.''
    But it's like, no child asks to be put in care to be 
neglected. And I feel like there is no such thing as a behavior 
child or--or a bad or a terrible child because, well, if it 
came down to it, it's a lot of kids--I'm not going to say 
``kids''--a lot of youths that's been in care.
    It's over a thousand of us in care, and for all these cases 
to have been looked at as neglect? Abuse?
    You have kids that went through trauma where they're not 
eating--being trafficked, being abused, have no support 
system--then be in a group home setting.
    If you know these backgrounds with these youths, why not 
help them if that is your job, to help us get better? You're 
saying that, ``Oh, I'm working here because I love children. I 
want to help you guys get better.''
    You can't say you love and you want to help somebody when 
you're--you're abusing them.
    Senator Ossoff. Do you remember, Tiffani, your DFCS 
caseworker coming to visit you while you were at Devereaux?
    Ms. McLean-Camp. No. I never--the whole entire time I've 
been there--I've been there for half a year. I have received no 
phone calls from my case manager. No visit. The only phone 
calls I've been getting was, like, maybe from, like, family 
members and maybe a friend, but besides the case manager. I 
never had that support from her.
    And it's like, all this time, I'm like, I'm in care, and 
you're supposed to be my case manager, you know--you're 
supposed to help me with my needs, whether it's emotional 
needs, physical needs, mentally.
    It was no support with her, and it made me feel like less 
of a human because it's like, I've been through so much, and 
you're not even realizing that this--the trauma and everything 
I went through from the age of 3 to 15--even now, you never--
you never helped me get better. You never helped me get past of 
the things that I need to get past.
    Senator Ossoff. You have a baby boy. Right?
    Ms. McLean-Camp. Yes.
    Senator Ossoff. I have a 2-year-old daughter.
    How old is your son now?
    Ms. McLean-Camp. My son is 8 months and a half.
    Senator Ossoff. Eight months and a half? You described how 
you left foster care at age 18, but you signed back in or 
extended services after having your son----
    Ms. McLean-Camp. Right.
    Senator Ossoff [continuing]. That it took 6 weeks for DFCS 
to find a placement for you, and that while you waited, you 
were living in an emergency shelter with your baby. Did I 
understand you correctly?
    Ms. McLean-Camp. Yes.
    Senator Ossoff. What was it like being in an emergency 
shelter with a newborn baby?
    [Pause.]
    Senator Ossoff. Take your time, Tiffani.
    Ms. McLean-Camp. You know, I had so many thoughts and 
worries my being in that shelter. My son was a preemie. I had 
my son at 34 weeks, and I signed back into care to get that 
extra help, right, because I'm a young single mother, so I 
needed the help.
    So I was like, you know, maybe if I sign back into care, 
they might actually care this time and, you know, help me and 
my son. So maybe it might change a little different since I 
have a plus-one.
    So I remember my caseworker and DFCS came out, like, 2 days 
after I had my son to the hospital. And they was like, ``Oh 
hey, is your name Tiffani? '' I was like, yes, and I was scared 
at first because I'm like, who are you people?
    So they came in, and I was like, oh, I'm Tiffani. She's 
like, ``Are you wanting to sign back in care? '' I was like, 
yes. So they went over paperwork with me, and they was like, 
``Okay. I'll return back to you when I hear anything.'' I was 
like, okay.
    And the whole entire time, just being in the hospital for a 
month, and you just see your bundle of joy just connected to 
wires--it--it--it broke me inside because it was like, still, 
my case manager was not there to even see me.
    Well, when we went to the shelter at the time, in the 
beginning of March, she came, she dropped my belongings off, 
and made me sign papers to get back into care. After that, she 
took off. She left in her car, and I'm like, what is it I'm 
supposed to do now?
    And just being there and you just see different families, 
and then you just see yourself with your newborn child and 
other families, it kind of broke my heart because it's like, 
what--like, I just had different thoughts of, like, okay, what 
happens if I can only stay in this shelter for this much of 
time? Where is me and my baby supposed to go afterwards? What 
are we supposed to do next?
    It literally took a month for me to even get into another 
placement after the shelter. And even being in the shelter, I 
just feel like--it made me hurt inside because I just wished I 
had the skills to be more at a stable mindset, in a stable 
position for me and my child. I just wished things was 
differently.
    I wish I would've been--you know, had a house or a car, you 
know, more to offer for my child. But I just feel like being in 
a shelter and you just have your 6-week-old newborn in there 
with you, it feels bad because it's, like, I have thoughts 
like, dang, like, I'm a bad mother. I wish I would've--I 
would've changed. I wish I could've did this.
    I don't--like, I have thoughts like, maybe I should run 
away from here or should I just stay put because I don't want 
to run away from the shelter and have nowhere to go. So I'm 
like, I just try to work it out.
    And then not even just that, being in a shelter, you kind 
of had to buy your own food. You don't buy your own food, 
you're not eating. So thank God at the time I had WIC where I 
can supply my son with formula and groceries for myself. But 
after that, you're still going to be hungry.
    And then it was hard enough being in the shelter and having 
lack of transportation being in a shelter because I'm, like, 
just having thoughts. Like, my mind is racing, my thoughts 
racing. I feel like I'm losing it. So I'm like, how am I 
supposed to take my newborn to his doctors' appointments? How 
am I supposed to get back here to the shelter? How am I 
supposed to get back to the doctors, back and forth? It was 
hard.
    So like, I had a couple times where I remember one person 
from DFCS reached out and took me to my son's appointments.
    But after that time when it was time to--like, ``Okay, 
Tiffani, you know, you and your child are going to have to 
go.''
    And I'm like, we don't have nowhere else to go. So I'm, 
like, begging. I'm like, you know, can we just stay here a 
little longer? I'll try to get a job in the meantime and find a 
babysitter. I will try to do anything, you know, just for us to 
stay here.
    And he was like, ``Well, this is only a temporary 
shelter.'' And I'm like, okay, so I'll try to call my case 
manager.
    It was no phone calls from her, no texts, no emails. It was 
just like, she went ghost on me. Like she disappeared.
    And at that time, I mean, it was just--it was depressing. 
And then having depression on top of postpartum depression, it 
was hard enough.
    It felt like my heart was sinking. It felt like my heart 
was ripping into pieces. It felt like my mind was, like, going 
crazy. It felt like I was losing myself, like, I didn't feel 
normal. I didn't know what to do.
    Senator Ossoff. Tiffani, you mentioned that you had some 
complications after delivery and an infection associated with 
leftover placenta, but you had to wait nearly 6 months to see 
an ob-gyn? Is that right?
    Ms. McLean-Camp. Yes. Dealing with--dealing with that, I 
was--it made me feel like I had no rights as a human or even as 
a mother in the care of me and my child because my pregnancy--I 
had a rough pregnancy.
    And then with my son being premature, having him--having 
him at 34 weeks and then me being sick in my pregnancy. I had 
lost 26 pounds in my pregnancy being sick.
    I was dealing with kidney problems--I was having kidney 
problems. They was trying to tell me that I might--I'm not--I'm 
not--I'm almost close enough to having kidney failure in 
pregnancy. I was at high risk of having high blood pressure and 
diabetes being pregnant.
    It was a lot. Having to have a lot of IVs connected to you 
to have enough fluids for you to stay hydrated. I was--it was 
just--it was just--it just felt like a nightmare during the 
time.
    And then they was telling me the time that I had my son I 
was losing a lot of blood. It was times that I didn't eat 
because I was so sick. And they was talking about, ``Oh, well, 
you lose more blood than what you lose, then, you know, we 
might have to give you surgery to, you know, give you more 
blood.''
    And I'm like--I'm like, this can't be true. Like, this 
can't be happening because, God forbid, what happen if I did 
have surgery and I didn't make it out the right way in surgery? 
Who's going to take care of my child?
    So like, I would try to think, like, no, we can't do that. 
I have to stay here for him because I'm his number one 
protector. I'm his--I'm his--I'm his savior. I'm his mother. 
I'm his--I'm his everything. I can't afford you for you guys to 
do surgery on me, and I just had him and I don't even know what 
was going to happen with us--so I can't afford that. And they 
was like, ``I understand.'' And I'm like, okay.
    So when they run a couple tests on me, everything came out 
okay. So, they told me I had a kidney infection, so I had to 
get, like, a lot of medication. I'm still sick. And then after 
losing 26--I lost, and I was like, I can't believe I lost 26 
pounds. I was 154 pounds when I was pregnant.
    Before I even got pregnant, I used to weigh 123 pounds. 
From 123 pounds to 154 pounds, that's a lot of weight, and then 
closer to me having him, I was almost 200 pounds.
    So imagine all that weight, being sick, throwing up, you 
can barely move, you feel weak--and it's like you're trying to 
force yourself to eat because you're trying--you're trying to 
make sure that your child has all the nutrients for them to 
grow and develop inside. And it's like, you can't because you 
just feel so--you feel gross, so.
    And then not even having that medical care of being, you 
know, treated with me being sick and having to wait 6 months 
from my son being born, it made me feel--it made me feel less 
of a woman and as a mother because I had thoughts like, well, 
if I can't get the medical needs that I need, how am I supposed 
to get my child's medical needs if I'm not getting--if I'm not 
receiving care?
    Well, I tried to tell DFCS about it, and like, ``Oh, okay, 
you--you''--they say, ``You've been seen. You've been checked 
out.''
    I have not, and I used to beg--like, beg them, like, I need 
to be checked. I have not been seen.
    I haven't been to a dentist in half a year and from the 
time of being 15 to now, I have got no--no help from you guys. 
I got no help. I have no--I haven't got help when it comes to 
life skills, medical, mentally--help with support and skills. I 
have not got no help from it.
    From the time of 15 and 18 being in their care, I had to 
learn everything on my own. I had to teach myself. I had to go 
around and ask people, you know, how do you do this and this. 
How do you fill out a housing application? How do you fill out 
a job application? How do you do this, and how you do this? It 
was a lot, but I learned from people that I didn't even know.
    And it's like--I, like, told DFCS one time, I'm like, so 
what do--what's my--what's my purpose even being in care? 
What's my purpose even working with you guys if you're all not 
even helping me? What's the point?
    ``Well, you know you can just sign yourself out.''
    So you're giving me an option of signing out, but you give 
me no options of the help and skills that I need.
    Senator Ossoff. Mm-hmm.
    Ms. McLean-Camp. So I'm like--I thought about it, and I was 
like, no, you know why I'm not going to sign out? Because 
people that went through things I went through, we got so far 
where we needed to be, even without your guys' help.
    But one thing I will say to DFCS: You all failed the system 
real bad. You failed youths of the caring, the support that 
they needed--especially knowing everything they went through--
trauma, family background, situations where they needed help, 
and not even just that, the lack of guidance.
    Senator Ossoff. Tiffani, thank you so much for sharing your 
story and your testimony with the Subcommittee today. And the 
public and the Senate are grateful to you for speaking out 
about what you have been through.
    And I wish you and your baby son all the best. And we'll 
check up on you. Okay?
    Ms. McLean-Camp. Thank you.
    Senator Ossoff. Thank you.
    We will now take a moment and pause and bring our second 
panel to testify. Thank you.
    Ms. McLean-Camp. Thank you.
    [Pause.]
    Senator Ossoff. Okay. We're reconvening now for Panel Two, 
and I will now introduce our witnesses. Thank you so much for 
joining us today.
    We will hear this morning from Dr. Samantha Sahl. Dr. Sahl 
is the supervisor of the Child Sex Trafficking Recovery 
Services Team at the National Center for Missing & Exploited 
Children, or NCMEC.
    We'll hear from Deputy District Attorney Earnelle Winfrey. 
District Attorney Earnelle Winfrey oversees the Special Victims 
Division, Human Trafficking and Child Exploitation Unit at the 
Fulton County District Attorney's Office.
    And we'll hear from Brian Atkinson. Mr. Atkinson is staff 
attorney and adjunct instructor at the Wilbanks Child 
Endangerment and Sexual Exploitation, or CEASE, Clinic at the 
University of Georgia School of Law.
    Before opening statements, we'll swear in our witnesses. So 
if you'd all please rise and raise your right hand.
    [Witnesses are sworn in.]
    Senator Ossoff. Thank you. You may be seated, and please 
note for the record that all witnesses answered in the 
affirmative. Dr. Sahl, you may now begin with your opening 
statement.

     STATEMENT  OF  SAMANTHA  SAHL,  DSW,  SUPERVISOR  OF
      CHILD SEX TRAFFICKING RECOVERY SERVICES  TEAM,  NA- 
      TIONAL CENTER FOR MISSING & EXPLOITED CHILDREN, AL- 
      EXANDRIA, VIRGINIA

    Dr. Sahl. Good morning, Senator Ossoff. My name is Dr. 
Samantha Sahl, and I am honored to be here today on behalf of 
the National Center for Missing & Exploited Children, NCMEC.
    For those of you who are less familiar with NCMEC, we are a 
private nonprofit organization that was created in 1984 by John 
and Reve Walsh after the tragic disappearance and murder of 
their 6-year-old son, Adam.
    NCMEC has grown over the years to become the Nation's 
largest and most influential child protection organization. 
NCMEC serves as a national clearinghouse and resource center to 
fulfill its congressionally authorized mission to help find 
missing children, reduce child sexual exploitation, and prevent 
future victimization.
    I have had the privilege of working directly with at-risk 
youth and survivors of child sex trafficking for the past 
decade as a forensic interviewer and advocate, and a 
coordinator of a multidisciplinary response team.
    Within my current role at NCMEC, I supervise the Child Sex 
Trafficking Recovery Services Team, the team that was created 
specifically to address the topic of this hearing: a 
significant intersection between foster care, missing youth, 
and child sex trafficking.
    Thank you for hosting this hearing to raise awareness about 
this very important issue.
    In 2014, as you mentioned, the Preventing Sex Trafficking 
and Strengthening Families Act was passed. This law required 
child welfare agencies to report children missing from foster 
care placements to NCMEC after reporting them missing, to law 
enforcement.
    NCMEC is grateful for this legislation as it ensures that 
children missing from care and the child welfare professionals 
responsible for their well-being receive the resources 
available through NCMEC to support their location and recovery.
    Between 2018 and 2022, NCMEC received over 2,400 reports of 
children missing from care in Georgia involving 1,790 children, 
many of whom went missing several times throughout the year. 
Four hundred and ten of these children were identified as 
likely child sex trafficking victims.
    Trends show us that when children run away frequently or 
for long periods of time, they tend to be running from an 
unsafe situation or to an unsafe situation.
    As you heard from Tiffani this morning, children in foster 
care have already experienced significant trauma which led to 
child welfare intervention.
    When children are then placed in foster homes or group 
homes that don't have the resources, training, or support 
necessary to meet their needs for love, belonging, and self-
exploration, running away from their--these placements often 
becomes their effort to problem solve to meet these needs.
    This creates a perfect storm that traffickers are skilled 
at taking advantage of. We know we have an urgent issue when 
children feel better on the streets or with a trafficker than 
they do in their foster care placements. This is a national 
crisis that we must devote additional Federal and State 
resources to address.
    My team at NCMEC has the important task of offering 
individualized coaching and support to foster care workers 
while children are missing to support them in meeting some of 
these needs.
    Every day we hear foster care workers express how 
overwhelmed they feel trying to navigate systems that are 
overstretched, under-resourced, and ill-equipped to meet the 
needs of the children that they serve. Child welfare agencies 
can play a crucial role in the prevention, intervention, and 
response to child sex trafficking.
    While significant legislative progress has made a shift 
from a juvenile justice to a child welfare response to child 
sex trafficking, we now must ensure the child welfare systems 
have the support, the resources, and the practices necessary to 
meet the needs of our most vulnerable youth.
    Many States have developed innovative responses to attempt 
to address these issues. I would be remiss if I didn't 
highlight the State of Georgia as an innovative and proactive 
leader in the child sex trafficking response.
    NCMEC works closely with the Georgia Division of Family and 
Children Services when children go missing from care. And I 
have personally participated in a monthly statewide call that 
is co-facilitated by Children's Healthcare of Atlanta and 
Children's Advocacy Centers of Georgia that brings together key 
stakeholders, including law enforcement, child welfare, and 
victim service providers, to increase coordination and 
information sharing. It truly takes a village and cross-system 
collaboration to meet the needs of youth.
    In closing, the issues of missing children from care and 
child sex trafficking are complex and multifaceted. Successful 
solutions cannot fall solely at the feet of a single agency.
    Like the hope that Tiffani expressed this morning, despite 
experiencing so much hardship, hope is what keeps us going at 
NCMEC. We hope that children in foster care will have the 
opportunities for healing, self-exploration, and caring 
relationships that we know all children so desperately need in 
order to thrive.
    But today we must move beyond hope and into action. NCMEC 
looks forward to linking arms and developing innovative, 
collaborative, and system-shifting solutions. Thank you for the 
opportunity to represent NCMEC at this hearing, and I look 
forward to your questions.
    [The prepared statement of Dr. Sahl appears as a submission 
for the record.]
    Senator Ossoff. Thank you, Dr. Sahl. We will turn now to 
Ms. Winfrey and then Mr. Atkinson. Ms. Winfrey.

     STATEMENT OF EARNELLE WINFREY,  DEPUTY  DISTRICT AT- 
      TORNEY, SPECIAL VICTIMS DIVISION, HUMAN TRAFFICKING
      AND CHILD EXPLOITATION  UNIT,  FULTON  COUNTY  DIS- 
      TRICT ATTORNEY'S OFFICE, ATLANTA, GEORGIA

    Ms. Winfrey. Good morning, Chairman Ossoff.
    Senator Ossoff. Just making sure your microphone is on and 
the red light is on. Okay.
    Ms. Winfrey. Good morning, again. My name is Earnelle 
Winfrey. I am the deputy district attorney and lead prosecutor 
for the Human Trafficking and Internet Child Exploitation Unit 
at the Office of the Fulton County District Attorney.
    I've been practicing law for 22 years, and for the last 6 
years, I've been prosecuting human trafficking and sex abuse 
cases.
    As a prosecutor and expert in this field, I have the 
privilege of serving as an advocate for survivors of commercial 
sexual exploitation by giving them a voice in the courtroom 
while also holding the traffickers accountable.
    The views I express today are my personal ones. They should 
not be construed as a representation of the various statewide 
committees and multidisciplinary teams and task forces on which 
I have the privilege to serve.
    In my work as a human trafficking prosecutor, I'm seeing 
about 80 percent to 90 percent of CSEC survivors we serve. 
They've been sexually abused and enter the life of commercial 
sex with this type of adverse childhood trauma, which increases 
their vulnerability of exploitation.
    Approximately 40 percent to 50 percent of the CSEC 
survivors we serve have either been in foster care or they have 
some sort of CPS history. Many CSEC survivors in the foster 
care system present with complex trauma, and with no real 
support to facilitate healing while in DFCS care.
    Sexual abuse causes feelings of shame, guilt, low self-
esteem, and low self-worth, and over time, victims that we see, 
they see themselves as damaged goods.
    Not addressing this complex trauma while in care increases 
their likelihood and entrance into the commercial sex trade or 
reentry after recovery. And most of these children survive as 
merely bones, shells of their former selves.
    Several CSEC survivors I encounter report negative 
experiences while in foster care. Most express a lack of trust 
and faith in the system, as we heard from Miss Tiffani this 
morning.
    Children in State care are far more vulnerable to 
trafficking than those with similar risk factors. Youth in 
foster care do not have ties to their biological families in 
many cases. It is hard for them to feel secure and to develop a 
sense of identity.
    When in care, routines change with each placement, and many 
have been susceptible to what we can call ``motel 
warehousing,'' in the absence of qualified caregivers. At times 
it can be inefficient, and at its worst time, it can aid in the 
exploitation of young children and feed them to the machine of 
forced labor and sex trafficking.
    We must dispel the youth--excuse me--the myth that human 
trafficking involves a stranger riding around in a white van 
kidnapping children off the street and selling them into a life 
of sexual servitude. Most survivors were trafficked by someone 
they knew or someone even in their own family.
    Please understand that traffickers practice tactical 
warfare. In creating victims, sometimes their weapons of choice 
are kind words or alleviating an immediate need.
    Many times, those needs are for food, appropriate clothing, 
even sleep and drugs. Other times, it's a sense of belonging 
and security and acceptance.
    A child with their hope and trust intact in a world with no 
support is ripe for the picking. They are deceived into a life 
of sexual servitude, and it creates a world for them that they 
only know and understand while with the trafficker. There are 
casualties and dis-casualties always, and sometimes it's their 
innocence that's lost. It's their spirit that's lost.
    I had an occasion where--and we're seeing the trend--where 
there are inappropriate placements for CSEC youth. There was an 
example of young girls running away from a placement and 
finding themselves in the jaws of commercial exploitation.
    And when they were recovered, they disclosed the horrific 
experiences and heinous acts of violence committed against them 
while in the streets.
    It came to my attention that following their return from 
the--being exploited, they were instructed not to sit on the 
furniture of the group home. They were made to leave their 
clothing on the outside. Sources close to this group home 
placement say the home was sorely lacking in quality food, 
personal care items, and cleaning supplies. In this home, 
enrichment activities were nonexistent.
    Did the system fail them by not regularly investigating the 
placement that housed these young girls? Did the department 
ensure that the placement was proper for CSEC youth?
    Some of the children placed in care are labeled unruly, bad 
kids, recruiters, runaways, delinquent. Terror and sadness 
often wear the mask of anger and show up in various stages of 
acting out. If they're running away from care, what are they 
running from?
    We must take time to listen to their back story. Why don't 
we train caregivers to look for and understand the trauma they 
suffered prior to entering into care? Can we get past the 
perception of foster youth as unwanted throw-aways? How will we 
address the underlying trauma and the root causes so that these 
children may heal?
    If we are to be responsible for children in foster care, it 
is necessary to establish better safety measures and require 
placements to be trauma-informed and trained. The current 
protocol is not working like we thought it would. So it's time 
to reassess, not just investigate, but we must seal up the 
cracks that allow for further traumatization perpetuated by 
those in positions of authority and trust.
    Another example I had was a case with a CSEC youth that was 
recovered during an operation targeted at recovering missing 
kids. And when she was taken in for medical care, the detective 
noted that she was aware of her history in the foster care 
system as a habitual runaway.
    With this knowledge, they reached out to DFCS and requested 
that they take custody of her pursuant to [Georgia] Senate Bill 
158. This CSEC youth had nowhere to go, and she had been 
trafficked and had a history of past sexual abuse by a family 
member.
    DFCS did not send anyone to the medical facility, nor did 
they begin the process of exercising their authority under 
[Georgia] Senate Bill 158. In fact, because this child was 
known to be a runaway, the detective was advised to detain her 
and place her into a detention center.
    DFCS informed the detective they had no place for this CSEC 
youth to go. The detective informed them that she could not 
detain the CSEC youth because the youth did not do anything to 
warrant charges for placement into a detention center.
    Consequently, the detective, in collaboration with a 
Federal agency partner, located an out-of-State placement for 
this child for her to go in and get immediate care and 
emotional support.
    Under these emergency circumstances, DFCS did not act in a 
timely manner, and the out-of-State placement was lost for this 
child. Shortly after being returned to her family, the CSEC 
youth ran away again. And she was exploited again.
    The question is, do we have a crisis in housing? This is 
not to disparage caseworkers that work tirelessly in ensuring 
the safety of children in care. Caseworkers often do many 
interviews daily. They write report after report, respond to 
child abuse calls, and investigate claims.
    Caseworkers consistently whisper that they're lacking 
support. For example, caseworkers must get approval for 
decisions from equally overworked supervisors as opposed to a 
review team or a case reader.
    Can we restore the system in a way that's fair and place 
the needs and interests of our children in the forefront? Who 
will hear their voices and their cries?
    No child deserves to live in a life of exploitation. They 
do not deserve to be labeled with negative words like 
``delinquent,'' ``recruiter,'' or the like, if there is no 
evidence to substantiate it.
    Who will have the courage to say, ``If it's broken, it's 
just broken, let's do something to change it'' ?
    We should include everyone in this solution, especially 
those in the health and human services. The department will not 
benefit from policies written for them by those who are not in 
the field. In my closing arguments to juries, I always say that 
it's their job to not look for doubt--it is to look and to seek 
and see the truth.
    It is my hope and prayer that through this investigation, 
the Subcommittee will seek and see the truth, and will be able 
to work through the problems to end the trends that I've spoken 
about.
    Again, thank you for this opportunity to share my 
experiences as a prosecutor in this field. And I hope and pray 
that we will have real answers to fix the system and make it 
work at optimal performance.
    [The prepared statement of Ms. Winfrey appears as a 
submission for the record.]
    Senator Ossoff. Thank you, Deputy District Attorney. Mr. 
Atkinson.

   STATEMENT OF  BRIAN ATKINSON,  STAFF  ATTORNEY,  WIL- 
    BANKS CHILD  ENDANGERMENT  AND  SEXUAL  EXPLOITATION
    CLINIC, UNIVERSITY OF GEORGIA SCHOOL OF LAW, ATHENS,
    GEORGIA

    Mr. Atkinson. Good morning, Chairman Ossoff. I want to 
thank you, and Ranking Member Blackburn, and Members of the 
Subcommittee for the opportunity to testify today.
    My name is Brian Atkinson, and I'm the staff attorney for 
the Wilbanks Child Endangerment and Sexual Exploitation 
Center--or Clinic, also known as the CEASE Clinic, at the 
University of Georgia School of Law.
    The views that I express today are my own and do not 
represent the University of Georgia or the other committees, 
teams, or task forces on which I have the privilege to serve.
    I am testifying today in my personal capacity as the lead 
attorney at the CEASE Clinic, an expert in sex crimes and 
trafficking against children, and an advocate for children in 
foster care who have been sexually abused, exploited, or 
trafficked.
    Last month, the Subcommittee heard from the director of the 
CEASE Clinic, Emma Hetherington. And I'm here today to provide 
additional context and information based on my experience 
representing youth in foster care.
    As CEASE's staff attorney, I provide direct representation 
to survivors and supervise legal fellows and law students in 
representing child survivors in foster care dependency cases, 
adult survivors in civil litigation against their abusers, and 
survivors of trafficking in post-conviction relief cases who 
were convicted as a result of, or while they were being 
trafficked.
    Prior to joining the CEASE Clinic, I was the chief 
assistant D.A. in Georgia's Northern Judicial Circuit where I 
prosecuted offenses, including child sexual abuse. My 
responsibilities included serving on multidisciplinary teams to 
discuss the investigation, prosecution, and response to 
instances of child abuse and maltreatment. I have had a 
firsthand view of how survivors are treated within various 
systems as well as the barriers survivors can face in accessing 
justice.
    While CEASE's child clients may at first appear dissimilar 
to the majority of children in foster care, the reality is that 
every child in foster care starts on the same path. And the 
final trajectory depends in large part on the State's response.
    Risk factors with the highest correlation to child 
trafficking include running away, homelessness, sexual abuse, a 
history of abuse or neglect, and entry into foster care.
    If a child's caregivers, families, friends, communities, 
and then the State aren't there to provide for their basic 
needs of food, shelter, safety, security, love, and belonging, 
their survival instincts kick in, and they seek out other ways 
to have those needs met, heightening their risk of landing 
straight in the hands of traffickers, buyers, or those who will 
exploit them.
    Since I have been at the CEASE Clinic, and as Dr. Sahl 
noted, I have noticed a concerted effort in Georgia to update 
policies and practices to attempt to better respond to the 
realities of trafficked youth.
    However, these efforts are slow to be incorporated into 
everyday practice. Most significant is the movement to change 
the conversation so that these young people can be better 
identified as victims and survivors and treated as such, rather 
than criminalized and punished for their abuse and for their 
responses to that abuse.
    Regrettably, I've not seen a change in how that's impacting 
the day-to-day treatment of children.
    Specifically, I have observed progress in how we talk about 
the population as victims and survivors and saying that certain 
negative behaviors are likely trauma responses, and agreeing 
that victims and survivors should be supported and not blamed 
for their victimization.
    But when that conversation shifts from talking about the 
population generally to discussing individual children, they're 
often labeled as at fault and are blamed for their 
victimization. Within the foster care system, this hinders 
efforts to secure appropriate placements for youth.
    The placement applications for my clients emphasize their 
flaws rather than their strengths, and that's the first piece 
of paper that a placement often receives--the first information 
they get about a child.
    So while DFCS says it's hard to find placements, it's 
harder still when they are painting incomplete pictures of 
these kids that accentuate their flaws, minimize their 
strengths, and paint a misleading picture who these children 
really are.
    It also informs how the placements will treat these kids 
because they never got a second chance or really even a first 
chance to make a first impression. That first impression was 
made for them.
    The portrayal of these children as being at fault or 
sharing the blame in their own abuse or exploitation also 
hinders their opportunity to seek justice.
    The State of Georgia has a robust network of child advocacy 
centers throughout the State that are available as tools for 
both DFCS and law enforcement to identify and respond to child 
abuse and maltreatment.
    However, when children are not seen as victims, they are 
less likely to be referred to those organizations when either 
they report abuse or when abuse is otherwise suspected. Not 
fully investigating those instances leaves both the foster care 
system and our communities less safe and denies those children 
the opportunity to seek justice.
    I have seen that when our clients reach out to DFCS to tell 
them about their experiences in placement about feeling unsafe, 
about the need for therapeutic or other services, they're met 
with disbelief, dismissiveness, and often no response, at all.
    At the end of the day, DFCS is the legal guardian for these 
children, and it is their responsibility to make sure that 
these kids are given spaces that are safe and comfortable.
    These children were removed from their families, which we 
know is a traumatic event regardless of how a child is treated 
within that home. But we--that being the system, courts, DFCS, 
others involved--have collectively decided that the cost of 
removal is worth the benefit of being in the State's protective 
custody.
    But then, these children aren't protected. We wouldn't and 
we don't put up with similar treatment of children by their 
parents, and we should hold ourselves, and especially the 
State, to a higher standard.
    Thank you, again, for the opportunity to testify, and I 
look forward to answering any questions you may have.
    [The prepared statement of Mr. Atkinson appears as a 
submission for the record.]
    Senator Ossoff. Thank you, all, for your powerful 
testimony, your expertise, and your service, each in your way, 
to those most vulnerable kids in Georgia and nationwide.
    Dr. Sahl, I'd like to begin by diving into some of the 
numbers and to ensure the public fully understands your 
methodology.
    In the testimony that you submitted, you described an 
analysis that NCMEC performed at the request of the Human 
Rights Subcommittee, which found that since 2018, 410 children 
who were reported missing from the State's care in Georgia were 
likely trafficked, and that some of these children were 
assessed to have likely experienced trafficking multiple 
times--a total of 624 episodes of trafficking. We'll dig into 
exactly how you arrived at those numbers in a moment.
    First, let's just establish the baseline. Federal law 
requires foster care agencies to report missing children to 
NCMEC within 24 hours. Why is it so critical that children 
missing from foster care be reported to NCMEC, as required by 
Congress?
    Dr. Sahl. Absolutely. So we know that any time a child goes 
missing, whether they are missing for a couple hours or days or 
weeks, they are not under the care and supervision of the 
agency that they were in the care of, and they're then 
vulnerable to experiencing any number of endangerments, 
including child sex trafficking. We have found that the longer 
a child is missing from care or the more frequent the missing 
episodes become, that risk increases exponentially.
    Senator Ossoff. We've heard from multiple former foster 
youth through these hearings. We heard from Mon'a several weeks 
ago. This morning we heard from Tiffani about their 
experiences, for example, in group homes.
    In the written testimony that you submitted, you stated 
that, ``Children in foster care often run away because their 
placements are unable to meet their needs'' and that they're--
and this is affirmed by guidance from the Department of Health 
and Human Services at the Federal level--``are highly 
vulnerable to trafficking.''
    Can you elaborate on how foster care placements may fail to 
meet the needs of a child and, thereby, increase their risk of 
running away, and of trafficking?
    Dr. Sahl. Absolutely. I do want to mention that any child, 
by nature of being a child, is vulnerable to experiencing child 
sex trafficking.
    But in the testimony that I have heard from my colleagues 
this morning, we know that children who are in foster care, 
often entering the system after experiencing early childhood 
abuse and neglect--which we know can have a lasting impact on 
their brain development, on their self-perception, their self-
worth, on the way that they interact with or engage with 
others, their ability to form trusting relationships--if they 
are then placed in placements where their needs for love and 
belonging and connection aren't met or placements that are not 
equipped to support them through their trauma processing or 
trauma responses, we find that youth are often running away 
from those placements--in effect, in order to meet those needs.
    So we also see that sometimes placements might not have the 
ability to create for children the normalcy that other children 
might have. So the ability to engage in normal adolescent 
activities, the ability to engage in self-exploration, so--and 
figuring out who they are, what they enjoy, what they're good 
at.
    And so sometimes they're leaving out of a sense of boredom. 
Sometimes it becomes a trauma response. Something might trigger 
them in a placement.
    And if they haven't learned coping strategies or they don't 
have, for example, a safe adult that they feel they can reach 
out to who will consistently pick up the phone to say, hey, 
something isn't working well for me here, running, again, 
becomes their effort to problem solve.
    And traffickers are really skilled at identifying youth 
with those unmet needs.
    And they may come in and say, ``You're looking for love and 
belonging? I can provide that to you.'' For youth, you know, 
for example, who are LGBTQ+ and they're looking for acceptance, 
a trafficker will say, ``I accept you for who you are.''
    Traffickers are often creating this illusion of love, 
belonging, voice and choice for youth--creating this promise 
that might lure a child out of their placement.
    Senator Ossoff. Let's talk about the numbers and the 
methodology a bit. First, what does it mean for a child to be 
reported missing from care?
    Dr. Sahl. So, like you mentioned, Federal legislation in 
the Preventing Sex Trafficking and Strengthening Families Act 
and the Trafficking Victims Protection Reauthorization Act of 
2022 require that a child be reported immediately or within 24 
hours to law enforcement and NCMEC.
    So missing from care just means they are--have left their 
placement without the permission of their caregiver and their 
whereabouts are unknown.
    Senator Ossoff. And how do you assess--how does NCMEC 
assess whether a child who has been reported missing from care 
is likely a victim of trafficking?
    Dr. Sahl. So we screen every child who's reported missing 
to us for child sex trafficking. As it's been mentioned, being 
missing from care is the number one endangerment for 
experiencing child sex trafficking.
    So at the time of intake, we are asking a number of 
screening questions to really look at the accumulation of risk 
factors or endangerments that that child may have already 
experienced.
    We know that the person reporting them missing might have a 
different definition of child sex trafficking. So instead of 
just asking if there are concerns, we're really looking at the 
whole picture that we're seeing.
    We also collect information--while that child is missing--
from law enforcement, child welfare, other victim service 
providers. We have incredible teams of analysts that are 
digging through social media, that are trained at identifying 
the signs or indicators of child sex trafficking. And sometimes 
they might identify an online escort ad that's been posted on a 
child, as well.
    Senator Ossoff. In the testimony you submitted to the 
Subcommittee, Dr. Sahl, you noted, quote, ``It is a national 
crisis when children feel like being on the streets or with a 
trafficker is a better place for them than to be with their 
foster care placement.''
    I couldn't agree more. I think you put it very well, and 
this is a national crisis.
    You also urged Congress to pursue legislation to improve 
protections for vulnerable children in foster care. In your 
opinion, what are the most impactful measures that Congress 
should consider to address this crisis?
    Dr. Sahl. It's a great question. I don't have all the 
answers. I can say there are some incredible people in child 
welfare, both on the front line and at the State level, who 
work in this field every day who really contribute to 
meaningful solutions.
    The one thing that I will share and what we have heard 
consistently from survivors of child sex trafficking, as well 
as what is clear in the research, is that the number one 
protective factor that can keep a child safe, that can prevent 
child sex trafficking, or prevent revictimization is 
relationships.
    I don't know how you legislate that, and maybe--maybe you 
might. But I think also, as we've heard from Tiffani and Mon'a 
in the previous hearing, that it was that person who came into 
their life, whether it was a CASA or a child welfare 
professional, who truly listened to them, who showed up for 
them, who fought for them, who drove 5 hours to visit them in 
their placement, that was able to turn their life around. 
Right?
    And a system--a child welfare system, I don't think it can 
ever be an adequate replacement for a parent. Right?
    It's really the layers of people that are involved in that 
child's life, whether it is their CASA, their foster care 
worker, their attorney, nonprofit service providers, anyone 
else that comes into their life, a teacher at school, right, 
that show up for them, believe in them consistently that I 
think can make a difference.
    We know that the caseworkers that we talk to every day 
entered the field of child welfare out of a desire to be that 
person for the children that they serve. And we hear that 
they're then faced with policies, culture expectations, lack of 
resources, so many systemic challenges that we've heard about 
through the hearings that ultimately prevent them from being 
that person for so many children.
    Senator Ossoff. And I think you make a point that that 
several panelists have made, that as shocking as this crisis is 
and as shocking as these numbers are, here in Georgia, by your 
analysis, hundreds of likely trafficking victims nationally, 
many thousands, we do have to acknowledge the hard work that 
caseworkers on those front lines are doing under very difficult 
circumstances, and not fail to express our appreciation and our 
recognition of the difficulties under which these folks are 
doing a very difficult job.
    And by no means do I interpret any of the testimony that 
you've offered today as condemning those who are working hard, 
often without enough, in order to try to save these children's 
lives and their futures.
    I would like to turn, Ms. Winfrey, to your testimony. You 
raised concerns that survivors of sexual exploitation are being 
placed in group homes that are inappropriate for them. Can you 
elaborate on what makes those group homes inappropriate?
    Ms. Winfrey. Yes, and thank you. Group homes that house 
youth, specifically children who have been trafficked, and I 
know I've said the acronym CSEC, which means children--a 
child--excuse me--children who have been sexually exploited, 
basically, a CSEC.
    Those caregivers who are in group homes have to be trained 
with a trauma-centered focus. I think the issue becomes, if we 
have a group home and you have children that are running away, 
why are they running away?
    And what we're finding is that the underlying trauma that 
those children enter that group home with, it's not being 
addressed--isn't being addressed because we don't have 
caregivers that have been fully trained with a trauma-centered 
focus and understanding of CSEC youth. And I think the issue 
becomes that we have to look at that.
    Handling children who are CSEC who have been trafficked, 
you have to deal with them a little bit different. The risk 
factors for them are a little bit different.
    And I think that, in my experience with kids who run, 
there's always an underlying issue, and what I'm seeing is that 
most of them have been sexually abused. And so if you're not 
dealing with that sexual abuse, them getting help with that, 
and getting emotional support for that, it's like you're 
pouring kerosene on a fire. It just makes it worse because that 
child is going to look for a way to run or someone to love them 
or to be there for them or to understand them.
    And I think that group homes and that the placement has to 
be appropriate. I mean, are we really looking into the 
background of these placements? Do they have adequate 
resources? Do they have people who are actually trying to work 
with the children that are CSEC?
    And I'm finding that that's a question that needs to be 
really looked into and answered.
    Senator Ossoff. You mentioned a law known as S.B. 158 in 
your testimony. Can you explain what powers and 
responsibilities DFCS has under that State law?
    Ms. Winfrey. Yes, [Georgia] Senate Bill 158, codified in 
our Code, talks about several things. One is to hold--it's to 
hold people accountable or anyone involved with the trafficking 
of a kid, or trafficking or exploitation of a child. 
Specifically as it relates to DFCS, DFCS can take emergency 
custody of a child who has been trafficked, and they have 7 
days to do whatever cure they need to do without a court order.
    So it also requires that DFCS refer that child to trauma-
informed placement, meaning they have to make sure that an 
organization that's assisting--that's assisting that child to 
heal, they are, one, certified by the Criminal Justice 
Coordinating Council of Georgia, and two, they are equipped to 
give trauma-informed care to that child.
    And so that's the responsibility of DFCS. They even have 
the obligation--if they have or suspect that a child has been 
trafficked or is actually trafficked--to remove a child from 
the situation and place them into a better placement, that 
where they have trauma-informed care.
    So I think that that's a very important legislation because 
oftentimes for us who are on the front lines of this, we see 
kids where we go in and have to recover through an undercover 
operation or such.
    And we need immediate help and need immediate assistance, 
meaning the department can step in, take custody of that child, 
and make sure that child is in a safe place where they're 
receiving trauma-informed care, and so, without a court order. 
And we need that oftentimes.
    Senator Ossoff. You testified about an incident where, as I 
understand it, DFCS declined to exercise their authority under 
S.B. 158 of a child who had been trafficked, and that DFCS' 
failure to act quickly resulted in the loss of a placement that 
the detective involved in Federal law enforcement then had to 
scramble to address, and that, as I understood your testimony 
correctly, that it was proposed that, instead, that child, who 
was a victim of trafficking, be placed in detention.
    Did I understand your testimony correctly, and can you just 
recap that case for us, please?
    Ms. Winfrey. Yes, and you did understand that. We were 
actually involved in an operation, and this particular youth 
was recovered and was placed in a medical facility. At that 
time, she wanted to talk about what happened to her body.
    And what you learn in this area is that victims talk when 
they want to talk and when they're ready, and many times 
they're not ready to talk. This particular youth was ready to 
talk, and we knew that we needed to get her into care.
    At that moment, detectives called DFCS, asked them to get 
involved, to send a caseworker to the hospital to ensure that 
the child would be cared for.
    They didn't send anyone. They actually said, ``Well, she 
has a history of running away--we're looking at her CPS 
history, she has a history of running away, detain her, place 
her in a local detention center for youth.''
    That officer that I was working with said, I can't do that. 
I won't do that. That child has no reason to be placed into a 
detention center. She's done nothing to warrant charges.
    At that time, we were told, well, we don't have a place for 
her at this time. And when our detective worked with Federal 
law enforcement partners to find housing, they actually located 
housing out of State, which we thought would be best for this 
particular youth because she did not need to be in the Atlanta 
area because that's where she had been exploited. We felt like 
her recovery would be better suited out of the State.
    And when we did that, there was a lot of calls back and 
forth of having to get approvals, go up the chain of command to 
try to get someone from the department to approve this 
movement. And as a result, time passed and we lost that 
placement out of State for this child.
    Senator Ossoff. Where was this child during this time while 
you were working to find a place?
    Ms. Winfrey. In the hospital. In the hospital.
    Senator Ossoff. So there was a child who'd been a victim of 
sex trafficking who was hospitalized, and DFCS' proposal was to 
place them in a juvenile detention facility for lack of 
placement.
    Ms. Winfrey. That's correct.
    Senator Ossoff. You testified that the crisis in housing--
or lack of appropriate placements in foster care is a major 
issue. And I think we just heard a story about what that can 
mean, in this case, a trafficking exploitation victim where it 
was proposed to place them in a detention facility.
    Please speak more broadly to what you're seeing in terms of 
the lack of adequate placements in housing and how that impacts 
particularly vulnerable youth, both those who have faced 
exploitation and trafficking and those who, in the future, as 
we heard from Dr. Sahl, may be at even higher risk because they 
are placed in an inadequate or improperly constructed 
situation.
    Ms. Winfrey. Sure. In the case that I was just talking 
about, the child involved in that case ran from placement. 
Okay? And they ran from their home because they were being 
molested in their home.
    The tragedy of that case is that because we had no 
placement for this child and we did not move in a fast enough 
pace to make sure this child was adequately placed, she's now 
placed back into a home where she was abused.
    And so now she is there for maybe not even a week, and now 
she runs again, and now she's involved again in sexual 
exploitation. She's trafficked, again. So now you've not taken 
an opportunity because we don't have adequate placement.
    Senator Ossoff. Again, after the initial hospitalization.
    Ms. Winfrey. Correct.
    Senator Ossoff. So let me just make sure I understand this 
case.
    Ms. Winfrey. Right.
    Senator Ossoff. A child is trafficked and exploited, 
hospitalized. Because of inadequate placements, DFCS proposes 
to place the child in detention. The detective says we're not 
going to do that, seeks other placement.
    Because of the lack of available placement, an appropriate 
placement, this child winds up once again facing sexual 
exploitation?
    Ms. Winfrey. Yes.
    Senator Ossoff. Thank you, Ms. Winfrey.
    Mr. Atkinson, you testified that children who survive 
sexual exploitation and trafficking often do not receive 
appropriate treatment or services from DFCS. What services do 
they not receive, and how, instead, are they treated?
    Mr. Atkinson. Sure. I think--speaking broadly, I think 
there's a tendency to define these children solely as CSEC and 
then providing services that flow from that, rather than ensure 
that survivors get services that are--that are specifically 
tailored to their individual needs, experiences, and desires.
    So not only are they receiving services that are 
recommended for them, like the trauma therapy that Ms. Winfrey 
described, as being necessary to process and confront and deal 
with and move past some of the underlying traumas that these 
children have experienced and continue to affect them.
    But they're not receiving services that they feel will 
benefit them or in ways that they feel will benefit them, 
leading to them potentially not engaging in any services that 
are offered, but not receiving the services that they want, not 
receiving the services that they feel would be beneficial in 
their recovery.
    Additionally, we've heard from, as Tiffani described, the 
number of placement changes in her case, and at the rate 
placement disrupts for some of our clients, they don't receive 
any therapeutic services before they're moved to a new 
placement because of that disruption.
    And the referral process of trying to find services starts 
anew, creating substantial gaps in therapeutic treatment that 
is necessary for these children.
    In addition, as we heard from Tiffani, I think that our 
clients have difficulty, in general, receiving gynecological 
care. I think it's kind of illogical, like I said, that one 
area of need that all these CSEC youth, especially CSEC girls, 
do share that relates to their experiencing some level of 
sexual trauma is one that's not routinely provided to all 
survivors.
    Senator Ossoff. A crucial issue that requires deeper 
inquiry. Fully agree with you, Mr. Atkinson.
    And I want to talk about education for a moment because 
Tiffani discussed how she was prevented from going to school 
while in a group home. Have you encountered other cases like 
that? What is driving this policy or this practice, at least at 
some group homes, of preventing children from accessing 
education?
    Mr. Atkinson. Yes. We have had clients placed in very 
restrictive placements where their educational needs were 
supposedly being met by programs administered by the placement.
    However, my clients, when they do participate in some of 
those educational programming, aren't receiving credit for the 
school work that they're doing at those placements because of 
issues transferring those credits to other school districts 
when they re-enroll throughout the State, being enrolled in 
classes that they've already taken and already have credit for, 
or simply the programs that are being administered being 
unaccredited and them not being able to receive any educational 
credit.
    I think it's well understood, like Tiffani said, that 
educational achievement is one of the biggest foundations of 
their success in adulthood.
    So not only does that prevent children from graduating on 
time, but many of these children get discouraged altogether and 
abandon their education, even when they had initially and 
previously prioritized getting that high school diploma and 
pursuing postsecondary education.
    Senator Ossoff. Mr. Atkinson, you mentioned in your 
testimony you're a former prosecutor. From that perspective, 
have you observed issues with the way DFCS responds to 
disclosures or reports of abuse that can impede a child's 
opportunity to seek justice for sexual exploitation?
    Mr. Atkinson. Yes. It is frustrating to see situations that 
may be slipping through the cracks. When children disclose 
abuse or exploitation, whether that's physical or sexual or 
something else, there needs to be an appropriate response to 
that disclosure.
    Like I said in my testimony, Georgia has a network of child 
advocacy centers around the State that are available as 
resources for both law enforcement and DFCS to utilize in 
assisting and responding to those disclosures. They allow for 
children to tell their story of abuse or neglect once to a 
trained interviewer who knows how to talk with children about 
those incidences in a way that minimizes the risk of re-
traumatization and encourages full and complete disclosures.
    Those forensic interviews, what they're called, often form 
the basis for law enforcement investigations that can lead to 
the discovery of corroborating evidence, supporting witnesses, 
and sometimes additional victims.
    Senator Ossoff. In a letter to the Georgia DFCS 
commissioner--excuse me--the Georgia DFCS director and DHS 
commissioner, Georgia's Office of the Child Advocate alleged 
systemic failures in how DFCS treated children who had faced 
sexual abuse.
    One of the issues they reported was that DFCS had allegedly 
adopted a view that children over a certain age could engage 
in, quote, ``self-protection'' against abuse in their own 
homes.
    Have you experienced challenges in getting attention and 
care for your clients--and I want to remind everyone, again, 
we're are talking about clients, these are children who are 
your clients--because of an attitude that they can self-protect 
or that above some age, they can take care of themselves, even 
facing abuse like this?
    Mr. Atkinson. Yes. I think I have seen DFCS generally adopt 
the view that teenage children are in less need of protection 
because of the attitude that they can protect themselves.
    I've seen resistance to intervene in circumstances where a 
child or their parent or guardian aren't engaging in necessary 
or recommended services, which ultimately leaves those children 
less safe. That can lead to situations where more emergent and 
drastic intervention becomes necessary, potentially after 
additional victimization when a less intrusive intervention 
could have prevented that, if it had occurred sooner.
    Senator Ossoff. You testified that DFCS has, quote, 
``labeled children in ways that make it harder to find 
placements for them.''
    Can you please explain the kinds of labels that you've seen 
DFCS use to describe children and how this complicates finding 
them placements in an environment where, as we've already 
discussed, adequate and appropriate placements, particularly 
for children with the greatest need, are so scarce?
    Mr. Atkinson. Yes. I've seen, specifically in the placement 
applications that I talked about when DFCS is looking for 
placement for children, my clients being described as 
promiscuous, as prostitutes, as placing themselves in dangerous 
situations, as children with sexual problems who are defiant, 
don't do what they're told, and leave without permission.
    Senator Ossoff. These are on documents submitted by DFCS 
describing the children in their care in those terms?
    Mr. Atkinson. Yes. That's how DFCS has described them.
    Senator Ossoff. I thank all three of you for lending your 
experience and expertise.
    [Video access is terminated.]
    [Whereupon, the hearing was adjourned.]
    [Additional material submitted for the record follows.]



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