By law, the Office of Refugee Resettlement (ORR), which is within the Department of Health and Human Services (HHS), Administration for Children and Families (ACF) has custody of and must provide care for each unaccompanied child, including addressing their mental health needs. ORR-funded care provider facilities are required to provide counseling to children and arrange for more specialized mental health services, as needed. We conducted our fieldwork during a time when ORR was experiencing an influx of children. Our findings could inform the Unaccompanied Alien Children Program's preparation for future surges.
Open Recommendations
Recommendation Number | Significant Recommendation | Recommended Questioned Costs | Recommended Funds for Better Use | Additional Details | |
---|---|---|---|---|---|
6016 | Yes | $0 | $0 | ||
ACF’s ORR should develop and implement strategies to assist care provider facilities in overcoming obstacles to hiring and retaining qualified mental health clinicians | |||||
6015 | Yes | $0 | $0 | ||
ACF’s ORR should identify and disseminate evidence-based approaches to addressing trauma in short-term therapy | |||||
6017 | Yes | $0 | $0 | ||
ACF’s ORR should assess whether to establish maximum caseloads for individual mental health clinicians | |||||
6018 | Yes | $0 | $0 | ||
ACF’s ORR should help care provider facilities improve their access to mental health specialists | |||||
6020 | Yes | $0 | $0 | ||
ACF’s ORR should take all reasonable steps to minimize the time that children remain in ORR custody. |