Coalition Calls for Public Input, Comprehensive Analysis, Greater Scrutiny of Cigna-Anthem Merger

A coalition of consumer and medical organizations is calling for greater public input into the Connecticut Insurance Department’s review of the proposed Anthem-Cigna health insurance mega-merger, and is expressing concerns about the potential “negative impact on both the cost and quality of care in Connecticut” of that merger and the proposed Aetna-Humana merger. The groups – Universal Health Care Foundation, Connecticut Citizen Action Group and the Connecticut State Medical Society – formed the “Connecticut Campaign for Consumer Choice” coalition and urged state Insurance Commissioner Katherine Wade to “ensure an open, transparent hearing process in Connecticut, where policy holders, physicians and other interested parties are given maximum opportunity to share their views.”

In a letter to Wade, the organizations urged a series of actions as part of the Anthem-Cigna review “to protect our health care options in Connecticut” – that a public hearing be held at a time and place that “allows for maximum public participation,” that interested parties be granted intervenor status (which would allow witnesses to be called and cross examined), and that a department commission a study that will “analyze the potential impact on cost, access, and the Connecticut economy, including jobs,” as part of the agency’s deliberations on the merger proposal. 

Bloomfield-based Cigna and Indianapolis-based Anthem are two of the nation’s five largest health insurance companies.  It is anticipated that a hearing would be held sometime this spring, but plans have not yet been announced. The coalition leaders indicated that “all eyes from around the country will be on Connecticut,” as home of two of the nation’s leading health insurance companies.

They also launched a new website, www.consumerchoicect.org, which will provide the public with information about the proposed mergers.  The site states that “what’s really happening is that fewer choices mean higher costs for consumers and employers. With fewer insurers for the remaining three national companies to compete against, there will be less of an incentive to keep costs low or develop innovative services to bring in new customers.”

Connecticut Insurance Department spokeswoman Donna Tommelleo said the department "is reviewing the proposed acquisition in accordance with all applicable  Insurance Holding Company Statutes. The Form A application is posted on Home Page of the Department’s Web site for public view and the site is updated frequently as more documents are filed. After the application is fully reviewed and deemed complete by the Department there will be public hearing held within 30 days. The public will be given ample opportunity to provide both written and oral comment."  She indicated that "the Department respects the coalition’s interest in the matter.” The Anthem-CIGNA merger was filed with the state Insurance Department last September.

In advocating for the merger, Anthem has established a website that highlights the company’s views on the benefits of a merged company, at www.betterhealthcaretogether.com  The site indicates that “the combined companies will operate more efficiently to reduce operational costs and, at the same time, further our ability to manage what drives costs, helping to create more affordable health care for consumers.”

Matthew Katz, executive director of the Connecticut State Medical Society, said that the merger “could be the demise of already struggling private practices,” and will adversely impact patient costs and access to care.  "Goliaths will not  benefit consumer choice," he said.   The Society opposes the merger, as do the other organizations in the coalition.  They indicated that a fair, open, transparent review process would make it more difficult for the merger to be approved as being in the public interest.

Noting that Wade serves as chair of the National Association of Insurance Commissioners working group on the Anthem-Cigna mercer, and that the working group’s proceedings are not open to the public, the coalition leaders stressed the importance of an open and comprehensive process in Connecticut.

The letter to Commissioner Wade, dated March 22, was signed by Frances Padilla, president of the Universal Health Care Foundation of Connecticut, Tom Swan, executive director of the Connecticut Citizen Action Group, and Matthew Katz, Chief Executive Officer of the Connecticut State Medical Society.

The Connecticut State Medical Society is a federation of eight component county medical associations, with total membership exceeding some 7,000 physicians. Universal Health Care Foundation of Connecticut is an independent, non-profit philanthropy, supporting research-based policy, advocacy and public education that “advances the achievement of quality, affordable health care for everyone in the state.”  CCAG, founded four decades ago by consumer advocate Ralph Nader,  has "created change on the issues members care about including quality, affordable health care, protection of consumers, the environment, and democracy."

Combatting Childhood Obesity Starts From Day One; Wide-Ranging Policies Proposed

Less “screen time,” more physical activity, more nutritional foods and fewer sugary beverages – that’s the formula to prevent obesity from taking root in infants and toddlers in the formative years of childhood, according to new recommendations by the Child Health Development Institute (CHDI) of Connecticut.  A series of “science-based policy opportunities” for Connecticut, outlined this week, also include support for breastfeeding in hospitals and child care centers. The need for stronger action is underscored by recent statistics.  In Connecticut, one of every three kindergartners is overweight or obese, as is one of every three low-income children. Children who are overweight or obese are more likely, according to the policy brief, to have:

• risk factors for future heart disease, such as high cholesterol and high blood pressure
• a warning sign for type 2 diabetes called “abnormal glucose tolerance,” although many children are being diagnosed with the full-blown disease in increasing numbers
• breathing problems such as asthma
• gallstones, fatty liver disease, and gastroesophageal reflux (acid reflux and heartburn)
• problems with their joints

“Recent research shows that obesity may be very difficult to reverse if children are not at a healthy weight by 5 years of age,” the policy brief indicated. “Investing early in preventing childhood obesity yields benefits for all of us down the line by fostering healthier children, a healthier population overall and greatly reducing obesity-related health care costs over time.”

The policy brief recommends five ways Connecticut’s child care settings and hospitals can help our youngest children grow up at a healthy weight:

1. Support breastfeeding in hospitals and in child care centers and group child care homes.
2. Serve only healthy beverages in all child care settings.
3. Help child care centers and group child care homes follow good nutrition guidelines.
4. Increase physical activity time for infants and toddlers in all child care settings.
5. Protect infants and toddlers in all child care settings from “screen time.”

The recommendations stress that “talking, playing, singing and interacting with people promotes brain development and encourages physical activity,” and urges that healthy infant and toddler development be encouraged by:

• Never placing them in front of televisions, computers, or tablets to occupy them
• Never allowing infants and toddlers to passively watch a television, computer, mobile phone or other screen that older children in the same room are watching

“Healthy lifelong weight begins at birth,” said Judith Meyers, President and CEO of CHDI and its parent organization the Children’s Fund of Connecticut. “Investing in obesity prevention policies makes sense for Connecticut.”  Meyers added that “the numbers are staggering,” and it has become clear that “to really address this problem we need to prevent it in the first place.”

If Connecticut were to implement the five recommendations highlighted in the policy brief, it would be the first state in the nation to do so, officials said.  A number of the proposals have been successfully implemented in other jurisdictions, including states and cities.  Marlene Schwartz, Director of UConn's Rudd Center for Food Policy and Obesity, noted that Connecticut has long been a leader in providing nutritional lunches in schools, and said that now the state’s attention needs to move to the earlier years of childhood.  “The field has realized that we need to start even earlier,” she said.  Rudd also indicated that determining "policy changes that might help reduce the disparities" in Connecticut, which are apparent in race, ethnicity and socioeconomic data, is also essential.

Legislation now pending at the State Capitol, which is not as comprehensive as the policy brief recommendations, is designed to "increase the physical health of children by prohibiting or limiting the serving of sweetened beverages in child care settings, prohibiting children's access to certain electronic devices in child care settings, and increasing children's participation in daily exercise."  The proposed legislation, HB 5303, was recently approved by a 10-3 vote in the Committee on Children, but has an uncertain future before the full legislature.

Dealing with childhood obesity has been a challenge because of the “many different systems and programs that impact childhood development – which can also provide “many different places for opportunities to influence what happens.”  Officials said that some of the policy proposals can be realized through legislative action, others by regulatory changes, and others through voluntary initiatives.  They indicated that since Connecticut established the Office of Early Childhood in recent years, coordination of oversight and services has improved, which is an encouraging development.  Child care settings provide an opportunity to impact a large proportion of the state’s pre-kindergarten children, but plans to disseminate the message more broadly, including through pediatrician’s offices, are being considered. 

The recommendations call for “allowing toddlers 60-90 minutes during an 8-hour day for moderate to vigorous physical activity, including running, and “adherence to federal nutrition guidelines” including more whole grains and low-sugar cereals, no sugary drinks, and fewer fried foods and high-sodium foods.  Through 11 months, infants should be served “no beverages other than breast milk or infant formula, and those 12 months through 2 years old should be served no beverages other than breast milk, unflavored full-fat milk water, and no more than 4 ounces of 100% fruit juice.”

The CHDI policy brief indicates that “childhood obesity can contribute to poor social and emotional health because overweight and obese children are often bullied and rejected by their peers as a result of their weight. That stress can affect every part of their development, interfering with their learning (cognitive), health (physical and mental), and social well-being.”

The recommendations, described as “affordable, achievable, common sense measures,” were prepared for CHDI as part of a grant to the UConn Rudd Center for Food Policy and Obesity, funded by the Children’s Fund of Connecticut.  The author was public health policy consultant Roberta R. Friedman, ScM.

CHDI began focusing on strategies to promote healthy weight in children from birth to age two after publishing the IMPACT “Preventing Childhood Obesity: Maternal-Child Life Course Approach” in 2014. The report reviewed scientific research on the causes of obesity and explored implications for prevention and early intervention. In 2015, the Children’s Fund of Connecticut funded four obesity prevention projects in Connecticut that addressed health messaging, data development, policy development and baby-friendly hospitals.

CT Obesity Rate is 43rd in US; Steadily Increasing, But Among Lowest Rates

Connecticut’s obesity rate has increased dramatically during the past two decades, but the state has among the lowest adult obesity rates in the country, ranking 43^rd among the states in an analysis of obesity rates. According to the most recent data, rates of obesity now exceed 35 percent in three states (Arkansas, West Virginia and Mississippi), 22 states have rates above 30 percent, 45 states are above 25 percent, and every state is above 20 percent. Arkansas has the highest adult obesity rate at 35.9 percent, while Colorado has the lowest at 21.3 percent.

Connecticut now has the ninth lowest adult obesity rate in the nation, according to The State of Obesity: Better Policies for a Healthier America. Connecticut's adult obesity rate is currently 26.3 percent, up from 16.0 percent in 2000 and from 10.4 percent in 1990.

U.S. adult obesity rates remained mostly steady — but high — in 2014, the most recent full year data available, increasing in Kansas, Minnesota, New Mexico, Ohio and Utah and remaining stable in the rest.

The analysis also found that 9.2 percent of adults in the state have diabetes, an obesity-related health issue, ranking 35^th in the nation as of 2014. It is the highest rate in the state in the past 25 years. The number of diabetes case is projected to increase from 267,944 in 2010 to 412,641 by 2030, at the current pace of increase.

The adult hypertension rate, 31.3 percent, ranks Connecticut 27^th among the states.  The number of hypertension cases is projected to increase from 708,945 in 2010 to 941,046 by 2030.  Heart diseases is projected to increase from 214,986 people in 2010 to 1,014,057 in 2030, and obesity-related cancer is projected to more than double in 20 years, from 58,115 in 2010 to 147,883 in 2030.

The state-by-state analysis is a project of the Trust for America’s Health and the Robert Wood Johnson Foundation.

73 Local Health Departments Serve CT's 169 Municipalities

Connecticut has 73 local health departments serving the state’s entire population – individuals residing in the state’s 169 cities and towns. Data compiled by the state Office of Legislative Research breaks down the health departments by full-time and part time, as well as their geographic coverage. Of the 73 local health departments across the state, 53 are full-time departments, while the remaining 20 are part-time. The full-time departments include 33 individual municipal health departments and 20 health district departments (multi-town departments serving from two to 20 towns).

By law in Connecticut, a town may have a part-time health department if: (1) it did not have a full-time department or was not part of a full-time district before January 1, 1998, (2) it has the equivalent of one full-time employee, and (3) the Department of Public Health commissioner annually approves its public health program and budget.

According to the Department of Public Health (DPH), based on the state’s 2013 estimated population, full-time health departments (both municipal and district) serve about 95 percent of the state’s population, while part-time departments serve the remaining 5% percent, OLR reports.

Connecticut’s local public health system is decentralized and a local health department falls under the jurisdiction of its respective municipality or district. Staff are hired and employed by the municipal or district health department.

The law requires towns, cities, and boroughs to nominate a municipal health director, who must be approved by their respective legislative bodies and DPH. The DPH commissioner may remove the director for cause. The town, city, or borough may also take such action with the commissioner’s approval.

Municipal and district health departments enforce the state’s public health laws, rules, and regulations, including the Public Health Code. Responsibilities include jurisdiction to:

• examine and remediate public health hazards, nuisances, and sources of filth;
• levy fines and penalties for Public Health Code violations;
• grant and rescind license permits (e.g., for food service establishments or septic systems);
• establish fees for health department services;
• submit to DPH reports on reportable diseases from health care providers and clinical laboratories; and
• provide for sanitation services (district directors may serve as sanitarians as practical).

Full-time municipal and district health departments receive state funding. The legislature eliminated funding for part-time health departments in 2009, according to OLR.

Focus Shifts from Veterans to Children in Efforts to Combat Homelessness

As progress is being made in Connecticut and across the country to end homelessness among veterans, greater attention appears to be turning next to homelessness among families with children. Families with children under age 6 are the fastest growing segment of the homeless population in the United States, Myra Jones-Taylor, Commissioner of Connecticut’s Office of Early Childhood, told state legislators recently.

In Connecticut, an estimated 3,000 to 9,000 families with young children are homeless, Jones-Taylor said. Of that estimate, approximately 1,125 families experienced homelessness in 2015 with 2,022 children impacted. Of those children, 43 percent were under the age of 5 and 42 percent were between the ages of 5 and 12.

Governor Malloy announced last month that the federal government has certified Connecticut as having effectively ended homelessness among veterans.  Just the second state in the nation to accomplish the milestone, Connecticut has implemented a comprehensive, unprecedented system to target homelessness among veterans.  Connecticut was one of the first states to join a national initiative that sought to secure commitments from communities across the country to end veteran homelessness by the end of 2015.

Nationally, between 2009 and 2015, there has been a 35 percent reduction in the number of homeless veterans, according to a Governing magazine’s review of data from the Department of Housing and Urban Development, published this month.  In addition to Connecticut, major cities including New Orleans, Houston and Las Vegas have indicated that “they’ve effectively eliminated homelessness among veterans.”

“But most people who are homeless are not veterans.  And in many of the nation’s large cities, homelessness among the general population appears to be getting worse,” the magazine points out.  Between 2014 and 2015, overall homelessness in the nation’s 50 largest urban areas increased by 3 percent.  The number of unsheltered individuals in those cities went up 10.5 percent and the number of unsheltered people in homeless families grew by 18.8 percent, Governing revealed.

Many attribute the success in reducing the veteran homeless population to an aggressive well-planned effort initiated at the federal level, and are looking for similar efforts focused on homeless youth.

In President Obama’s budget plan submitted to Congress this year, he requested $10.967 billion for the purpose of reaching and maintaining the goal of ending family homelessness by 2020. The National Alliance to End Homelessness emphasizes that “should this request be enacted by Congress, it would give communities what they need to end homelessness for families with children.”

Connecticut Child Advocate Sarah Healy Eagan has said that “research has shown that homelessness puts children at increased risk of health problems, developmental delays, academic underachievement, and mental health problems.”

According to the National Low Income Housing Coalition (NLIHC), the federal Department of Housing and Urban Development (HUD) is asking Congress to provide sufficient funding for 10,000 new housing choice vouchers for homeless families with children, funding for 25,000 new permanent supportive housing units, and funds to provide 8,000 families with rapid rehousing assistance.

In addition, HUD announced a legislative proposal where it will seek $11 billion in mandatory spending over the next 10 years to serve a total of 550,000 families with additional vouchers, permanent supportive housing, and rapid rehousing assistance.

At a February public hearing at the State Capitol focused on proposed Senate Bill 10, which focuses on child care for homeless families with children.  It would create a “protective services” category for children experiencing homelessness, making them “categorically eligible” for child care subsidies regardless of the parent’s work status; and, ensure immediate access to child care for all children by creating a 90-day grace period for providing documentation of health and immunization records when enrolling in a child care center, group children care home, or family child care home.

The executive director of the Partnership for Strong Communities, Alicia Woodsby, testifying in support of the legislation, expressed the hope that its passage would “assist providers in resolving each case of family homelessness more quickly,” noting that families experiencing homelessness lack employment and are struggling with extreme instability.  The lack of child care makes it even more challenging for them to participate in worker training or secure new employment.”

The coalition of organizations and agencies led 2016 Homelessness & Housing Advocacy Days on March 2 and 3 at the State Capitol, drawing attention to the issue of homelessness, including homelessness among children and families.

There are wide estimates of just how many young people are homeless nationwide, according to the Child Welfare League of America, ranging from half a million to 1.6 million with estimates that up to 40 percent are gay, lesbian, questioning or transgender. Many of these young people have been kicked out of their own homes and are responsible for their own survival and are frequent targets of exploitation, trafficking and abuse while living on the streets CWLA points out.

The White House has pointed out that three years ago, in February 2013, the U.S. Interagency Council on Homelessness (USICH) issued a  Framework to End Youth Homelessness detailing the steps necessary to achieve the goal of ending youth homelessness by 2020, and strategies to improve outcomes for children and youth experiencing homelessness.

Officials noted that “the framework articulates the need for government, non-profit, civic, and faith community partners to focus together on the overall well-being of youth experiencing homelessness — addressing not just their need for stable housing, but also their educational and employment goals, and the importance of permanent adult connections in their lives.”

The conclusion of that report stated flatly that “we can end youth homelessness in America by 2020.”  The report emphasized that “Reaching this goal will require more resources at all levels and sectors, but resources are not enough. At all levels of policy and programming, we have to continuously challenge ourselves to gather and use better data, to leverage existing resources available to us, to implement more deliberate service strategies informed by good data and stakeholder input, and to coordinate systems and services around those strategies.”

“Access to high quality early care and education is extremely important for all children, but especially for children in vulnerable circumstances,” Rachel Leventhal-Weiner, Education Policy Fellow at Connecticut Voices for Children, told legislators.  “We consider homeless children to be among the most vulnerable.”

University of Hartford Students Develop First-of-Its Kind Prosthetic Hand, Patient Testing To Begin

Five graduate students and their professor in the Prosthetics and Orthotics program at the University of Hartford have reached a significant milestone in the development of a first-of-its-kind prosthetic hand. The prototype of the potentially revolutionary device, after more than two years in development, is now ready to be tested on patients. Currently, amputees have a limited selection of sizes and designs for a prosthetic hand. The groundbreaking project, which has come to be known as the “Hartford Hand,” has a unique design that allows each patient to receive a custom-made hand that fits his or her exact needs. Because of the students’ technological ingenuity, the hand can be adjusted as the patient grows.

“It is the only hand at this time known to be completely customizable in terms of size and proportion,” said faculty advisor Michael Wininger, Assistant Professor of Prosthetics and Orthotics. (see video, below)

The five graduate students, due to graduate from the program in May, have spent thousands of hours on this project since 2013, with the goal of making the world’s first prosthetic hand that can be fully customized to patients’ needs. The students have joined the project through many pathways, either as part of their formal requirements for research in their master’s curriculum, though undergraduate honors theses, elective Independent study enterprise, or as extra-curricular collaborators in a not-for-credit research immersion.

“This has been one the best opportunities I have had in my life to design,” said Christopher Welch, one of the students currently working on the Hartford Hand initiative. Each week, Welch and colleagues Yonathan Moshayev, Jake Green, Amber Sayer, and Stephen Sousa, spend several hours improving the current design to make the unique Hartford Hand a reality for patients.

The University of Hartford’s College of Education, Nursing and Health Professions collaborates with Hanger Clinic to offer the Master of Science in Prosthetics and Orthotics (MSPO). It is one of only 13 accredited programs in the United States. The curriculum provides students with strong foundational coursework in biomechanics, neuroscience, and kinesiology.

More than a great learning experience, the project has the potential to change lives as it prepares students for future career success. “They have more training than any other students in the country,” Wininger said, “which makes them competitive for their residencies. This is a good chance for students to train on cutting-edge technology.”

Two of the students presented the Hartford Hand at a national conference in San Antonio, Texas last year. “We were able to get professional feedback and network with people in our field,” said Sousa. Welch adds that everyone they talked with confirmed that there is a huge need for this hand. Both of them are planning to use the skills they have learned with this project to work in clinics after they graduate. “I am very grateful to have had this opportunity,” Sousa said. “I could not imagine a program without this great experience.” Previous students have presented at national conferences in Las Vegas, and have entered the Hartford Hand design into national engineering design competitions.

Wininger indicated that he anticipated tests with human subjects would begin by the end of the University’s spring semester.

The professions of prosthetics and orthotics are specialized allied health professions which combine a unique blend of clinical and technical skills. Professionals in this field design, fabricate, and fit orthopedic braces and artificial limbs for a broad range of clients from pediatric to geriatric.

PHOTO (at right): Yonatan Moshayev, Jake Green, Christopher Welch, Amber Sayer, Steve Sousa, and Assistant Professor Michael Wininger.

https://youtu.be/uxyeoi3G9ks

Survey Says Hartford Residents Want Healthier Foods and Beverages, Action Steps Suggested

Two-thirds of Hartford residents believe that fresh, healthy foods are too expensive, and 4 in 5 believe that it is very important for local childcare programs to offer healthy food options. In a survey commissioned by the American Heart Association's Hartford Accelerating National Community Health Outcomes through Reinforcing (ANCHOR) Partnerships Program, a majority of women, parents and young adults in the city see healthy foods as too expensive.

"Making healthier food more accessible to all will greatly improve health outcomes and move us closer to our goal of reducing deaths from cardiovascular disease and stroke," said Dr. Seth Lapuk, pediatric cardiologist and American Heart Association of CT/Western Massachusetts board president. "Healthy food access is especially critical for our children. Obese children as young as 3 years old show indicators for developing heart disease later in life. These survey findings show the community wants the healthy choice to be the easy choice."

The survey was part of an overall initiative to improve access to healthy foods in underserved communities. It was conducted in September 2015 and included 400 Hartford residents.  The survey also revealed that 70 percent strongly support matching a portion of SNAP (Supplemental Nutrition Assistance Program) so people can spend more on healthy foods. Respondents would also like to see an increase in the number of farmers' markets and wider acceptance of SNAP at farmers' markets and mobile markets.      

Based on the findings of this survey, the organization highlighted recommendations to address residents' concerns:

• Encourage local community, government and business leaders to increase access to healthy foods
• Present child care programs as an example of a key setting that has important influence on family nutrition and healthy food policy
• Promote farmers' markets as a way to increase competition and drive down price

Hartford Mayor Luke Bronin said "As a mayor and as a parent of three young kids, I'm proud to say that our schools and our Department of Children & Families have been making great efforts to promote healthy foods. To keep Hartford healthy and strong, we need to continue working hard to make sure that healthy food and beverage options are available wherever our residents live, work, play and learn."

Just over the city line in West Hartford, ShopRite supermarket (corner of Kane and Prospect Streets) is offering a series of free courses with a registered dietician to help individuals know “where to start on your path to becoming healthier.”  The “Eat Well Be Happy” Weight Management Series begins on February 24, and will be held every Wednesday from 6-7:30 p.m., for six weeks. Each class focuses on a different topic including: meal planning, portion control, importance of fiber, protein and hydration and controlling sugar cravings, among others.  Individual consultation is also available, and all nutritional services are available to customers free of charge.   (Interested individuals can contact shana.griffin@wakefern.com)

"Healthy food does not have to be out of reach on the basis of cost," said Martha Page, executive director of Hartford Food System and chair of the Hartford Advisory Commission on Food Policy.

"Based on the findings of this survey, I am glad to see that our residents view early childhood programs as a key opportunity to provide a positive influence on family health," said Jane Crowell, Assistant Director, Hartford Department of Families, Children, Youth and Recreation, Division for Young Children. "Hartford's Little City Sprouts program does exactly that by providing healthy foods and beverages to the children, encouraging community gardening, offering caregiver support and information to promote healthy food preparation through recipes and snack ideas."

The ANCHOR Project is a federally funded collaboration between the American Heart Association and the Centers for Disease Control and Prevention (CDC). The focus of the ANCHOR project is to improve access to healthy foods through the promotion of healthy food financing initiatives with grocery stores, healthful food and beverage contract arrangements among organizations and institutions, and farmers' markets. For more information on the American Heart Association's ANCHOR Partnerships Program, go to www.heart.org/ANCHOR .

Connecticut Among Five States with Highest Percentage of Foster Children in Group Homes, Report Says

The percentage of children in foster care in Connecticut who have not been placed with a foster family is among the highest in the nation, according to a report issued in 2015.  The report, from the Annie E. Casey Foundation, highlights the differing policies and practices among states, stressing that “kids should live with relatives or foster families when they have been removed from their own families, but one in seven nationally lies in a group placement.” In Connecticut there are 4,071 children in foster care, with 74 percent in family placement and 24 percent in non-family placement, exceeding the national average, according to the report.  That compares with 84 percent in family placement and 14 percent in non-family placement, nationally.  Only Colorado (35%), Rhode Island (28%) and West Virginia and Wyoming (27%), had a higher percentage of foster children than Connecticut in a non-family placement. 

The state-by-state data from 2013, the most recent year available, shows use of group placements varies widely by state, ranging from 4 percent to 35 percent of children under the system’s care.  In Oregon, Kansas, Maine and Washington, only 4 to 5 percent of young people in out-of-home care are in group placements, the report points out.

The Foundation’s policy report, Every Kid Needs A Family, highlights “the urgent need to ensure, through sound policies and proven practices, that everything possible is being done to find loving, nurturing and supported families to children in foster care.” The report highlights the promising ways that state and local government leaders as well as policymakers, judges and private providers can work together as they strive to help these 57,000 children who are living in group placements – and overall, the more than 400,000 children in the care of child welfare systems.

The report goes on to recommend how communities can widen the array of services available to help parents and children under stress within their own homes, so that children have a better chance of reuniting with their birth families and retaining bonds important to their development. And it shows ways in which residential treatment — a vital option for the small percentage of young people who cannot safely live in any family during treatment — can help those young people return to families more quickly and prepare them to thrive there.

“We have an obligation to help all of our kids succeed,” said Patrick McCarthy, president and CEO of the Casey Foundation. “If our children couldn’t live with us, we would want them to live with someone close to us - and if that couldn’t happen, with a caring foster family who could provide them with as normal a life as possible during a turbulent time. This report shows more kids can live safely in families and get the nurturing they need while under the care and protection of our child welfare systems.”

Among the report’s findings across the United States:

• One in 7 children under the care of child welfare systems live in group placements, even though federal law requires that they live in families whenever possible.
• Forty percent of the children in group placements have no documented behavioral or medical need that would warrant placement in such a restrictive setting.
• While research shows children who need residential treatment likely need to stay no longer than three to six months, young people are staying in group placements an average of eight months.
• Group placements cost 7 to 10 times the cost of placing a child with a family.

The report also indicates that African American and Latino youth are more likely than white youth to be placed in group settings, and boys are more likely than girls to be in group placements.  Nationally, African American youth are 18 percent more likely than their white counterparts to be sent to group placements, and boys are 29 percent more likely than girls, according to data cited in the report.

Head Impacts in Lacrosse Subject of Closely Watched Study at Sacred Heart University

With heightened focus in recent years on the ramifications of concussions on the careers and lives of athletes – especially professional football players – research is gaining interest and attention in a range of contact sports. The recent release of the popular movie Concussion has pushed awareness and interest even further – along with the appetite for scientific research. In Connecticut, Sacred Heart University (SHU) is underway with poised to start the third year of a four-year study of the school’s men’s lacrosse team, which will be among the first comprehensive studies looking at head impact and concussions in the sport at the college level. U.S. Lacrosse, the sport’s governing body, provided the SHU athletic-training education program a $15,000 grant to study the effects of on-the-field head impacts. The 2016 season began on February 13 and runs through April 30.

The SHU study got underway in January 2014 and was initially focused on freshmen players.  It has continued to monitor the same athletes as they progress through their four-year lacrosse career.  The goal is to gain a better understanding of concussions in the sport and ultimately generate insights for safer play.

Theresa Miyashita, director and assistant professor for the athletic training education program, launched the accelerometer concussion study at the University. The research involves the use of accelerometers in the team’s helmets. These sensors detect the amount of impact (in Gs or standard gravity acceleration) a player receives when he gets hit by a ball, a stick, another player or hits the ground.

“We are one of the first in the country to embark on an accelerometer concussion study of this size in men’s lacrosse,” said Miyashita. “We are collaborating with Professor Michael Higgins at Towson University, who is conducting a similar study to compare impacts on different helmets (Cascade vs. Warrior). This research targets the fastest-growing team sport in America.”

The players have been wearing these sensors in their helmets for the entire season – both in practices and games. The information received from the sensors is then uploaded to see the number of impacts sustained, where the impacts were sustained and the amount of Gs each impact had. This data is then compared to a number of different variables such as neurocognitive function, modified IQ scores, depression/anxiety, alcohol/drug dependency screens and concussion injuries. The players were baseline tested and are given a post-test when each season is complete.

The study is being done in partnership with a Canadian company, GForceTracker, which has developed “an advanced athlete monitoring system used to collect, measure, and analyze head impacts & biometric performance data, all in real time.” The company produces a “Hit Count® Certified, advanced linear g-force and rotational impact sensor monitoring system that accumulates a lifetime of head impacts.”

The detection device monitors, measures and provides vital statistics such as number of impacts, severity of impacts, local alarming when the impact exceeds an acceptable threshold and accumulates this data to provide key metrics that determine whether its user has suffered a possible head injury.  The GFT is currently the only Hit Count® Certified head impact sensor on the market, the company’s website indicates, “and can be used by individual players or entire teams in both helmeted and non-helmeted sports.”

“The men’s lacrosse team and their coach, John Basti, have been huge supporters and have been instrumental in getting this project running,” Miyashita said. “This project would not be possible without them and the rest of my research team.”

Miyashita’s team consists of Professor Eleni Diakogeorgiou; Kaitlyn Marrie, staff member for the athletic training program; Mary Jo Mason from the Health and Wellness Center, Professor Kelly Copperthite and a number of her athletic training students.  The Fairfield County Business Journal recently reported that Miyashita’s husband is a former professional player who is now assistant coach of the SHU men’s team.

Sacred Heart University, with a student population of 6,400, is the second-largest independent Catholic university in New England, offering more than 50 undergraduate, graduate and doctoral programs on its main campus in Fairfield.  The SHU Pioneers' men's lacrosse team competes in the Northeast Conference of the NCAA Division 1.

https://youtu.be/TewBxtexNjE

Motor Vehicle Deaths Up 14 Percent in CT in 2015, Exceeding National Average

The death toll in Connecticut from motor vehicle accidents increased 14 percent in 2015 from the previous year, consistent with a nationwide increase but higher than the national average.  The increase in Connecticut ranked the state tied for 14^th in the percentage increase in motor vehicle deaths from 2014 to 2015. Nationally, 2015 saw the largest single-year percent increase in motor vehicle deaths since 1966. Estimates from the National Safety Council (NSC) show an 8 percent increase in 2015 compared with 2014 – with substantial changes in some states, including Connecticut.  There were 283 motor-vehicle related deaths in Connecticut last year, compared with 249 in 2014 and 276 in 2013.

While many factors likely contributed to the fatality increase, a stronger economy and lower unemployment rates are likely at the core of the trend.  The National Safety Council estimates 38,300 people were killed on U.S. roads, and 4.4 million were seriously injured, meaning 2015 likely was the deadliest driving year since 2008. The annual total of motor vehicle fatalities for 2014 was 35,398.

Over the last year at the state level, the National Safety Council estimates Vermont (30 percent), Oregon (27 percent), New Hampshire (24 percent), Georgia (22 percent), Washington (21 percent) and Florida (18 percent) experienced the largest percentage increase in fatalities, while only 13 states showed improvement. Among them were New Mexico (-20 percent), Kansas (-7 percent) and New Jersey (-2 percent).

Increases were also in Arizona (15%), Colorado (17%), Idaho (17%), Montana (17%), Maine (16%), Maryland (16%), and South Carolina (16%).  Also seeing 14 percent increases along with Connecticut were Arkansas, Minnesota, Missouri, and Nevada.  

“These numbers are serving notice: Americans take their safety on the roadways for granted,” said Deborah A.P. Hersman, president and CEO of the National Safety Council. “Driving a car is one of the riskiest activities any of us undertake in spite of decades of vehicle design improvements and traffic safety advancements. Engage your defensive driving skills and stay alert so we can reverse this trend in 2016.”

From 2013 and 2015, Connecticut had a 3 percent increase in traffic fatalities, according to the data.

The estimated cost of motor-vehicle deaths, injuries, and property damage in 2015 was $412.1 billion, according to NSC.  The costs include wage and productivity losses, medical expenses, administrative expenses, employer costs, and property damage.

The estimate is subject to slight increases or decreases as data mature, according to the National Safety Council. NSC has issued annual traffic fatality estimates since 1921. Over the last three years, preliminary estimates have fallen within 1 percent of final counts.

Average gas prices were 28 percent lower in 2015 than in 2014 and are projected to continue dropping this year, making driving more affordable for many Americans, NSC pointed out, noting that the U.S. Department of Transportation estimates a 3.5 percent increase in the number of miles driven in 2015 compared to 2014.

To help ensure safety, the National Safety Council recommends drivers:

• Make sure every passenger buckles up on every trip
• Designate an alcohol and drug-free driver or arrange alternate transportation
• Get plenty of sleep and take regular breaks to avoid fatigue
• Never use a cell phone behind the wheel, even hands-free
• Stay engaged in teens’ driving habits, as teens are three times as likely to crash as more experienced drivers
• Learn about vehicle safety systems and how to use them, including features such as adaptive cruise control, blind spot warning systems and backup cameras.

Founded in 1913 and chartered by Congress, the National Safety Council, nsc.org, is a nonprofit organization whose mission is to save lives by preventing injuries and deaths at work, in homes and communities, and on the road through leadership, research, education and advocacy.