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Witnesses tell Congress: certify adoption‑competent clinicians and raise Medicaid support to reach children in care
Summary
Witnesses urged Congress to expand adoption‑competency training, pursue certification and directories of qualified clinicians, and address Medicaid reimbursement to increase access to behavioral‑health services for foster and adoptive children.
Multiple witnesses told the subcommittee that insufficient clinician capacity and low Medicaid reimbursement rates limit access to adoption‑competent mental‑health care, which in turn increases the risk of disrupted adoptions and placement instability.
Debbie Riley described training programs (NTI and adoption‑competency curricula) that have trained thousands of clinicians and cited research showing better outcomes for families treated by clinicians with that training. "We want to expand this training, establish national standards, improve…
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