The American Academy of Pediatrics embraces the diagnosis, but courts have thrown out some cases, calling it “junk science.”

The move is designed to reduce some of the rotating overtime shifts expected of agency caseworkers at group homes and motels, which have been criticized as dangerous for the children who live there.

The Texas Department of Family and Protective Services’ investigations division has seen record-high staff turnover, with 4 in 10 investigators leaving their jobs in 2022.

Legislators also passed bills that will provide foster kids entering the troubled system with duffel bags or backpacks and those aging out of the system with help setting up bank accounts.

The legislation came after The Refuge, a Bastrop foster care facility, hired a caretaker without knowing she had a history of sexual misconduct with children at a state juvenile facility. Coworkers also concealed evidence of the abuse, which further put the foster girls at harm.

Residential facilities did not refill medications in a timely manner, failed to follow psychiatric orders and, in several instances, violated state guidelines, court monitors documented after site inspections. The lawyer representing the foster kids said it could be “the tip of the iceberg.”

Most reports of child abuse or neglect turn out to be unfounded. But while under investigation, parents with little understanding of their rights or the process often make decisions that could impact the fate of their families.

In a fifth report tracking the state’s efforts to remedy its embattled foster care system, federal monitors documented persistent risks to Texas children ahead of next week’s court hearing.

Texas allows religious groups that are part of the state’s child welfare network to refuse to assist LGBTQ couples seeking to foster or adopt. That could put critical federal funding at risk.

The U.S. Supreme Court heard arguments Wednesday in a lawsuit challenging the preferences Native American families and tribes are given under the Indian Child Welfare Act.

The grand jury said it did not find sufficient evidence to indict Iesha Greene, who was reported to have sold and solicited nude photos of children at the Bastrop shelter.

Gov. Greg Abbott largely remained silent as dangerous conditions caused by a lack of staff persisted at Texas juvenile facilities during the summer.

Texas Department of Family and Protective Services leaders instructed employees to avoid written communications about the cases and barred low-level employees from handling the investigations, according to internal agency communications.

At least 48 Texas children are housed at facilities run by organizations under an investigation launched by two U.S. senators.

The judge in the 11-year federal lawsuit against Texas said the state has not properly punished or shut down unsafe child care placement facilities or curbed the rate of children who are sexually victimized while in the state’s care.

The high court also raised questions about why the state opened these investigations in the first place, noting that the child welfare agency is not bound by directives from the governor.

The court-appointed watchdogs expressed concern after learning that a caretaker accused of exploiting children at a state-licensed facility in Bastrop had been previously fired from a state juvenile justice facility for misconduct.

State records show Iesha Greene was fired in 2020 from a state juvenile facility for having inappropriate relationships with children. The Refuge said it was aware of her previous work there, but it never requested her publicly available personnel records.

Other investigators don’t want to follow an order they believe harms families but worry about the impact of a mass employee exodus on the state’s most vulnerable children.

Most of the deaths were attributed to “preexisting medical conditions” or abuse suffered before the children entered the system, according to the DFPS report. The numbers are on par with those reported in previous years.

U.S. District Judge Janis Jack said she is seeking a federal criminal investigation into allegations that children were sexually abused and trafficked at The Refuge, a state-licensed foster care shelter for victims of sex trafficking.

Brooke Crowder said The Refuge is working to incorporate a deeper employee screening process with the help of a company recommended by the governor’s and attorney general’s offices.

An attorney representing foster care children in a suit against Texas said Department of Public Safety director Steve McCraw’s conclusion that there was no evidence of sexual abuse despite the investigation into the photos was “both surprising and extremely troubling.”

Speakers at South by Southwest decried attempts by Texas officials to open child abuse investigations into families whose kids have used treatments like puberty blockers and hormone therapy.

The Refuge, which closed Friday, said it fired an employee accused of coercing the victims to sell nude photos as soon as it found out. The Bastrop-based shelter has not addressed the other eight staff members also accused of causing harm to the girls.

The Department of Family and Protective Services has been under federal court monitoring for over a decade for violating the civil rights of kids in foster care. Now, the short-staffed agency has to investigate parents who provide their children with gender-affirming care.

A Texas judge was scheduled to consider a statewide injunction on investigations of parents over obtaining gender-affirming care. The appeal now puts the hearing on hold.

The state’s foster care system has been dangerous to children and embarrassing to the state for years. But with state officials constantly chasing other issues, it’s still suffering from neglect.

The federal judge overseeing the decadelong lawsuit against Texas for conditions in its foster care system cut this week’s hearing short. She proposed all parties involved, including the governor, “cut to the chase” to identify solutions.

More children are being treated in Texas hospitals for COVID-19 than ever before, and an unseasonable outbreak of respiratory syncytial virus is adding to the stress on children’s hospitals.

Increased oversight and lack of funding mean hundreds of children spend their nights in hotels and churches and on office floors.