vania-janet/multiturn-rag-retrieval-data huggingface dataset:
The 2024-25 Budget: Child Welfare
Children with higher-acuity needs would be classified into higher tiers, while children with relatively less-intensive needs would be classified into lower tiers. Children six years of age and older with the most intensive behavioral health and other needs would be classified as Tier 3+; this is the only tier where STRTP placements may be deemed necessary.
Developing Rate Components. Within each tier, rates would be based on three components, aiming to reflect children’s needs in those areas. Children classified into higher tiers likely would receive higher rates across some or all of the rate components, reflecting their more intensive level of need. Although few details about the rate components are known at this time, they fall into the following high-level categories:

(1) Care and supervision rate, paid to the caregiver.
(2) Strength building and maintenance rate, with activities and services overseen by a financial management coordinator.
(3) Immediate needs rate, when relevant.

Using the Child and Adolescent Needs and Strengths (CANS) Assessment to Determine the Appropriate Level of Care and Supports Needed. LOCP would no longer be used to determine rates. Under current policies, CANS assessments are completed as part of the Child and Family Team (CFT) process. Based on an initial analysis of CANS data, DSS has estimated the distribution of foster youth across the newly proposed tiers, as shown in Figure 4.

Figure 4
Department of Social Services Estimated Distribution of Youth Across Proposed Tiers

Tier 1

Tier 2

Tier 3

Tier 3+

Estimated Proportion of Foster Youth:

74 percent

19 percent

4.5 percent

2.5 percent

Overall Profile of Youth:

Children ages 0‑5 and 6+ with relatively low levels of need

Children ages 0‑5 and 6+ with moderate levels of need

Children ages 0‑5 with the highest levels of need

Children ages 6+ with the highest levels of need

Budget Proposal Includes Initial Funds to Begin Automation.
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2001 Budget Analysis Department of the Youth Authority (5460)
approach taken by the Legislature last year was to provide comprehensive solutions, but fund only those steps that the Youth
Authority believed could be accomplished in the budget year. The treatment slot numbers proposed by the Legislature were
designed to fully address unmet needs as identified in the Youth Authority's 1998 Treatment Needs Assessment. Recognizing that
an update of that assessment was needed in light of changes in Youth Authority population characteristics, the Legislature included
$400,000 for a new and more comprehensive treatment needs assessment. This assessment was to be used to update the numbers
of slots referenced in the budget bill language.
The budget proposes to begin addressing these unmet needs more incrementally without committing to future year expenditures.
While it is unlikely that the department could implement all of the program changes needed to meet their ward treatment
requirements in the budget year, it appears likely based on prior planning and development work that it could do more than is
proposed by the Governor's budget.
Sex Offender Treatment and Ward Rights Ready for Additional Augmentation. If the Legislature determines that it wants to
take more comprehensive steps to address these treatment issues, we recommend that it give first priority to the sex offender
treatment and ward grievance procedure proposals, as the department is most likely to have the ability to expand these services
based on preliminary assessment and planning work already completed in this area.
Proposed Study Should Guide Future Increases for Treatment Initiatives. We recommend approval of the mental health
and substance abuse proposals because they move towards addressing current ward treatment needs. Currently, the department
has received funds to thoroughly assess and plan for mental health services. This report would cover sex offender, substance abuse,
and mental health treatment. The results of the assessment should guide any future funding increases for treatment services.
Long-Range Plan for Juvenile Justice Data Collection In California Long Overdue 
We recommend that the Youth Authority report to the budget committees, prior to budget hearings, on the status of its
long-range plan for juvenile justice data collection and analysis in California. 
The Legislature appropriated $300,000 to the Youth Authority in the 1996-97 Budget Bill to contract for the development of a
long-range plan for juvenile justice data collection and analysis on a statewide basis.
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CDC recommends the 2023–2024 updated COVID-19 vaccines—Pfizer-BioNTech, Moderna, or Novavax—to protect against serious illness from COVID-19.
Everyone aged 5 years and older ‡ should get 1 dose of an updated COVID-19 vaccine to protect against serious illness from COVID-19.
Children aged 6 months–4 years may need multiple doses of COVID-19 vaccines to be up to date, including at least 1 dose of updated COVID-19 vaccine.
People who are moderately or severely immunocompromised may get additional doses of updated COVID-19 vaccine.
People aged 65 years and older who received 1 dose of any updated 2023-2024 COVID-19 vaccine (Pfizer-BioNTech, Moderna or Novavax) should receive 1 additional dose of an updated COVID-19 vaccine at least 4 months after the previous updated dose. For more Novavax information, click or tap here.
COVID-19 vaccine recommendations will be updated as needed.
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California’s Child Welfare System: Addressing Disproportionalities and Disparities
Given the potential to conflate poverty and possible neglect, some recent policy bills—namely, Chapter 770 of 2022 (AB 2085, Holden) and Chapter 832 of 2022 (SB 1085, Kamlager)—have focused on clarifying that experiencing poverty is distinct from child maltreatment, in particular general neglect. These bills, described in the box below, have amended relevant sections of the Welfare and Institutions Code and Penal Code accordingly. 

Recent Bills Aim to Distinguish Poverty From Reportable Neglect
Chapter 770 of 2022 (AB 2085, Holden) clarified that a parent’s economic disadvantage in and of itself does not constitute neglect and added that “general neglect” entails a situation in which a child is at substantial risk of suffering serious physical harm or illness. Similarly, Chapter 832 of 2022 (SB 1085, Kamlager) prohibits a child from being found to be within the jurisdiction of the juvenile court solely on the basis of conditions of financial difficulty unless the court determines there is willful or negligent action or failure to act resulting in a substantial risk the child will suffer serious physical harm or illness. Stated legislative intent of these new laws is to: (1) decrease the number of unsubstantiated general neglect allegations that disproportionately impact Black and Native American children (AB 2085), and (2) ensure that families are not subject to the jurisdiction of the juvenile court and children are not separated from their parents based on conditions of economic hardship (SB 1085). 

Increasing Focus on Behavioral Health. Beyond the child welfare system itself, significant legislative efforts have focused on California’s health care system—including behavioral health programs and services. Ongoing efforts include multiyear initiatives led by the Department of Health Care Services, such as California Advancing and Innovating Medi‑Cal, proposed changes to the Mental Health Services Act, and the Children and Youth Behavioral Health Initiative.
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 Join us and the many others in creating public awareness on veteran suicide and how to prevent it. In a crisis, your actions could help save a life – be aware, get involved, seek help.


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The 22 push-up challenge is just one way in which awareness on veteran suicide and prevention can be shared. Many organizations, governmental programs, and local community efforts are rallying behind the same objectives – create awareness, educate on suicide prevention, and provide support for veterans and their families.
In 2012, the U.S. Department of Veterans Affairs (VA) published its Suicide Data Report revealing an average of 22 veterans are killed by suicide every day – the numbers have changed. According to another VA report (i.e., Suicide Among Veterans and Other Americans 2001-2014), the number has decreased to approximately 20 a day – while a slight improvement, even one is still too many.
The Warning Signs
It is important to note that individuals handle situations differently and those closest may be the first to recognize distress. These individuals can also provide needed support during crisis.
The VA and the California Department of Veterans Affairs (CalVet) combined, provide the following warning signs to look for including those that may require immediate attention (bolded below):

    Thinking about or threatening to hurt or kill oneself
    Looking for ways to kill oneself
    Talking or writing about death, dying, or suicide
    Self-destructive behavior such as drug abuse, weapons, etc.
    Hopelessness, feeling like there is no way out, trapped
    Anxiety, agitation, sleeplessness, sleeping too much, or mood swings
    Feeling like there is no reason to live, no sense of purpose in life
    Rage, anger, or the need to seek revenge
    Engaging in risky activities without thinking, being reckless
    Increasing alcohol or drug abuse
    Withdrawing from family, friends, and society

Getting Help
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Recommendations for Children Aged 6 Months – 4 Years
Children Who Are Not Vaccinated
Children aged 6 months–4 years should get two or three doses of updated COVID-19 vaccine depending on which vaccine they receive.

Pfizer-BioNTech

1st DosePfizer-BioNTechUPDATED VACCINE2nd DosePfizer-BioNTechUPDATED VACCINE3–8 weeks after 1st dose
3rd DosePfizer-BioNTechUPDATED VACCINEAt least 8 weeks after 2nd dose

Note: Children this age may receive Moderna vaccines after the first or second Pfizer-BioNTech vaccine in some situations.
More details: Up to Date

Pfizer-BioNTech Vaccine Overview

Moderna

1st DoseModernaUPDATED VACCINE2nd DoseModernaUPDATED VACCINE4–8 weeks after 1st dose

Note: Children this age may receive Pfizer-BioNTech vaccines after the first Moderna vaccine in some situations.
More details: Up to Date

Moderna Vaccine Overview

Children Who Got Previous COVID-19 Vaccine(s)
Children aged 6 months–4 years who got COVID-19 vaccines before September 12, 2023, should get one or two doses of updated COVID-19 vaccine depending on which vaccine and the number of doses they’ve previously received.

Pfizer-BioNTech

One Previous Dose
2nd DosePfizer-BioNTechUPDATED VACCINE3–8 weeks after 1st dose
3rd DosePfizer-BioNTechUPDATED VACCINEAt least 8 weeks after 2nd dose

Two or More Previous Doses
1 DosePfizer-BioNTechUPDATED VACCINEAt least 8 weeks after the last dose

Note: Children this age may receive Moderna vaccines after the first or second Pfizer-BioNTech vaccine in some situations.
More details: Up to Date

Pfizer-BioNTech Vaccine Overview

Moderna

One Previous Dose
1 DoseModernaUPDATED VACCINE4–8 weeks after the last dose

Two or More Previous Doses
1 DoseModernaUPDATED VACCINEAt least 8 weeks after the last dose
Youth Mental Health Resource Hub - California Health and Human Services
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