May 2024 Child Support Report
May 2024 Child Support Report May 30, 2024 | Volume 45 | No. 5 | Monthly
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TABLE OF CONTENTS
- Indian Country’s MMIP Crisis: Economic and Social Mobility as Public Health Pillars of Prevention, Intervention, Healing, and Response
- Kids and Teens Can Access Mental and Behavioral Health Services Through Medicaid and CHIP
- Strengthening Families Through Arapahoe County’s Motherhood Program
- The Power of Partnership Between Child Support and Head Start
- Resource Alert: ACF Behavioral Health Page
- Policy Recap
Indian Country’s MMIP Crisis: Economic and Social Mobility as Public Health Pillars of Prevention, Intervention, Healing, and Response
Marisa Miakonda Cummings, Administration for Native Americans

May is Missing and Murdered Indigenous People (MMIP) Awareness Month, an annual time to raise awareness about the alarming number of Indigenous women, girls, Two-Spirit individuals, and people who have experienced violence and trauma in the United States. This is an important issue where everyone has a role to play in awareness and prevention, including child support professionals.
MMIP refers to the American Indians, Alaska Natives, Native Hawaiians, and the Indigenous peoples of Guam, American Samoa, and the Northern Mariana Islands who have been victims of violence, homicide, human trafficking, and sexual exploitation. For generations, Indigenous people and Native communities have struggled with high rates of violence and trauma caused by the devastating legacy of assimilationist policies of forced removal, boarding schools, and bureaucratic oppression. Repeated traumatic experiences over generations have made Native people vulnerable to all forms of violence, diminished their resilience, and weakened their health. Preventing that susceptibility and healing from inter-generational trauma are directly associated with long term positive health outcomes.
Economic and social mobility important to prevention
Economic mobility for Native people is a priority for the communities that ACF serves. Native families deserve to enjoy the benefits of employment, education, and skill-building opportunities that increase their earnings for future well-being, prosperity, and success. Economic and social mobility has been systematically and intentionally restricted for Native people who choose to retain culture, language, and traditions in their home communities and tribal nations. Often, economic and social mobility requires Native people to leave their home communities to access skill-building and empowerment opportunities like education, employment, and housing. Additionally, safe and healthy environments are often sought outside of home communities and tribal nations. Leaving kinship systems in home communities and tribal nations increases vulnerability.
ACF’s Action Plan
ACF is committed to harnessing its resources to confront the crisis of Missing or Murdered Indigenous People, which has disproportionately harmed Native communities. To counter the cumulative impacts of this historical trauma, ACF will prioritize working in partnership with Native communities using its grant funding and technical assistance resources, as well as rulemaking authority where appropriate.
This ACF Action Plan is called Culture is Prevention: A Strength Based, Culturally Grounded Journey Toward Prevention, Intervention, and Healing (PDF). ACF recognizes that enduring change must be grounded in culture and self-governance. It’s important for non-Native persons to understand that culture to Native people is not merely a social preference but an ancient cognitive map on how to be and a way of knowing. Moreover, hundreds of years across many generations have shown that culture-based activities and interventions improve Native/Indigenous health and well-being. Accordingly, this MMIP Action Plan blends cultural values with the four public health pillars: prevention, intervention, healing, and response. This plan is designed to support optimal outcomes in the delivery of ACF programs and services to Native people and communities.
The Action Plan states that tribal sovereignty is rooted in self-determination and self-governance. It also advances the whole of government commitment to addressing the MMIP crisis and sets out a multipronged approach to advance ACF’s work in preventing violence to Native people and promoting healing from historical trauma. Importantly, it adopts responsive administrative processes such as self-governance and Indigenous knowledge, as well as identifies ways to leverage ACF’s grant funding, community engagement, and rulemaking authority.
These administrative actions are in alignment with Executive Order 14112 Reforming Federal Funding and Support for Tribal Nations To Better Embrace Our Trust Responsibilities and Promote the Next Era of Tribal Self-Determination through lessening the administrative burden of grant programs, eliminating non-federal match requirements, and minimizing grant reporting burdens. By reducing grant administration burdens on tribal nations, we focus on the impact and reduce governments paternalistic oversight.
Child support and MMIP prevention and intervention
The Office of Child Support Services works to help tribes and states in establishing paternity and obtaining child support. OCSS promotes responsible parenting, family independence and self-sufficiency, and child well-being, and recognizes the essential role of both parents in supporting their children. Currently, tribes operate child support programs providing services to Native American families consistent with tribal values and cultures. While many tribal members use child support services provided by tribal child support agencies, a significant number of Alaska Natives and American Indians use child support services administered by state agencies. OCSS partners with tribal communities to build child support programs that foster the economic stability of tribal families through consistent and reliable child support payments.
Native people may not seek child support services for fear of violence or retaliation. If a mother is a survivor of domestic violence in addition to generational violence through historical trauma, she is likely to avoid child support services to reduce her and her family’s exposure to violence. This reduces her potential income and therefore economic and social mobility. Economic oppression and poverty are risk factors that create a vulnerability for violence and affect all areas of an individual’s social determinants of health. This includes her and her children’s access to safe and functional housing, quality education, healthy and traditional food sources, and quality integrated health care.
OCSS offers training for child support agencies that provides caseworkers with information and model practices on safe access to child support services. These trainings also help support economic and social mobility of Native children and families by striving to reduce the risk factors associated with MMIP. Child support programs can request this training by emailing Michael.Hayes@acf.hhs.gov. OCSS also created a domestic violence awareness tear sheet for tribal communities (PDF) that includes contact information for the StrongHearts Native Helpline. Tribes can post these tear sheets to promote the Helpline, which offers safe, confidential, and culturally-appropriate support to those experiencing domestic and dating violence.
You can visit the ANA website for more resources and information on MMIP.
Kids and Teens Can Access Mental and Behavioral Health Services Through Medicaid and CHIP
Centers for Medicare & Medicaid Services

Just like seeing a doctor or dentist for regular check-ups, having kids use mental and behavioral health services can support their overall well-being. Recent data shows that more than 42% of students felt persistently sad or hopeless and nearly 29% experienced poor mental health. It’s important to ensure that families are aware of their options to access mental and behavioral health services for their children.
This Mental Health Awareness Month, the Connecting Kids to Coverage National Campaign is encouraging child support professionals to tell parents and caregivers about the benefits of Medicaid and the Children’s Health Insurance Program (CHIP). These programs cover services to prevent, diagnose, and treat a range of mental health disorders.
Early intervention and providing access to comprehensive care are two ways we can help improve mental health outcomes among youth. You can use these messages to spread the word about the services available through Medicaid and CHIP with families in your community:
- DYK - #Medicaid and #CHIP health insurance cover mental and behavioral health services, including prevention, diagnosis and treatment? Kids and teens up to age 19 can enroll today to get access to these services and more: https://bit.ly/469iJ2a
- When enrolled in #Medicaid and #CHIP, kids and teens don’t just get mental and behavioral health services covered - they can also use telehealth services for treatment. Learn more and get enrolled today: https://bit.ly/469iJ2a
- Mental and behavioral health is an important part of a child’s overall health and well-being. With free or low-cost health insurance through #Medicaid and #CHIP, kids and teens can get access to important mental and behavioral health services: https://bit.ly/469iJ2a
You can also find a variety of resources aimed at increasing awareness around mental and behavioral health care at InsureKidsNow.gov . Resources include digital videos, a print-ready poster available in 22 languages, more suggested social media copy and images, a newsletter template, and more.
Medicaid and CHIP enrollment is open year-round, so families can explore their coverage options at any time. Don’t forget to remind families already enrolled to keep an eye on their mailbox and return any renewal forms from their state Medicaid office as soon as possible to avoid a lapse in coverage!
Strengthening Families Through Arapahoe County’s Motherhood Program
Bob Prevost, Deputy Director, Community and Child Support Services Division

Colorado’s Arapahoe County Child Support Services started the Parents to Work program in 2009 because we found that even willing payors, primarily dads, were struggling with child support expenses. This program helps unemployed or underemployed payors find and keep employment. To demonstrate the importance of a dad’s role in their children’s lives and to nurture this relationship, our Fatherhood program is offered in conjunction with Parents to Work.
Unfortunately, we learned that even if we did everything we could for a dad—addressed all issues, provided opportunities to become gainfully employed, and increased parenting skills—dad often remained outside of the family and not a part of the children’s lives unless mom was equally as committed. We needed to address moms’ needs too.
We began an exhausting and extensive search for an existing Motherhood program to complement our Fatherhood program. But a program like we envisioned didn’t seem to exist anywhere—we had to build the program from the ground up. We previously partnered with the Center for Relationship Education for our Parents to Work program, and they were already providing our Relationship Education classes. They were a natural partner to help our moms. They designed a curriculum and have facilitated the Motherhood program since we launched it in 2018.
The Motherhood program doesn’t teach moms how to be moms. Instead, it:
- Speaks to the vital role both parents play in a child’s life
- Addresses the importance of having a relationship with their child’s dad so that both parents can participate in their children’s lives
- Enables better communication between parents on normal and complex issues
The program also addresses the top issue for many moms: social capital. The program is a chance for moms in similar situations to find support among peers. It gives them a group to lean on during difficult times. Our Motherhood groups have found mentors and formed friendships. Even after completing the program, many keep in touch to ensure they’re no longer isolated.
We expanded the program beyond those involved with Child Support Services. Now, any mom receiving any type of services from the larger Department of Human Services can join the Motherhood program. We’ve found that understanding how important both parents are to their children, building self-esteem, and eliminating isolation are stepping stones to better employment. When moms have better relationships with those in their lives, specifically with their child’s father, it increases the likelihood that dad will become a consistent payor and a consistent part of their child’s life.
Visit our classes and workshops page for more information.
The Power of Partnership Between Child Support and Head Start
Demetricus Johnson, OCSS

In March, OCSS staff in Region 4 attended a transformative gathering in Atlanta hosted by the federal Office of Head Start. The breakout sessions and conversations demonstrated how vital the partnership between Head Start and child support agencies is for enriching the support they offer. From personal stories to brainstorming sessions, we gained firsthand insight into the power of collaboration.
Here are some benefits of working together:
- Comprehensive support: Together, child support agencies and Head Start programs can provide families with a comprehensive range of services, addressing needs like financial assistance, early childhood education, and development.
- Enhanced family engagement: By partnering with Head Start, child support agencies can foster increased family engagement, especially among fathers, strengthening family bonds and support networks.
- Culturally responsive practices: Head Start programs lead the way in implementing culturally responsive practices that honor the diverse backgrounds of the families they serve. Partnering with Head Start allows child support agencies to integrate these practices and ensure support tailored to each family's unique needs.
- Access to additional resources: Head Start programs offer a wealth of resources and support services for families. Through collaboration, child support agencies can tap into these resources, enriching the support they provide to families. For instance, initiatives like Head Start’s Engaging Fathers and Male Caregivers
and the Building Partnerships with Families Series
are excellent examples of resources that are relevant to child support.
- Positive outcomes for children: Collaboration between child support agencies and Head Start programs sets children on a path toward success in school and life, providing them with high-quality early childhood education and support services.
Making connections to promote services
When local child support programs and Head Start grantees connect and share information, they’re better able to promote a range of services that could help the families they serve. This could include featuring each other in outreach materials, organizing a human services fair, or identifying a point of contact to facilitate collaboration between programs. Inspired by the recent gathering I attended, I wanted to share some steps you can take to build partnerships with Head Start grantees in your community:
- Initiate personal connections: Reach out to local Head Start administrators and staff to introduce yourself and express interest in collaborating and building meaningful connections.
- Participate in joint activities: Attend joint events and activities organized by local Head Start programs to engage with families and staff on a personal level.
- Share resources and expertise: Offer support and expertise to local Head Start programs, sharing valuable information and strategies for engaging fathers and supporting families.
- Collaborate on program development: Work together with Head Start programs to develop joint initiatives that address the evolving needs of families in the community.
I encourage you to reach out to your local Head Start program today and start building meaningful connections that will uplift children and families in our community. Together, we can make a real difference - one partnership at a time.
Resource Alert: ACF Behavioral Health Page
Visit the ACF and Behavioral Health webpage to get resources for communities, parents and caregivers, teens and young adults, tribes, grantees, and service providers.
Policy Recap
OCSS issued recent guidance to help states and tribes develop and operate their child support programs according to federal laws and regulations:
- Submittal of SF-424 Mandatory Form for FY 2025 (05/21/24)
- Section 1115 Waiver Requests for Tribal Innovation (05/07/24)
- Section 1115 Waivers — Update (05/01/24)
About Child Support Report
Child Support Report is published monthly by the Office of Child Support Services. We welcome articles and high-quality digital photos to consider for publication. We reserve the right to edit for style, content and length, or not accept an article. OCSS does not endorse the practices or individuals in this newsletter. You may reprint an article in its entirety (or contact the author or editor for permission to excerpt); please identify Child Support Report as the source.
Jeff Hild Principal Deputy Assistant Secretary, performing the delegable duties of the Assistant Secretary for Children and Families | Tanguler Gray Commissioner, OCSS |
Crystal Peeler Director, Division of Customer Communications | Andrew Phifer Editor, CSR.Editor@acf.hhs.gov |