Opinion

M. D.,By Next Friend Stukenberg v. Abbott

  • 929 F.3d 272
Court
Court of Appeals for the Fifth Circuit
Filed
Jul 8, 2019
Status
Published
Author
Clement
On the bench
Higginbotham, Smith, Clement
Nature of suit
Civil Rights
Cited by
9 cases
Authority
More cited than 65.5%

“Limited remands play a useful, but restricted, role. We grant a limited remand where we task a district court to answer a discrete question necessary for resolution of an issue before us. We retain jurisdiction to enable a return for resolution of those issues yet pending before us.”

How later courts described this case

  • “Limited remands play a useful, but restricted, role. We grant a limited remand where we task a district court to answer a discrete question necessary for resolution of an issue before us. We retain jurisdiction to enable a return for resolution of those issues yet pending before us.”
  • “The district court undoubtedly has the equitable power to oversee compliance with its own injunction.”
  • “Best practices are not the handmaiden of deliberate indifference.”

Written by the judges who cited it.

The opinion

Case: 18-40057 Document: 00515024789 Page: 1 Date Filed: 07/08/2019

IN THE UNITED STATES COURT OF APPEALS

FOR THE FIFTH CIRCUIT United States Court of Appeals

Fifth Circuit

FILED

July 8, 2019

No. 18-40057

Lyle W. Cayce

Clerk

M. D., by next friend Sarah R. Stukenberg; Z. H., by next friend Carla B.

Morrison; S. A., by next friend Javier Solis; A. M., by next friend Jennifer

Talley; J. S., by next friend Anna J. Ricker; H. V., by next friend Anna J.

Ricker; L. H., by next friend Estela C. Vasquez; C. H., by next friend Estela

C. Vasquez; A. R., by next friend Tom McKenzie, individually and on behalf

of all other similarly situated,

Plaintiffs - Appellees

v.

GREG ABBOTT, in his official capacity as Governor of the State of Texas;

COURTNEY PHILLIPS, in her official capacity as Executive Commissioner

of the Health and Human Services Commission of Texas; HENRY

WHITMAN, JR., in his official capacity as Commissioner of the Department

of Family and Protective Services of the State of Texas,

Defendants - Appellants

Appeals from the United States District Court

for the Southern District of Texas

Before HIGGINBOTHAM, SMITH, and CLEMENT, Circuit Judges.

EDITH BROWN CLEMENT, Circuit Judge:

This case returns to us after a limited remand. After our opinion in M.D.

by Stukenberg v. Abbott (Stukenberg I), 907 F.3d 237 (5th Cir. 2018), the

district court was tasked with modifying its injunction remedying certain

constitutional deficiencies in Texas’s foster-care system. The State now asks

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us to vacate many of the modified injunction’s provisions. For the following

reasons, the modified injunction is affirmed in part, affirmed with modification

in part, and vacated in part.

I.

This case’s underlying facts are thoroughly laid out in Stukenberg I, 907

F.3d at 243–47. In short, this case is about the constitutionality of Texas’s

foster-care system. Plaintiffs are a certified class of minor children in the

permanent management conservatorship (PMC) of the Department of Family

Protective Services (DFPS). We previously found that DFPS’s policies violated

Plaintiffs’ substantive-due-process rights in two ways: (1) by maintaining

overburdened caseworkers who are responsible for the children in the PMC;

and (2) by failing to adequately monitor and oversee the children in the

licensed foster care (LFC) subclass. Id. at 256–68. But we reversed the district

court’s other two liability findings. Id. at 268–70. We did not believe that

DFPS’s placement array or the foster group homes—in and of themselves—

created a constitutionally cognizable harm to the children. Id.

Based on these findings, we evaluated the district court’s extensive

injunction, which mandated dozens of specific remedial measures. Id. at 271–

87. We noted that an injunction must be narrowly tailored to cure the specific

constitutional violations at issue and must not go beyond what is “minimally

required” to bring the State into constitutional compliance. Id. at 272. With

this standard in mind, we validated and invalidated many of the injunction’s

specific provisions. Id. at 271–87. We concluded by remanding the case to

modify the permanent injunction “consistent with this opinion.” Id. at 288. The

remand was a limited one. Id.

After Stukenberg I issued, the district court promptly requested briefing

on how to comply with Stukenberg I. And in November 2018, the district court

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issued the modified injunction. The State now appeals, unhappy with the

district court’s revisions.

II.

Whether a modified injunction comports with a remand order is reviewed

de novo. See Ball v. LeBlanc, 881 F.3d 346, 350–51 (5th Cir. 2018). The district

court must “implement both the letter and the spirit of the appellate court’s

mandate and . . . not disregard the explicit directives of that court.” United

States v. Lee, 358 F.3d 315, 321 (5th Cir. 2004). It cannot reopen issues

expressly or implicitly decided by the appellate court. Gene & Gene, LLC v.

BioPay, LLC, 624 F.3d 698, 702 (5th Cir. 2010).

At the same time, the grant of a permanent injunction is reviewed for an

abuse of discretion. Stukenberg I, 907 F.3d at 248.

III.

The State argues that many of the modified injunction’s provisions are

improper, either because they are inconsistent with Stukenberg I, are outside

the scope of the limited remand, or are substantively problematic. The specific

provisions at issue are: (1) the 24-hour-supervision provisions; (2) the face-to-

face-meeting provision; (3) the workload-study provisions; (4) the integrated-

computer-system provisions; (5) the missing-medical-records provision; (6) the

Monitor provisions; and (7) the termination provisions. We take them in that

order.

A.

In its 2015 liability opinion, the district court prohibited the State from

placing children in “foster group homes that lack 24-hour awake-night

supervision.” We did not disturb that ruling in Stukenberg I. On remand, the

district court expanded the supervision requirement to apply to all PMC

placements housing more than six children. The State urges that this

expansion improperly exceeds the scope of the limited remand.

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In making this argument, the State misconstrues ODonnell v. Goodhart

(ODonnell II), where this court considered whether a modified injunction

dealing with Texas’s bail system complied with the mandate rule. 900 F.3d 220

(5th Cir. 2018). In a previous case, we had vacated the original preliminary

injunction over the bail system and remanded so that the district court could

“craft a revised injunction—one that is narrowly tailored to cure the

constitutional deficiencies the district court properly identified.” ODonnell v.

Harris Cty. (ODonnell I), 892 F.3d 147, 166–67 (5th Cir. 2018). In ODonnell II,

this court found that a particular provision fell “outside the confines of [the]

narrow remand” because it addressed a problem not “originally identified” by

the district court. 900 F.3d at 225. This court continued: “Remand is not the

time to bring new issues that could have been raised initially.” Id.

Such is not the case here. In Stukenberg I, we recognized that the 24-

hour-supervision requirement had remedied the “most egregious” problem

with the foster group homes: a “lack of adequate supervision.” 907 F.3d 237,

270. The district court’s original injunction addressed that violation, albeit in

an overbroad manner. Indeed, we invalidated the original provision

prohibiting “any family-like placement that houses more than six children”

because we failed to see why—absent the supervision problems—the

conditions in the foster group homes unconstitutionally amplified the risk of

harm to the children. Id. at 270, 282. In contrast, rather than outright banning

placements housing more than six children, the modified injunction simply

requires 24-hour-supervision. In doing so, it hews more closely to the violation

identified in Stukenberg I: the lack of proper supervision. Thus, this case is

unlike ODonnell II, as the district court has not attempted to rectify a newly

identified problem.

In addition to its primary argument, the State also notes that the

modified injunction’s 24-hour-supervision requirement would apply not only to

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LFC placements but also to unlicensed placements, such as kinship placements

in which a child is placed with a relative. This would be problematic. Plaintiffs

do not object to modifying the requirement to clarify that it applies only to LFC

placements. So we do exactly that. The 24-hour-supervision requirement is

affirmed with the modification that it applies only to LFC placements, not

unlicensed placements.

B.

In Stukenberg I, we invalidated many “caseload-specific injunction

provisions.” 907 F.3d at 274. We did so because they “exceed[ed] what [was]

required to achieve constitutional compliance or [did] not directly address the

problems giving rise to the caseload management violation.” Id. Among the

provisions struck down for these reasons was one prohibiting DFPS from using

I-See-You (ISY) workers. 1 Id.

Despite our elimination of this provision, the district court reinserted a

similar one in the modified injunction. The injunction now requires that all

monthly face-to-face meetings with the PMC children be conducted by primary

caseworkers, not ISY workers. The State argues that the new provision is a

reincarnation of the invalidated one banning the use of ISY workers. While

nominally allowing ISY workers to exist, the new face-to-face provision

eliminates their primary responsibility. Thus, the State argues that it is

inconsistent with Stukenberg I.

In response, Plaintiffs exclaim that the face-to-face provision is one of

the modified injunction’s most important. On their account, it “directly

addresses the fundamental problems with the State’s existing practices with

regard to secondary caseworkers.” They then spill much ink pointing out the

1 ISY workers are secondary caseworkers who help the primary caseworkers. 907 F.3d

at 245. They do so mainly by conducting in-home visits and confirming that the child “is still

there.” Id.

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deficiencies of ISY workers when it comes to conducting face-to-face visits with

the PMC children and the virtues of requiring primary caseworkers (who have

more training and experience) to conduct all face-to-face visits.

While Plaintiffs are correct that the State’s use of ISY workers has many

problems, their argument fails to acknowledge that we did not find those

problems constitutionally suspect in Stukenberg I. We discussed the

insufficiency of ISY workers solely to show that DFPS’s use of them did not

show a reasonable effort to alleviate the substantial risks associated with

overburdened primary caseworkers. 907 F.3d at 262–63. It was the crushing

workload on primary caseworkers—not ISY workers’ face-to-face visits—that

we held violated Plaintiffs’ substantive-due-process rights. Id. at 264–65. And

it is in relation to that violation that the district court was supposed to revise

the injunction.

With this violation in mind, the modified injunction’s face-to-face

provision cannot stand. Imposing on primary caseworkers the additional duty

of conducting all face-to-face visits no more “directly address[es] the problems

giving rise to the caseload management violation” than does the invalidated

provision eliminating ISY workers. Id. at 274. In fact, it would likely increase

their workload. It appears that this provision was the district court’s well-

intentioned attempt to fix the problems with ISY workers’ face-to-face visits.

But eliminating those problems was not what the district court was charged

with doing on remand.

The face-to-face provision is vacated as being inconsistent with

Stukenberg I.

C.

The first time around, we struck down the caseload caps on primary

caseworkers and the Residential Child Care Licensing (RCCL) investigators,

but we also made clear that DFPS should “determine how many cases, on

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average, caseworkers” and RCCL investigators can safely manage and should

then establish internal guidelines for caseload ranges. Stukenberg I, 907 F.3d

at 274, 279. On remand, the district court implemented this recommendation

by ordering DFPS to conduct workload studies as to both types of workers. Yet

it did not leave the studies’ planning and execution solely in the hands of

DFPS. Instead, it stated that “DFPS, in consultation with and under

supervision of the Monitors, shall propose [workload studies]” at which point

the court would “convene a hearing to review the proposal[s].”

The State contends that by requiring the workload studies to be done

under the Monitors’ and the court’s supervision, the district court deviated

from Stukenberg I’s instructions. The Stukenberg I opinion makes clear, the

State says, that DFPS should be able to determine—all on its own—how many

cases, on average, caseworkers and RCCL investigators can safely carry.

We reject the State’s argument. The district court undoubtedly has the

equitable power to oversee compliance with its own injunction. The supervision

requirement over the workload studies simply makes explicit that implicit

power. We do not read Stukenberg I as forbidding the court from exercising

control and supervision over the workload studies—especially when the State

has a history of conducting them inadequately. See 907 F.3d at 261. Moreover,

despite the supervision and input from the Monitors and the district court,

DFPS will still be involved in designing and conducting the workload studies,

and reaching conclusions from them. All this is to say, the district court’s

supervision requirement is faithful to the spirit of Stukenberg I and does not

do clear violence to its letter. 2 See Lee, 358 F.3d at 321 (noting that the district

2 The State also complains that it is impossible to design and conduct the studies

within the 60-day timeframe the district court imposed. Should that be the case, the State

can always move for an extension, which the court should generously consider.

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court must “implement both the letter and the spirit of the appellate court’s

mandate”).

D.

Next, we turn to the integrated-computer-system requirement. We

previously upheld the original injunction’s provision demanding the creation

of an “integrated computer system” containing the PMC children’s “complete

records, including but not limited to a complete migration of all medical,

dental, educational, placement recommendations, court records, mental health

and caseworker records.” Stukenberg I, 907 F.3d at 282–83. The district court

reincorporated this provision into the modified injunction and also included a

provision giving all relevant personnel access to the complete records in the

integrated computer system. 3

The State does not deny that the district court faithfully adhered to

Stukenberg I by reincorporating these provisions. Nor could it. Rather, it seeks

to reargue on the merits that the integrated-computer-system requirement

should be invalidated because it is unprecedented, tremendously expensive,

and maybe even impossible to accomplish.

We treat the State’s request as a quasi-motion for reconsideration on this

issue. 4 And after careful review, we see that our initial decision upholding the

integrated computer system was erroneous. It is inconsistent with the broader

3 In Stukenberg I, we did not expressly validate the requirement that all personnel

have access to the complete records. We inadvertently listed the provision creating the

computer system twice, instead of listing the accompanying access provision. 907 F.3d 282–

83. No one disputes that Stukenberg I intended to validate the access provision as well.

4 We can do so because the mandate has not issued in Stukenberg I; the remand was

limited, and we retained jurisdiction. But by saying the mandate never issued, we do not

mean to suggest that the district court was free to disregard Stukenberg I. It was not.

Consequently, it is appropriate—as we have done throughout this opinion—to use the

mandate rule (technically not quite on point) to evaluate the district court’s compliance with

Stukenberg I. We hold only that we, as the appellate panel that issued Stukenberg I, can

reconsider our own prior holdings after a limited remand when the mandate never issued.

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remedial principles we laid out in Stukenberg I. The multimillion-dollar

computer-system overhaul—while maybe a best practice—goes well beyond

what is minimally required to remedy the caseload and oversight violations.

Indeed, we find it (just like the caseload cap) to be “too blunt a remedy for a

complex problem.” 907 F.3d at 274. An integrated computer system, which at

most two other States use, cannot represent the constitutional floor for record-

keeping.

Accordingly, we now invalidate the integrated-computer-system

requirement and the accompanying access provision. The goal is a

constitutionally effective foster-care program, not a specific kind of computer

system used to help achieve that goal.

E.

Invoking our expressed validation of the integrated computer system,

the district court ordered DFPS on remand “to address and remediate missing

and nonexistent medical and mental health care records.” According to the

district court, a comprehensive computer system “would not be effective for

preventing an unreasonable risk of serious harm if medical records were

missing or nonexistent.” Because we have invalidated the integrated computer

system, there is no longer a justification for this provision. Therefore, it is

vacated as well.

F.

Next up are the Monitor provisions. The original injunction contained 13

provisions appointing and listing the Monitors’ duties. We did not address

those provisions in Stukenberg I. The modified injunction includes those 13

original provisions plus 3 new ones. The new provisions (1) give the Monitors

remote access to the electronic systems DFPS uses to store data about the PMC

children, (2) compel DFPS to “supply the Monitors [with] raw data relevant to

the 2015–2016 workstudy conducted by DFPS” and all the available data

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“relevant to all previous third-party studies,” and (3) command the State to

pay the Monitors. The State lodges both procedural and substantive attacks

against these provisions.

On the procedural side, the State argues that the limited remand is not

the time to impose new requirements that could have been included in the

original permanent injunction. For support, the State again draws on

ODonnell II. But once more it is distinguishable. The problematic injunctive

provision in ODonnell II was substantive. It attempted to remedy a

constitutional deficiency the original injunction did not identify. 900 F.3d 220

at 225. The Monitor provisions, on the other hand, are administrative. They do

not attempt to solve a new constitutional puzzle originally left unaddressed by

the district court; they simply represent the district court’s revised attempt to

ensure that the State fixes the constitutional problems it identified (and we

affirmed) in the original injunction.

As the State’s procedural argument is unavailing, we now turn to its

substantive objections, which concern the remote access and third-party data. 5

First, the State argues that the new provision providing the “Monitors,

their staff[,] and consultants with unrestricted, routine and ongoing remote

access” to DFPS’s electronic systems is a serious confidentiality risk and could

result in the inadvertent alteration or destruction of vital records. The State is

primarily concerned with giving such unrestricted access to the staff and

consultants without requiring them to keep the information confidential. As

the State correctly points out, they may not be qualified to handle such

sensitive information. The district court’s failure to address these legitimate

confidentiality concerns was an abuse of discretion. So while we affirm the

5The State has no substantive complaints about the provision compelling it to

compensate the Monitors.

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remote-access provision, we modify the injunction to require that any of the

Monitors’ staff and consultants who have unrestricted, remote access to

DFPS’s systems be qualified to handle the information (including screening for

criminal history), be taught how to use the systems, and be given

confidentiality agreements to sign.

Second, the State argues that requiring DFPS to turn over “all available

raw data relevant to all previous third-party studies” is overly burdensome,

wasteful, and has no conceivable benefit. Plaintiffs do not contest this point in

their brief. And we agree that requiring the State to turn over this data was

an abuse of discretion. The district court made no findings justifying such an

expensive and time-consuming production. Nor did it state what the purpose

of doing so would be. We vacate the injunctive provision dealing with the

previous third-party studies. This vacatur does not apply to the data relevant

to the 2015–2016 workstudy to which the State has no objection.

G.

Finally, the State objects to the modified injunction’s termination

provisions. These same provisions were in the original injunction, yet we heard

nothing from the State about them in the original appeal. The State cannot

now challenge these provisions. It is too late for that. The State’s arguments

are waived. See Med. Ctr. Pharmacy v Holder, 634 F.3d 830, 834 (5th Cir. 2011)

(“The waiver doctrine bars consideration of an issue that a party could have

raised in an earlier appeal in the case.” (quotation omitted)).

IV.

As an administrative matter, Plaintiffs would like the stay lifted in full.

We decline to do so, and the stay will remain in place until the final mandate

issues.

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* * *

For the foregoing reasons, we AFFIRM in part, AFFIRM with

MODIFICATION in part, and VACATE in part. The case is remanded to the

district court to begin implementing, without further changes, the modified

injunction with the alterations we have made.

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PATRICK E. HIGGINBOTHAM, Circuit Judge, dissenting as to parts III.D

and III.E, and otherwise concurring.

I cannot join the majority’s continued erasing of relief carefully

constructed by the district court to remedy DFPS’s recognized constitutional

violations. 1 With this agency the devil is in the details, and the district court

structured a remedy with particularized provisions, responsive to its detailed

factual findings and focused study by its appointed Special Masters. This panel

unanimously upheld several important and strong directives, but the majority

simultaneously removed others that were essential to remediating the State’s

deliberate indifference. In doing so, the majority did not engage the district

court’s detailed factual findings underlying its remedial relief. It rather

dispatched groups of provisions as superfluous and not narrowly tailored to the

constitutional wrong with no deference to those findings. 2

Today, I turn to the most recent of the majority’s excisions, affecting an

area of overarching importance: a records system, not a backwards-looking

retention of data, but rather a forward-looking process that would empower

enfeebled caseworkers and bring needed administrative transparency, serving

a role not unlike medical records in a hospital—a necessity. Indeed, with its

first myriad excisions of remedies targeting specific problems—not least

vacatur of the caseload cap requirement, addressing the core problem of

overloaded caseworkers—the majority left the record system in place, leaving

it to play an even greater role, one central to the remedy for the found

constitutional wrong. And now the majority strikes even the provisions for

creating an integrated record keeping process.

1 The attached Appendix sets out the previously excised remedial provisions, along

with the majority’s rationale for each removal. See Appendix, infra.

2 See M.D. by Stukenberg v. Abbott (Stukenberg I), 907 F.3d 237, 297–303 (5th Cir.

2018) (Higginbotham, J., concurring in part and dissenting in part).

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With respect, in vacating provisions ordering DFPS to create an

integrated computer system to rationalize record keeping for PMC children,

the majority completes its walk away from the district court’s interlaced

remedial scheme, taking away provisions essential to its success. Simply put,

these removed injunctive provisions would strike at DFPS’s administrative

chaos and inefficiency, problems at the heart of the agency’s failure to protect

the thousands of PMC children entrusted to its custody. Recognizing this, we

unanimously affirmed their inclusion in Stukenberg I. Nothing has changed in

law, fact, or argument, yet the majority vacates these provisions today, a

decision flawed by the evidence and controlling legal principles.

I.

The State did not previously challenge our decision in Stukenberg I. To

the contrary, we remanded “for modification [of the injunction] consistent with

th[e] opinion.” 3 On remand, determined to protect its earlier successful efforts

to strip many injunctive provisions in Stukenberg I, the State reminded the

district court that the scope of the remand was “narrow,” and that,

The Court should address only the language and

provisions in the Final Order that the Fifth Circuit

identified as requiring modification . . . adher[ing]

strictly to the Fifth Circuit’s directives and reasoning

when modifying the remedial provisions. . . . Issues or

arguments that are not expressly addressed in the

Fifth Circuit’s non-dispositive opinion are beyond the

scope of a limited remand.

Our remand order contemplated that these same limitations of scope

would apply to any further appeal from the remand, for the review would be

only of the district court’s modifications of the injunctive relief, that is, for

3 Id. at 288 (majority opinion).

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compliance with our remand order. So, when the State filed its notice of appeal,

we stayed implementation of the district court’s order, stating,

The district court’s original injunctive order

included provisions that were not challenged,

provisions that were challenged and upheld, and

provisions that were challenged and invalidated by

this court. Although the appellants’ brief has not yet

been filed, we assume that the issue on this new

appeal is whether the ordered modifications were

implemented.

The State then filed its brief urging error in the district court’s

implementation of our modifications. Consistent with its efforts to preserve its

earlier success, it had not objected to the integrated computer system

provisions in the district court on remand. Now, it timorously asks this court

to “reevaluat[e]” the integrated computer system provisions, tacking on a new

argument in six pages of a 55-page brief. At oral argument, the State’s counsel

concentrated on modification issues, only asking that we revisit the record-

keeping request with a nigh off-the-cuff contention that Stukenberg I had

demanded “best practices,” that, to counsel’s knowledge, no other state uses

such an integrated digital system. Plaintiffs’ counsel responded that at least

three other states have used integrated systems for years—with no argument

to the contrary from the State’s counsel in reply. 4 For example, in Tennessee,

4 Texas does not stand alone in currently facing litigation over its foster care system

based in part on deficient record-keeping. See Complaint at 59–61, McIntyre ex rel. M.B. v.

Colyer, No. 18-cv-2617 (D. Kan. Nov. 16, 2018), ECF No. 1 (describing data failures in

Kansas’s foster care system, including failure to adequately document children’s mental

health needs and information about monthly visits); First Amended Complaint at 29–34,

M.B. by Eggemeyer v. Tidball, No. 2:17-cv-4102-NKL (W.D. Mo. July 3, 2017), ECF No. 22

(describing the Missouri foster care system’s failure to maintain centralized medical records

for children in its care). Indeed, since the 1990s, courts have played a role in requiring states

to update their digital record-keeping in response to litigation over constitutional

inadequacies in their foster care systems. See Modified Final Order at 64–73, LaShawn A. by

Moore v. Dixon, No. 1:89-cv-01754-TFH (D.D.C. Nov. 18, 1993) (requiring a “unitary

computerized information system that will record and report information sufficient to permit

Department social workers and administrators to achieve compliance with relevant

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one of the states the plaintiffs named, a modernized digital records system has

contributed significantly to the turnaround in that state’s child welfare

system. 5 The majority, in a complete about-face, vacates the integrated

computer system provisions. This without a change in law or fact since the

filing of our opinion in Stukenberg I, and where the reexamination of these

provisions is plainly beyond the crafted scope of our remand order.

Limited remands play a useful, but restricted, role. We grant a limited

remand where we task a district court to answer a discrete question necessary

for resolution of an issue before us. We retain jurisdiction to enable a return

for resolution of those issues yet pending before us. 6 That is not this case.

Stukenberg I finally decided the issues before us on that appeal. It “remand[ed]

the permanent injunction for modification consistent with th[e] opinion,”

providing that “should either party seek appellate review following

modification of the injunction by the district court, the appeal will be assigned

to this panel.” 7 There was no supplemental finding the district court needed to

make or explanation to give for Stukenberg I to become final. If neither party

had appealed, the implementation of Stukenberg I—the only issue before the

provisions of District of Columbia law and with all the provisions of this Order”); Consent

Decree at 109–12, Juan F. by Lynch v. O’Neill, No. 2:89 CV 859 (SRU) (D. Conn. Jan 7, 1991),

ECF No. 90 (establishing a committee to develop a “single statewide networked computer

system” that would include case file information for each child).

5 See Kim Coleman & Jim Coleman, Years of System-Wide Reform Results in Massive

Turnaround for Tennessee’s Child Welfare System, HIGH GROUND NEWS (Aug. 9, 2017),

available at http://www.highgroundnews.com/features/HistoricRulingDCS.aspx.

6 See, e.g., United States v. Gomez, 905 F.3d 347, 354–56 (5th Cir. 2018) (granting a

limited remand for the district court to state whether it wished to modify its sentence given

Supreme Court authority it had not appeared to consider); Sultana Entm’t, L.L.C. v.

Gutierrez, 740 F. App’x 81, 82 (5th Cir. 2018) (per curiam) (for the district court to explain its

balancing of factors in dismissing a case for forum non conveniens); United States v. Cessa,

861 F.3d 121, 133 (5th Cir. 2017) (for the district court to make further findings on the

suppression and materiality elements of a Brady claim); United States v. Rocha, 164 F. App’x

481, 481 (5th Cir. 2006) (per curiam) (for the district court to make findings regarding how

to classify a defendant’s offense of conviction for sentencing purposes).

7 See Stukenberg I, 907 F.3d at 288.

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district court—would not have returned to this court. We did not intend to

retain jurisdiction over this case beyond the directive that any appeal promptly

lodged should be assigned to this panel.

The majority asserts that the mandate did not issue in Stukenberg

I, and it is free to treat the State’s arguments against the integrated computer

system provisions as a “quasi-motion for reconsideration.” Whatever that may

mean, even if the mandate did not issue—a matter of considerable

uncertainty—the State elected to put its substantial success in attacking the

district court’s order in its pocket, not to be revisited. It filed no petition for

rehearing with this court and carefully insisted upon the narrow issues the

remand order put before the district court. We have a settled process for

reconsideration of panel decisions before the mandate issues in the form of a

petition for panel rehearing. That process requires a litigant to “state with

particularity each point of law or fact that the petitioner believes the court has

overlooked or misapprehended.” 8 Concerns about timeliness aside, 9 the State

does not argue that Stukenberg I “overlooked” or “misapprehended” a point of

fact or law concerning the integrated computer system provisions. Nor can it.

The State’s initial argument against those provisions in Stukenberg I was only

a brief statement that the provisions were among several injunctive provisions

unsupported by expert testimony and an even more conclusory statement that

the plaintiffs have no constitutional right to an integrated computer system. It

is telling that the majority makes no effort to justify its decision to reconsider

beyond concluding that “after careful review,” it is convinced the relevant

8 FED. R. APP. PROC. 40(a)(2); see Boeta v. Fed. Aviation Admin., 736 F. App’x 453, 457

(5th Cir. 2018) (per curiam) (explaining that the proper mechanism for challenging a remand

directive is to petition for panel rehearing, not to appeal from an order on remand).

9 See, e.g., Uranga v. Davis, 893 F.3d 282, 286 n.20 (5th Cir. 2018) (declining to

consider a claim in a habeas litigant’s opening brief because it was essentially an untimely

attempt to seek reconsideration of the ruling on his motion for a certificate of appealability).

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portion of Stukenberg I was “erroneous.” The majority abuses Stukenberg I’s

mistaken label of a “limited remand.”

II.

The decision to vacate the integrated computer system provisions is

misguided. Each element of the injunction must be viewed not in isolation but

as a part of a broad “remedy with interacting parts, which as a totality

redresses the constitutional wrong, itself not a single act but a collection of

practices that together inflict injuries on PMC children.” 10

The integrated computer system provisions originate in the district

court’s years of study of DFPS, aided by the Special Masters. In its December

2015 liability opinion, the district court attributed PMC children’s epidemic of

physical and sexual abuse to, among other factors, DFPS’s organizational and

administrative chaos. 11 The court found the agency’s records “incredibly

disorganized,” 12 retained in numerous uncoordinated digital databases, as well

as in paper files located with children’s residences, placement agencies,

caseworker offices, and medical service providers. Records addressing abuse

and neglect investigations are maintained separately from case files, in a

database to which caseworkers do not always have access. 13 The court found

that DFPS’s “outdated” digital system “impede[s] caseworkers’ ability to

review important electronic case file information” because it is “not in sync

with current versions of forms that are used [by caseworkers]”—the

inconsistencies “force[] arbitrary workarounds and repetitive entry of data.” 14

10 Stukenberg I, 907 F.3d at 302 (Higginbotham, J., concurring in part and dissenting

in part).

11 M.D. v. Abbott, 152 F. Supp. 3d 684, 780 (S.D. Tex. 2015).

12 Id. at 781.

13 Id.

14 Id. (internal quotation marks omitted).

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The district court’s December 2015 liability opinion observed that

DFPS’s record keeping leaves caseworkers ignorant of children’s status, with

harmful results for the children. “[C]aseworkers continuously fail to maintain

complete, timely, and accurate documentation,” 15 generating “opportunities for

important safety-related tasks to fall through the cracks, especially when cases

are transferred between workers.” 16 Caseworkers—children’s “lifeline [and]

connection to everything” 17—spend nearly three quarters of their time in

administrative work, and only the remainder working with families and

children. 18 Even where a caseworker has time to care for a child, the

inaccessibility of information limits the help a caseworker can provide, for

example, where records leave caseworkers unaware that a child is a survivor

of sexual abuse. The situation of the plaintiff S.A., whose story opened my

opinion in Stukenberg I, is illustrative. It presents a narrative the district court

found representative of the ongoing failures in DFPS’s care for 12,000 PMC

children, an exercise we found to be the product of more than a decade of

deliberate indifference—a denial of fundamental constitutionally secured

rights. As related before, within four months of entering Texas’s foster care

system, S.A. made her first sexual abuse outcry. 19 In response, the State

requested an investigation by her private placement agency. But following the

investigation, the private placement agency retained the report and no copy

was deposited in DFPS’s casefile. 20 As a result “no subsequent caseworker

would have this information,” 21 meaning that S.A.’s caseworkers made

15 Id.

16 Id. (internal quotation marks omitted).

17 Id. at 776 (internal quotation marks omitted).

18 Id. at 780.

19 Id. at 731.

20 Id. at 732.

21 Id.

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decisions regarding her housing, medical care, education, and general physical

well-being while potentially uninformed of the life-changing trauma she

experienced under DFPS care. It was in this context that the opinion concluded

that “DFPS[’s] paperwork and electronic filing system . . . must become more

efficient [and each] child should have a readily accessible and organized case

file, comprised of all records pertaining to that child.” 22

Pursuant to the district court’s liability opinion, the court-appointed

Special Masters Kevin Ryan and Francis McGovern studied DFPS record-

keeping practices. In July 2016, the Special Masters reported DFPS’s

representations that the agency’s modernization of its IMPACT system was

close to unifying PMC children’s records, and that the agency was requesting

appropriations to complete this work. While the Special Masters recognized

this modernization effort may not completely address the district court’s

concerns regarding record-keeping, they were “encouraged that the State . . .

[wa]s on the right path here.” DFPS indicated that it was on track to report

the establishment of a centralized system by the Fall of 2016.

That hope was dashed, and in November 2016 the Special Masters

submitted recommendations to the district court, including that

DFPS submit a plan with specific timeframes,

subject to Court approval, to ensure that DFPS staff

and contractors working with PMC children have

access to all the case information they need to serve

children in one centralized place. . . . The DFPS plan

should ensure that DFPS caseworkers and supervisors

serving PMC children, as well as CASA staff and

volunteers . . . have access to an integrated, current,

complete, and accurate case record for PMC children

on their caseloads . . .

22 Id. at 825.

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In response, the State objected to every one of the Special Masters’

recommendations, including the integrated computer system provisions,

arguing they were “not . . . tailored to remediate a constitutional violation

because there is no reliable evidence that DFPS’s existing systems for

maintaining and accessing PMC children’s case records pose a substantial,

class-wide risk of depriving PMC children of personal security and reasonably

safe living conditions and no reliable evidence shows that adopting the Special

Masters’ recommendation will eliminate that purported constitutional harm.”

The State further “object[ed] because of the logistical challenges of

implementing the full recommendation,” stating:

It is not practical or fair to require third parties

such as [child placing agencies], who operate much

smaller businesses without the same level of IT

capabilities, to completely change their software to

match that of DFPS. DFPS depends on the highest

level quality [child placing agencies] and does not wish

to impose unnecessary disincentives on these often

small, faith-based, and/or non-profit organizations.

The State also objected on the grounds that the comingling of records

might compromise confidentiality and run afoul of, for example, federal laws

protecting substance-abuse treatment records.

Responding to this new impasse, in January 2017, the district court

entered an interim order addressing the Special Masters’ recommendations

and the State’s objections, determining that “[f]urther studies and

consultations between the Special Masters, the Court, and the State are

necessary before a final order can be entered.” Relevant here, the district court

ordered the Special Masters “to work with DFPS to create and submit to the

Court a plan for a comprehensive central databank for PMC children” and to

“report the progress of the central databank creation to the Court within three

months from the date of this Order.”

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In March 2017, following a status conference at which the parties and

Special Master discussed the “availability of records regarding medical, dental,

mental health, and educational issues,” DFPS agreed “to provide complete

responses to the Special Masters from its IT Department concerning the

modernization of the IMPACT system, including but not limited to the capacity

to include all the children’s records in one system.” In the following months the

Special Masters’ team corresponded and met with DFPS staff to discuss record

keeping and to test the existing systems by examining a random sample of

PMC children’s records. Through these tests, the Special Masters found that

health data and casefile records “did not align nearly half the time.” DFPS’s

healthcare vendor, Superior Healthcare, maintained children’s health records

in a database “not compatible with, or linked to” the DFPS’s casefile system.

Neither DFPS nor its vendor’s systems were capable of uploading and storing

documents such as birth certificates medical, dental, and psychological

evaluations. Instead, paper files were supposedly retained in the child’s

placement, private placement agencies, the caseworker’s office, schools, or

medical providers’ places of business. But when the Special Masters visited a

random sample of Foster Group Homes, they found that for many children

records that should have been maintained on site were not available for

inspection.

The Special Masters presented findings and proposed solutions in a

December 2017 final report to the court. This report corroborates the district

court’s observations:

DFPS maintains PMC children’s records among

numerous electronic and paper files, stored in

different locations and maintained by distinct

custodians. As the Court determined, the trial record,

including exhibits, revealed evidence of children’s

records missing information, containing incomplete

information and reflecting information that was

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inconsistent with information in other files. The

Special Masters’ examination of these case records

among the trial exhibits, and other children’s records

as described below, confirmed that PMC children’s

records are currently stored in different locations with

different custodians.

Based upon their examination, the Special Masters proposed that

“[w]ithin four months of the Court’s Final Order, DFPS . . . submit to the Court

a plan for an integrated computer system” including complete medical, dental,

educational, placement, court, mental-health and casefile records,

documentation of visits with service providers, with test results, treatment

plans, “and any other information necessary for the safety of the children.”

They recommended that the system be in place within a year of the district

court’s final order.

Objecting to the Special Master’s latest proposal, the State argued to the

district court that “there is no reliable evidence that DFPS’s existing systems

for maintaining and accessing PMC children’s case records pose a substantial,

class-wide risk of depriving PMC children of personal security and reasonably

safe living conditions.” Judge Jack disagreed. Quoting directly from her 2015

liability opinion, describing the Special Masters’ findings, and drawing upon

examples of several named plaintiffs, she overruled the objection:

Due to DFPS’s burdensome administrative

demands, such as filling out paperwork, [] caseworkers

are only able to spend 26% of their time with children.

. . . In its December 2015 Order, the Court noted it took

eleven uninterrupted workweeks to read the twenty

foster children’s case files that were in evidence[,] in

excess of 350,000 pages. Considering the dangerously

high turnover rate, this task must be duplicated

numerous times for each child, making it impossible

for caseworkers to have enough time to focus on the

children.

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The district court’s January 2018 Final Order adopts the Special

Masters’ proposed integrated computer system provisions, demanding a plan

from the State within four months, to be realized within one year.

Today, the majority vacates these provisions, stating only that there is

no constitutional right to an integrated computer system—of course, just as

there is no freestanding constitutionally secured right to be bused to school.

The question is not whether the Constitution guarantees a freestanding right

to an integrated computer system. Rather, it is whether the integrated

computer system provision is a necessary part of a remedy “narrowly tailor[ed]

. . . to remedy the specific action which gives rise to the order,” 23 here, Texas’s

constitutional wrongs. As with all exercises of equitable power, “the nature of

the violation determines the scope of the remedy.” 24 For compliance with the

command that an injunction be narrowly tailored, we look to the fit of ends and

means and to the factual matrix tying those ends and means. This matrix of

fact is before us, unchallenged, and in Stukenberg I we upheld the district

court’s integrated computer provisions as a remedial response to the found

constitutional wrongs.

The district court did not abuse its discretion by insisting that the

integrated computer system provisions directly address a cardinal element of

the constitutional wrong. 25 As we found in Stukenberg I, DFPS’s “records and

case files are outdated and woefully incomplete” 26 with information in such an

23 Daniels Health Scis., L.L.C. v. Vascular Health Scis., L.L.C., 710 F.3d 579, 586 (5th

Cir. 2013).

24 Swann v. Charlotte-Mecklenburg Bd. of Ed., 402 U.S. 1, 16 (1971).

25 ODonnell v. Harris Cty., 892 F.3d 147, 155 (5th Cir. 2018) (“This court reviews a

district court’s grant of a preliminary injunction . . . for abuse of discretion. Findings of fact

are reviewed only for clear error; legal conclusions are subject to de novo review.” (internal

citations and quotation marks omitted)).

26 Stukenberg I, 907 F.3d at 260.

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“abysmal state” 27 that to find a record requires a “needle-in-a-haystack

search.” 28 To address this problem—and its role in DFPS’s constitutional

violations—“[a]n improved record-keeping practice w[ould] reduce

caseworkers’ overall workloads. It would also centralize and make accessible

data critical to making safe placement decisions. . . . [A]ccess to comprehensive

medical information, mental health records, and placement history for

individual children would assist [the agency] in making an informed

assessment about abuse allegations.” 29 We upheld provisions that will require

DFPS to identify child-on-child sexual abuse and to record confirmed

allegations of abuse and sexual aggression in a child’s casefile. 30 An integrated

digitized record system, together with these abuse-recording requirements,

would serve to ensure that information critical to each PMC child’s welfare is

available and accessible to that child’s caseworker, a precondition to the child’s

safety and care.

Caseworker access to a PMC child’s comprehensive record was made all

the more important by the majority’s vacatur of the caseload cap provisions.

The district court had originally included the integrated computer provisions

in a final order that also required that a PMC child’s caseworker handle no

more than 14 to 17 children’s cases at a time. The district court determined

this range was necessary based on the Child Welfare League of America’s

standard for minimum acceptable care, 31 as well as DFPS’s own Work

Measurement Study. 32 The majority vacated the caseload cap—a key element

27 Id. at 255 n.24.

28 Id.

29 Id. at 282.

30 See, e.g., id. at 278 (upholding provisions requiring DFPS to create a record of

confirmed allegations of sexual abuse involving a child as victim or aggressor).

31 See id. at 300 (Higginbotham, J., concurring in part and dissenting in part)

(discussing the district court’s reliance on CWLA standards).

32 See id. at 300–01.

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of the injunction—leaving DFPS instead to develop “internal standards” to

guide caseload distribution. The allowance was made in a situation in which

caseworkers are sometimes assigned 40 to 60 cases at a time, 33 and caseworker

positions turn over at 25 percent during the first year and 43 percent by the

end of the second. 34 Given how stretched caseworkers are in the absence of

caseload caps, and the centrality of their attention and care in a child’s care,

the district court’s insistence on integrated digital records was even more

important. Integrated digitized records would enable caseworkers to

concentrate on casework, that is, on children, as opposed to the administrative

tasks currently occupying nearly three quarters of their time.

Informational deficiencies play a large role in DFPS’s inability to protect

PMC children from abuse and neglect. The district court has so found on a full

record. It follows that an integrated computer system is no mere “best

practice.” It is an appropriate and necessary part of an injunction narrowly

tailored to address caseworker workloads and deficient monitoring. The

district court committed no abuse of discretion in adopting these provisions.

The majority only announces that it finds the order not narrowly tailored. It

refers to no less burdensome alternative—the State presented none. Against

the facts upon which we sustained a holding of deliberate indifference, that

conclusion is deeply flawed.

III.

The State’s principal objections are not to the provisions’ remedial role

but to claimed costs, for which it offers no evidence. It asserts that an

integrated computer system would entail a “Major Information Resource

Project,” requiring legislative approval before the commitment of appropriated

33 Id. at 257 (majority opinion).

34 Id.

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funds. Additionally, the State tells us, a new system would create a “logistical

nightmare,” requiring the burdens of “vendor solicitation, contract drafting,

and contract approval,” followed by design and software development, “data

migration and testing . . . to ensure functionality.” The State’s assertions of

infeasibility run against the implicit judgment of Special Master Kevin Ryan—

not only the former commissioner of New Jersey’s child welfare agency, but

also a monitor in the state of Michigan’s reform of its foster-care system and

advisor to Oklahoma and Mississippi on reforms of their foster-care systems.

The State’s pronouncements that DFPS’s informational shortcomings are

“inevitable” in “any state foster care system,” and that no other state has such

a system—are unsupported by the record. Plaintiffs point out that “at least

Washington, D.C., Tennessee, and New Jersey already use such integrated

digital record-keeping systems,” and have done so for years. The reality is that

the burdens the State puts forward are no more than part and parcel of its

neglect—of its deliberate indifference to the children in its charge; indifference

that created a nightmare for essential governance of its foster-care system. Its

engagement with the unchallenged reality is to challenge the district court’s

remedy as requiring “best practices.” These denials of constitutional right come

with their own answers. Best practices are not the handmaiden of deliberate

indifference.

There is no support for the majority’s position that an integrated

digitized records system would be prohibitively expensive. All we have to rely

upon are the conclusory statements of counsel. Counsel told the district court

that costs of the reform could approach $10 million, a figure that has increased

over tenfold on appeal to “hundreds of millions of dollars” in counsel’s Reply

Brief to this court. There is no record basis for any of these figures. These

protestations also omit important context, for example, that the agency

operates with over twelve thousand employees and a combined budget of $3.1

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billion over two years, 35 with roughly half of the State’s child-welfare agency

spending covered by federal funds, over $730 million in fiscal year 2016. 36 That

is, extending such figures over the past decade, a period during which the State

was deliberately indifferent to the rights of PMC children, its child-welfare

agency has spent billions of dollars from the federal treasury. The appropriate

time to raise bona fide concerns about cost would have been during the Special

Masters’ year of analysis and consultation for a record-keeping reform plan.

But the State did not detail costs then. Rather, it was reluctant to cooperate

further. As the district court stated in its Final Order,

Defendants have known about the Court’s

concerns with the IMPACT system since the Court

identified them over two years ago in its December

2015 Order. Despite this, Defendants have apparently

done little to prepare for eventual reforms. The Special

Master asked Defendants to assess and report the

time needed to improve IMPACT so that it could store

all of a child’s medical, dental, mental health,

educational, and court records. Defendants’ response

to each of these inquiries was “[n]ot applicable[.] DFPS

is not making such changes to the IMPACT system.”

Similarly, Defendants responded to the Special

Master’s request for a draft plan to achieve the Court’s

recordkeeping goals by stating “[n]ot applicable. Texas

is not developing such a plan.” Defendants now object,

fifteen days after the Plan was filed, that the Plan’s

timelines for these goals are “impossible.” Defendants

offer no explanation for why they were unable to

present the Special Master with the estimate they now

present the Court in their Objections, that it could

take $10 million and several years to reform IMPACT.

35 Edgar Walters, Pay Caseworkers and Fosters More, Chief Says, THE TEXAS TRIBUNE

(July 6, 2016).

36 See, e.g., CHILD TRENDS, Child Welfare Agency Spending in Texas at 1 (2018)

available at https://www.childtrends.org/wp-content/uploads/2018/12/Texas_SFY2016-

CWFS_12.13.2018.pdf (reporting that 47 percent of child-welfare agency spending in Texas

is covered by federal funds).

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Even now, Defendants offer no evidence in support of

this estimate.

Under these provisions the State retained the initiative to propose a plan

to unify digital records, but wholly failed to do so.

The integrated computer system provisions have an appropriate and

obvious place in the district court’s injunction, narrowly tailored to remedy

DFPS’s workload and oversight violations. That reforms deferred for decades

have become costly to undertake is not surprising. DFPS’s neglect and

indifference have allowed its problems to snowball. After years of litigation,

including a two-week bench trial and a year-long study by its appointed Special

Masters, the district court reached the judgment that DFPS requires

integrated digitized records for PMC children in order to remedy its

constitutional violations. The State’s unsupported assertions of

impracticability do not establish an abuse of the district court’s discretion, nor

does its naked assertion that the provisions were not necessary to remedy the

wrong, here little more than a recast contention that there was no wrong—no

failure of a constitutional dimension.

IV.

In sum, the majority’s vacatur of the integrated computer system

provisions strikes at the heart of a remedial order responding to the State’s

deliberate indifference to the welfare of 12,000 PMC children and the breach

of its constitutional command to tend to their care. The State has offered no

new circumstances or insights justifying a change in this court’s order—

nothing but a nigh casual, off-the-cuff statement by able counsel that such

systems are expensive and not deployed by other states, hence an imposition

of “best practices.” The State’s assertion regarding use in other states was

immediately contradicted at oral argument by opposing counsel, without

challenge.

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To counter the sting of deliberate indifference the State speaks of

hundreds of millions of dollars being turned towards the Texas foster care

system, yet its answer is only that a new system is too expensive, that with a

few patches it can make do with the present system—a stunning assertion that

ignores the obvious question: why then only now? We must keep ever in mind

the long-reaching consequences of this dysfunctional system. In fiscal year

2017, six years after this suit was filed, 38 TMC and PMC children died in

DFPS custody; 554 children spent two or more consecutive nights in hotels or

government office buildings; meanwhile, 352 caseworkers voluntarily ended

their employment with DFPS. Aside from the suffering of children within state

custody, as I described in Stukenberg I, 1,300 to 1,400 PMC children age out of

DFPS care every year. 37 These aged-out children “lack independent living

skills” and are unprepared for adult life; according to a witness who runs a

non-profit to help aged-out children, “[t]hey do not know how to answer a

phone, take or leave a message, cook a meal for themselves, or load a

dishwasher. They do not know how to fill out a job application, let alone drive

a car to get to work.” 38 Former foster youths suffer from post-traumatic stress

disorder at nearly five times the rate of the general population and nearly twice

the rate of United States combat veterans. 39 Around 27 percent of children

aging out of care end up in the criminal-justice system, and a third become

homeless. 40 Once homeless, one out of three will become involved in

prostitution; according to one amicus, “the Texas child welfare system is

effectively supplying the sex-trafficking industry with current and former

37 Stukenberg I, 907 F.3d at 292 (Higginbotham, J., concurring in part and dissenting

in part).

38 M.D., 152 F. Supp. 3d at 790.

39 Id.

40 Stukenberg I, 907 F.3d at 292 (Higginbotham, J., concurring in part and dissenting

in part).

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foster youth.” 41 Among female former-PMC children, 49 percent become

pregnant within a year of aging out; 70 percent of their children then enter the

same foster-care system. 42 The social cost of this unreformed system is

enormous. Looking past the loss of the forces of basic morality and fairness,

the dollar cost to the State entailed by this feedback into government custody

by its released charges must far exceed the cost of a sound system.

V.

The State’s view of narrow tailoring is transparent. Implicit in a failure

to narrowly tailor a remedy is an effective alternative. The facts in the record

and the State’s conduct before the district court make plain that its alternative

is to leave DFPS’s flawed record-keeping system in place. My colleagues

mistakenly only reward the State’s resistance to the orders of the United

States District Court.

Finally, the State’s approach to these efforts to protect the constitutional

rights of our children is now shot through with two rending realities. First, the

majority’s talismanic use of “best practices” betrays an anemic view of the

State’s constitutional duty to care for the children it takes into its charge. This

limpid cast places that duty nigh on a plane of state-owed duties to its convicts,

and is in sharp tension with our finding of deliberate indifference. 43 Indeed,

the majority has excised detailed remedial provisions addressing DFPS’s abject

failure to prepare children aging out of PMC custody for safe and productive

adult life, a denial of programs the likes of which are routinely afforded to

convicts before their reentrance to society. Again, the State’s obligation runs

41 Id. (quoting Brief of Disability Rights Texas as Amicus Curiae at 8).

42 Id.

43 See Farmer v. Brennan, 511 U.S. 825, 833 (1994) (“[P]rison officials have a duty . . .

to protect prisoners from violence at the hands of other prisoners. . . . [H]aving stripped them

of virtually every means of self-protection and foreclosed their access to outside aid, the

government and its officials are not free to let the state of nature take its course.”).

31

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not to some abstract universe of “foster-care children,” rather it runs to each of

these children as an individual. 44 At its core, this obligation must be larger

than food, shelter, and sojourns through a succession of public schools. When

the State deploys persons termed “I See You” workers to locate its charges it

exposes its failure to abide its constitutionally imposed duty. Second, that the

State’s fervor for potential life subsides when that potential is realized brings

puzzlement that would defy the genius of Fyodor Dostoevsky’s dissection of the

human psyche—in simultaneous pursuit of ends in conflict, each with the

other.

To these eyes, the State repairs to an unrecognizable view of our

federalism—one that elides its core. Federal law is also the State’s law, and

the federal court here arrives because the State has refused to fulfill its

constitutional duty, one owed to the 12,000 PMC children in its charge. Its

reflexive resistance to the federal district court’s remedial orders—both direct

confrontation and a refusal to cooperate or otherwise participate in the crafting

of a response—bespeaks a view of our federalism inverted to look past the

unchallenged finding of this court of the State’s deliberate indifference to the

constitutional rights of PMC children, in part a call to account given that half

its monies come from the federal treasury. One would think that the

presentation ought to be one of cooperative federalism. The State’s noble

enterprise to take custody of these children is being hollowed by bureaucratic

wrangling and ineptitude, a threatened stain on Texas—and a retreat by this

Stukenberg I, 907 F.3d at 302 (Higginbotham, J., concurring in part and dissenting

44

in part) (“Treating a child as an individual—protecting his or her identity as an individual—

has long been the concern of human rights conventions, a concern that also lies at the core of

the liberty guaranteed in the Fourteenth Amendment.”). This international concern is

captured in the poignant words “[t]he child . . . shall have the right from birth to a name.”

United Nations Convention on the Rights of the Child, arts. 7–8, 19, Nov. 20, 1989, 28 I.L.M.

1448.

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No. 18-40057

court, once a refuge for such innocents, ready to enforce federal law when a

state fails its obligation to do so, as it must.

Five years after the filing of this lawsuit, but soon after the district

court’s finding of deliberate indifference, the Governor appointed a new DFPS

commissioner to “overhaul[] a broken system” and address a “status quo” that

was “unacceptable.” 45 A commendable effort, but it now comes alone onto a

stage with lights dimmed by this court’s retreat, leaving as a lonely heuristic

this court’s finding that for more than a decade the State has been deliberately

indifferent to the rights of children in its custody. If the judiciary upholds this

walk away, the audience of the people remains—which for the sake of the

children hopefully will be a sufficient incentive to sustain and expand the late

arriving effort to more fully discharge the State’s duty, in this real world a hope

unlikely to be realized, as pointed out in my earlier dissent:

At least as early as 1996, DFPS was unmoved by

the first of the “twenty years of studies conducted or

commissioned by the State.” The administration of

Governor Perry returned to DFPS’s problems in 2010,

pointing out that the agency had still not fixed the

problems identified almost fifteen years earlier. Most

recently, the district court noticed the current

commissioner’s exhortations to reform at DFPS, and

his acknowledgments that, as yet, the agency was

overwhelmed: “our workers are outnumbered by the

opponent—child abuse and neglect.” In its Liability

Order, the district court observed that the State had

appointed its “seventh commissioner since 2004, each

of whom was surely ushered in with promises that this

time it will be different.” More than “[t]wo years and

45Edgar Walters, Abbott Names New Leaders at Embattled Child Welfare Agency, THE

TEXAS TRIBUNE (April 11, 2016). This Commissioner recently announced his resignation of

the post after three years heading DFPS. Edgar Walters, Texas Child Welfare Chief Hank

Whitman Announces Retirement, THE TEXAS TRIBUNE (May 28, 2019). Governor Abbott was

elected in 2014, three years after this suit was filed, following service as Texas’s attorney

general and as a Justice of the Supreme Court of Texas.

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No. 18-40057

one legislative session” after the liability

determination, the constitutional deprivations

remained unaddressed. The “foster care system of

Texas [was still] broken[.]” 46

It is to this history that my colleagues defer—in the name of federalism.

46 Stukenberg I, 907 F.3d at 298 (Higginbotham, J., concurring in part and dissenting

in part).

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APPENDIX:

Excised Injunctive Provision Majority’s Rationale

Caseload-Specific Provisions

Caseload-cap mandating a range of 14–17 The measure would exacerbate DFPS’s staffing

children per caseworker. Stukenberg I, 907 F.3d crisis in the short term, and, more broadly, is

at 273–74. “too blunt a remedy . . . beyond what [is]

minimally required” to remedy the

constitutional violation.” Id. at 274. Instead,

“DFPS absolutely should determine how many

cases, on average, caseworkers are able to

safely carry. Based on its determination, DFPS

should establish generally applicable, internal

caseload standards. . . . as a rough guide for

supervisors who are handling caseload

distribution, and they should inform DFPS’s

hiring goals.” Id. at 274.

Recruitment of new caseworkers. Id. The measure is “improper . . . either exceed[ing]

what is required to achieve constitutional

compliance or . . . not directly address[ing] the

problems giving rise to the caseload

management violation.” Id. Also, it potentially

“would unnecessarily add to the volume of work

for which caseworkers are responsible, and

would increase the time spent managing

paperwork and compliance and administrative

burdens.” Id.

Comprehensive training and competency Same as previous. Id. at 274.

examinations for new caseworkers. Id. at 275.

Same as previous. Id. at 274.

Monthly face-to-face meetings between

caseworkers and each child under their care. Id.

at 275.

Same as previous. Id. at 274.

Caseworker training on visitation policies. Id. at

275.

Same as previous. Id. at 274.

Quarterly reports on caseworker–child visits. Id.

at 275.

Same as previous. Id. at 274.

Adherence to agency contact guidelines,

including caseworker assessments of each child’s

safety and medical, mental-health, and

educational needs. Id. at 275.

Same as previous. Id. at 274.

Requirement that supervisors carry no caseload

of their own and oversee no more than seven

caseworkers. Id. at 275.

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Same as previous. Id. at 274.

Elimination of the use of “I See You” workers. Id.

at 275.

Monitoring and Oversight Provisions

Establishment of a statewide 24-hour hotline The measure “do[es] not address the discrete

accessible to PMC children to report and record issues underlying the violation: the manner in

calls concerning abuse and neglect. Id. at 279. which RCCL documents and investigates

allegations of abuse. To the extent that the court

is worried about underreporting, this can be

remedied by mandating that caseworkers

provide children with the appropriate point of

contact for reporting issues. The problem with

RCCL follow-up is sufficiently addressed by

other valid provisions.” Id.

Requirement that all foster homes maintain a Same as previous. Id.

landline phone accessible to children. Id.

Requirement that DFPS ensure PMC children The measure would “unnecessarily increase the

are able to access and use the 24-hour hotline. time spent managing administrative burdens.”

Id. at 280 Id. at 279.

Requirement that DFPS record all calls to the Same as previous. Id. at 279.

24-hour abuse and neglect hotline, and store the

recordings for two years. Id. at 280.

Requirement that foster caregivers report all Same as previous. Id. at 279.

allegations of child on child sexual abuse via the

24-hour hotline. Id. at 280.

Requirement that DFPS track referrals of child- Same as previous. Id. at 279.

on-child sexual abuse. Id. at 280.

Quarterly reports on all child-on-child abuse Same as previous. Id. at 279.

referrals made to the hotline that have been

assigned for investigation. Id. at 280.

Requirement that investigations of abuse and Same as previous. Id. at 279.

neglect in licensed placements are conducted by

staff with caseloads exclusively focused on

maltreatment investigations. Id. at 280.

The measure is “misguided for substantially the

Caseload cap of 14 cases for RCCL workers

same reasons that caseload caps are ill-advised

investigating abuse and placement licensing

in the primary caseworker context. Again,

requirements. Id. at 280–81.

however, it would be reasonable for the court to

require a comprehensive workload study and

the establishment of internal guidelines for

caseload ranges based on what DFPS

determines RCCL investigators can safely

manage.” Id. at 279.

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The measure is “not only unnecessary, but . . .

Disclosure of redacted licensing inspection

also implicates confidentiality concerns.” Id. at

reports, including the outcome of the inspection,

279.

violations, and the agency’s corrective actions

addressing the violations. Id. at 281.

“Crossover” Provisions

The measure is “improper” because it is

Requirement that each PMC child’s case file

“designed to remedy what the district court

include a current photograph of the child. Id. at

believed to be additional, related problems with

283.

the foster care system” and is “not calculated to

remedy an identified constitutional violation.”

Id. Additionally, it potentially would “only

increase caseworkers’ administrative burdens.”

Id.

Requirement that DFPS obtain a photo of each Same as previous. Id.

child within 48 hours of their entering PMC

custody. Id.

Same as previous. Id.

Requirement that DFPS ensure children under

three have photos updated at least semi-

annually. Id.

Same as previous. Id.

Requirement that DFPS ensure caseworkers

have proper training in photographing and

uploading pictures of children in their care to the

casefile system. Id.

Same as previous. Id.

Provision of a birth certificate and social security

card to each PMC child at the age of sixteen. Id.

Same as previous. Id. at 283.

Provision of educational and medical records to

each PMC child prior to their aging out of care.

Id. at 283–84

Same as previous. Id. at 283.

Identification by DFPS of PMC children aged 14

or older who have not received independent

living preparation services. Id. at 284.

Same as previous. Id. at 283.

Requirement that 14- and 15-year-old PMC

children receive the agency’s Preparation for

Adult Living services and that 14-year-olds

receive a life-skills assessment and transition

planning services, with accommodations for

disabled PMC children. Id. at 284.

Same as previous. Id. at 283.

Development of a plan for expungement of each

child’s eligible criminal or juvenile offense

records before the aging out of care. Id. at 284.

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Same as previous. Id. at 283.

Development of a plan for each child to access

benefits for which they are eligible upon aging

out. Id. at 285.

Same as previous. Id. at 283.

Provision of driver’s education to eligible PMC

children. Id. at 285.

Same as previous. Id. at 283.

Creation of email accounts for 14-year-old PMC

children for receipt of encrypted personal

documents and records. Id. at 285.

Same as previous. Id. at 283.

Appointment of an attorney ad litem for PMC

children unrepresented in pending cases. Id. at

285.

Same as previous. Id. at 283.

Development of a plan for reimbursement of

PMC children’s attorneys ad litem in those

courts that do not provide attorneys ad litem. Id.

at 285.

Same as previous. Id. at 283.

Training for caseworkers on child health. Id. at

285.

Same as previous. Id. at 283.

Requirement that DFPS make every effort to

obtain a child’s medical records within 24 hours

of the child entering DFPS custody. Id. at 285.

Same as previous. Id. at 283.

Provision of a “medical home” to provide

comprehensive and continuous medical care to

each PMC child. Id. at 285.

Same as previous. Id. at 283.

Annual developmental screenings for each PMC

child. Id. at 286.

Same as previous. Id. at 283.

Casefile system alerts notifying caseworkers of a

child’s scheduled medical screenings,

immunizations, and appointments. Id. at 286.

Same as previous. Id. at 283.

Regular caseworker verification of each child’s

health status. Id. at 286.

Same as previous. Id. at 283.

Prohibitions on placing unrelated children more

than three years apart in age or in different

service levels in the same room. Id. at 286–87.

Same as previous. Id. at 283.

Prohibition on housing children in DFPS offices.

Id. at 287

Same as previous. Id. at 283.

Placement of PMC children younger than two in

family-like settings within six months of the

order, children younger than six within 12

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No. 18-40057

months, and children under thirteen within 24

months. Id. at 287.

39

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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