



A private company contracted by the U.S. Department of Health and Human Services to run the center in Homestead is piloting the program and has hired clinical counselors and case managers in Texas, about 1,600 miles away.
“Migrant children already find it extremely hard to communicate their feelings and trust professionals,” said Martha Vallejo, a clinical social worker in Miami who has counseled minors after their release from migrant detention centers. “How can they feel at ease talking to someone behind a screen?”
Case managers are also using video conferencing to talk with children and their relatives before the minors are released from custody.
Elena Reyes, director of Florida State University’s Center for Child Stress & Health, acknowledged that long-distance counseling is increasingly being used in remote locations where there aren’t enough providers. But she said it was hard to imagine that there isn’t a larger pool of bilingual applicants who could provide in-person counseling at the Homestead facility, located about 30 miles south of Miami.
The head of a local nonprofit organization, which is part of a national network of child trauma professionals, said the company had not contacted them. Claudia Kitchens, Kristi House’s director, said the group already sends specialists to two smaller child migrant shelters in the area. It has an office 3 miles away from the facility.
Providing services through teleconferencing is not completely new: The federal government previously had used it to conduct court hearings for migrant teens. Telehealth counseling has also been expanded to treat active-duty soldiers or veterans dealing with depression or post-traumatic stress disorder. But the Homestead facility is the only one of 168 child migrant facilities nationwide using it for counseling.
Homestead has the country’s largest child migrant facility in the nation, with 2,200 minors, and officials say capacity may grow to 3,200. A 1997 court agreement setting conditions for the detention of minors generally bars the government from keeping them for more than 20 days. But some children have told lawyers and congressional delegations they have been held there for months. Over the past year, Immigration and Customs Enforcement has jailed more than 100 of those teenagers who turned 18 while being held at the center.
The government recently awarded Comprehensive Health Services $341 million to expand the Florida center in a no-bid contract. The company was bought last year by Washington, D.C.-based private equity firm DC Capital Partners, which consolidated four companies to form the conglomerate Caliburn International. The conglomerate recently added former White House Chief of Staff John Kelly to its board of directors.