Age Determination Practices for Unaccompanied Alien Children in ...

Appendix APurpose, Scope, and MethodologyIn a House Report associated with the Consolidated Security,Disaster Assistance, and Continuing Appropriations Act, 2009(P.L. 110-329), 5 the House Appropriations Committee voicedconcern that DHS had “not ceased its reliance on bone and dentalforensics for child age determination, as directed” in a previousreport. This previous report suggested that ICE use holistic agedeterminationmethodologies. 6 The House AppropriationsCommittee also asked us to report on any cases in which bone anddental forensics were used in FY 2008 or 2009. 7At the request of the House Committee on Appropriations, wereviewed ICE’s age determination practices for those in itscustody, focusing on the use of dental and skeletal radiographs.Our objectives were to (1) identify the practices and proceduresICE used to determine the age of undocumented detainees held inICE custody in fiscal 2008 and 2009; (2) determine whether ICEimplemented age determination methodologies as identified inHouse Report 110-181, attached to P.L. 110-161; and(3) document any cases where ICE relied on bone and dentalforensics for child age determinations in FY 2008 and 2009.We conducted field work at ICE headquarters in Washington, DC,and the National Records Center in Lees Summit, MO. Weinterviewed headquarters staff at ICE DRO, and field officejuvenile coordinators at DRO offices nationwide via telephone.We also spoke to individuals working in the health care, academic,and advocacy communities across the United States on the use ofradiographs for determining an individual’s age.We reviewed 89 A-files to assess how radiographs are used in agedeterminations, what other evidence ICE collects for this purpose,and how radiographic exams are presented to ICE. We reviewedand analyzed applicable laws, policy documents, records, andnongovernmental reports and journal articles relating to agedeterminations.We conducted our review between March and June 2009 under theauthority of the Inspector General Act of 1978, as amended, andaccording to the Quality Standards for Inspections, issued by theCouncil of the Inspectors General on Integrity and Efficiency.5 H.R. 110-862. 6 H.R. 110-181. 7 Pursuant to the House Appropriations Committee’s request, we focused on ICE’s practices for agedeterminations exclusively, and did not examine CBP’s role in making age determinations forunaccompanied alien children. Age Determination Practices for Unaccompanied Alien Children in ICE CustodyPage 22