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Administration / Child Welfare Systems - Results (44 Publications)

Title: Financing Strategies for Systems of Care. (Chapter 7 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Pires, Sheila A.;Stroul, Beth A.;Armstrong, Mary.;McCarthy, Jan.;Pizzigati, Karabelle A.;Wood, Ginny.;Echo-Hawk, Holly.
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: This chapter reviews the financing goals of systems of care, provides a framework for financing strategies that can be used in systems of care, and discuses a strategic approach to financing. Financing strategies for systems of care are discussed in the areas of: identifying spending and utilization patterns, realigning funding streams and structures, financing appropriate services and supports, financing to support family and youth partnerships, financing to improve cultural and linguistic competence, and financing tribal systems of care. 3 figures and 23 references.

Title: The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families.
Author(s): Stroul, Beth A.;Blau, Gary M..
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: Part of series of books addressing current trends in children's mental health service delivery, this volume focuses on the developmental history of system of care concepts, technologies, and research and provides practical information for implementing systems of care. Section 1 presents an overview of systems of care, including three chapters that outline the history, results, and components of this approach. The five chapters in Section 2 describe elements of systems of care, including critical structures and functions, along with strategies to incorporate individualized services, evidence-based practices, effective financing strategies, and approaches for sustaining systems of care over time. Section 3 provides practice examples at the system level, detailing practical approaches for implementing family-driven and youth-guided systems, enhancing cultural and linguistic competence, measuring fidelity, conducting social marketing, and incorporating evaluation and continuous quality improvement. Section 4 provides practice examples at the service delivery level. Each chapter demonstrates how systems of care can improve outcomes for youth and families by providing strengths-based, individualized services; incorporating evidence-based practice elements; and by addressing the unique needs of young children, youth in transition to adulthood, youth in the child welfare, education, and juvenile justice systems, and youth from diverse communities. The final section discusses future directions for systems of care, focusing on the topics of workforce, policy, and research. Throughout the chapters, examples from the field are provided to illustrate the implementation of effective strategies and to outline challenges and strategies for overcoming these challenges. Numerous references. (Author abstract modified)

Title: Evaluation and Continuous Quality Improvement. (Chapter 12 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Sheehan, Angela.;Manteuffel, Brigette.;Stormann, Chris.;King, Teresa.
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: This chapter describes an approach to the evaluation of systems of care and the collection and use of data for continuous quality improvement (CQI). It discusses the components of the national evaluation of systems of care and strategies for implementing CQI in systems of care. The implementation of the CQI progress report in the Cuyahoga Tapestry System of Care in Ohio is highlighted. 4 figures, 5 tables, and 33 references.

Title: Monitoring Fidelity to System of Care Principles in Service Delivery. (Chapter 13 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Hernandez, Mario.;Vergon, Keren S.;Mayo, John.
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: This chapter describes the System of Care Practice Review (SOCPR) and how it can be used to assess fidelity to system of care principles and to identify areas in need of improvement. An example of the use of the SOCPR in Hillsborough County, Florida is provided. The Tampa-Hillsborough Integrated Network for Kids was a community-based initiative intended to integrate mental health, juvenile justice, education, social, and other services for children with serious emotional disturbances and their families. 4 tables, 4 figures, 2 boxes, and 5 references.

Title: Preventing Child Abuse and Neglect in the United States. [If you had $5 million to spend each year for the next five years to prevent child abuse and neglect in the United States, how would you spend it?]
Author(s): Carrasco, Mary.;Shaw, Rebecca.;Kilburn, M. Rebecca.
Published: 2008
Available from: Rand Corporation
http://www.rand.org
1776 Main Street
P.O. Box 2138

Santa Monica, CA 90407-2138
Printable version (PDF): http://www.rand.org/pubs/working_papers/2008/RAND_WR596.carrasco.pdf
Abstract: This paper critiques the child welfare system in the United States and its focus on tertiary intervention rather than prevention services. It calls for the United States to invest funds in community engagement using a public health approach that would focus on changing community environments rather than targeting only those deemed to be at risk. The need to promote a sense of community responsibility for children, families, and neighbors to reduce abuse and increase child well being is emphasized, as well as the need to empower people in the community to know how to be helpful when they see a parent or caregiver under duress and to convey to all parents in a community that they can reach out for help when they need it without penalty. The advantages of a neighborhood family support center based on a public health model are discussed, and steps for developing centers are described.

Title: Preventing Child Abuse and Neglect in the United States. [If you had $5 million to spend each year for the next five years to prevent child abuse and neglect in the United States, how would you spend it?].
Author(s): Daro, Deborah.;Shaw, Rebecca.;Kilburn, M. Rebecca.
Published: 2008
Available from: Rand Corporation
http://www.rand.org
1776 Main Street
P.O. Box 2138

Santa Monica, CA 90407-2138
Printable version (PDF): http://www.rand.org/pubs/working_papers/2008/RAND_WR596.daro.pdf
Abstract: This paper explores the innovation that is needed to unravel and resolve the contextual and adaptive challenges that have limited the scope, efficiency, and sustainability of child abuse and neglect prevention efforts in the United States for the past 30 years. It considers two options for reform: a national initiative to increase public will and personal investment in child abuse prevention, and strengthening the learning opportunities within selected communities regarding how best to structure and sustain comprehensive and coordinated systems of support for newborns and their parents. The advantages of both options are discussed. 2 references.

Title: America's Children in Brief: Key National Indicators of Well-Being, 2008.
Published: 2008
Available from: Federal Interagency Forum on Child and Family Statistics
http://www.childstats.gov/
3311 Toledo Road, Room 6114

Hyattsville, MD 20782
Printable version (PDF): http://www.childstats.gov/pdf/ac2008/ac_08.pdf
Abstract: This report presents statistics on the well-being of children in the United States. It begins with demographic information about American children that indicates there were 73.9 million children in the United States in 2007, 1.5 million more than in 2000. Data show however, that children continue to decrease as a proportion of the total U.S. population. Information is then provided on indicators that are organized into seven sections, each focusing on a domain relevant to children's lives: family and social environment, economic circumstances, health care, physical environment and safety, behavior, education, and health. Key findings indicate the nation's fourth and eighth graders scored higher in reading and mathematics than they did during their last national assessment, there were increases in the adolescent birth rate and the proportion of infants born at low birthweight, and there were decreases in childhood deaths from injuries and in the percentage of eighth graders who smoked daily. Numerous tables and figures.

Title: 2008 Fact Sheet on Demographics: Adolescents and Young Adults.
Published: 2008
Available from: National Adolescent Health Information Center (NAHIC)
http://nahic.ucsf.edu
LHTS Suite 245, Box 0503
San Francisco, CA 94143-0503
Printable version (PDF): http://nahic.ucsf.edu//downloads/Demographics08.pdf
Abstract: This fact sheet provides statistics on the demographics of adolescents and young adults ages 10-24. Charts indicate: the population of adolescents and young adults is more racially/ethnically diverse than the population of adults; the overall number of adolescents and young adults is expected to increase from 63.3 million in 2006 to 64.1 million in 2020; the racial/ethnic make-up of the adolescent and young adult population varies by region; poverty rates among children and adolescents have decreased in the past decade; Black adoles¬cents (ages 12-17) were least likely to live with two parents in 2006; school enrollment rates for adolescents and young adults (ages 16-24) increased between 1980 and 2006; the median age of first marriage has increased in the past few decades; and the he childbearing rate among young un¬married females (ages 18-24) increased dra¬matically during the 1980s and early 1990s. 15 references and 7 charts.

Title: Workforce Implications: Issues and Strategies for Workforce Development. (Chapter 24 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Dodge, Joan M.;Huang, Larke Nahme.
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: This chapter outlines unique issues and challenges for the health and human service delivery workforce in the children's mental health field. It also describes workforce development goals and responses implemented by individuals, organizations, and agencies to ensure that a quality workforce is in place for children and youth and their families. In addition, four key transformation strategies are discussed for improving the future workforce. 37 references. (Author abstract modified)

Title: Indiana Disproportionality Committee 2007 Annual Report, January 1, 2007 - December 31, 2007.
Published: 2008
Available from: Indiana Criminal Justice Institute
http://www.in.gov/cji/
101 West Washington Street - Suite 1170, East Tower

Indianapolis, IN 46204
Printable version (PDF): http://www.in.gov/cji/files/IDC2007AnnualReport.pdf
Abstract: This annual report discusses the activities and accomplishments of the Indiana Disproportionality Committee (IDC), a committee whose mission it is to create equality within the child welfare, education, juvenile justice and mental health systems and equalize the proportion of children of color in the child welfare, education, juvenile justice and mental health systems with their percentage of the overall population. Research results on the demographics of Black and Hispanic youth in Indiana in 2006 are shared and activities and accomplishments of the IDC from January 1, 2007 to December 31, 2007 are listed. Recommendations for reducing disparities for children and for future directions are made.

Title: Putting Children's Welfare First: A Comment on "Family Security: Supporting Parents' Employment and Children's Development".
Author(s): Horn, Wade F.
Published: 2008
Available from: Urban Institute
http://www.urban.org
2100 M Street, NW
Washington, DC 20037
Document available online at: http://www.urban.org/publications/411719.html
Printable version (PDF): http://www.urban.org/UploadedPDF/411719_parent_employment_horn.pdf
Abstract: This paper discusses the positive impact of welfare reform on reducing the child poverty rate, but notes that most research that has examined the impact of welfare reform on non-economic outcomes for children has found either no effects or modestly positive effects. A case is made that given the overwhelming empirical evidence that children who grow up in two-parent families with both biological parents present have better outcomes on a host of developmental variables, one way to enhance the well-being of children is for public policy to encourage responsible fatherhood and help couples form and sustain low-conflict, healthy marriages. Federal initiatives that encourage healthy marriages and responsible fatherhood are described. 2 references.

Title: When the Helper Becomes Traumatized: Taking Care of You (Chapter 21 in Foster Care Therapist Handbook: Relational Approaches to the Children and Their Families).
Author(s): Woodard-Meyers, Tracy.
Published: 2008
Available from: Child Welfare League of America (CWLA)
http://www.cwla.org/
2345 Crystal Drive, Suite 250
Arlington, VA 22202
Abstract: This chapter discusses the phenomenon of secondary traumatic stress (STS), and how it impacts foster care workers and therapists. Prevention and intervention strategies are presented and include recognition and normalization of STS, establishing positive coping strategies, establishing support systems to talk it out, and seeking professional help. A case study is offered. 1 table and 34 references.

Title: Reimbursement of Mental Health Services in Primary Care Settings.
Author(s): Mauch, Danna.;Kautz, Cori.;Smith, Shelagh.
Published: 2008
Available from: National Clearinghouse for Alcohol and Drug Information
http://ncadi.samhsa.gov/
P.O. Box 2345
Rockville, MD 20847-2345
Printable version (PDF): http://download.ncadi.samhsa.gov/ken/pdf/SMA08-4324/SMA08-4324.pdf
Abstract: In 2005-2006, the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Health Resources and Services Administration (HRSA), with guidance from the Centers for Medicare & Medicaid Services (CMS), jointly sponsored a study to identify the barriers to, and possible solutions for, reimbursement of mental health services provided in primary care settings. The study was divided into two main efforts to better understand the payment policies and practices that may prohibit or discourage the provision of mental health services in primary care settings. The first part of the effort synthesized an environmental scan, literature review, and interviews with 20 key informants into a White Paper background report. The White Paper identifies the barriers to successful provision and reimbursement of mental health services by practitioners in primary care settings. The second part convened a high-level Expert Forum, with participants chosen from various organizations (including consumers, practitioners, providers, government, and researchers), who reviewed the White Paper, discussed and ranked suggested actions to reduce those reimbursement barriers. This final report incorporates their deliberations and addresses the following: the purpose and rationale of the project, the project's tasks, findings from the White Paper, the June 2006 Expert Forum discussion, and suggested actions to the Federal government on steps to overcome existing or perceived barriers to reimbursement and provision of mental health services in primary care settings. 4 tables and numerous references. (Author abstract modified)

Title: Shortchanging Children: How the Federal Government Pays Less than Its Fair Share for Services to New Jersey's Children and Families.
Author(s): Presser, Sheldon.
Published: 2008
Available from: Association for Children of New Jersey
http://www.acnj.org/
35 Halsey Street
Newark, NJ 07102
Printable version (PDF): http://www.acnj.org/admin.asp?uri=2081&action=15&di=1318&ext=pdf&view=yes
Abstract: This policy brief examines the mix of state and federal funding for three key program areas: children's health insurance; prevention of child abuse and neglect; and publicly funded preschool. Our purpose is to educate congressional candidates and advocates on the need for federal support and funding for children and families. (Author abstract)

Title: Partnerships to Promote Evidence-Based Practice [Website].
Published: 2008
Available from: Institute for the Advancement of Social Work Research
www.iaswresearch.org
750 First Street, NE, Suite 700
Washington, DC 20002-4241
Document available online at: http://www.charityadvantage.com/iaswr/ebp.asp
Abstract: This Web resource, which is partially funded by a contract with NIMH, seeks to promote the integration of evidence-based mental health treatments into social work education and research. The Evidence-Based Practice Resources section provides tools that can be used to identify EBPs, online resources that can inform the EBP process and a list of publications for further information. The Partnership Examples section highlights some existing partnerships created between researchers and practitioners that further EBP. Finally, the Upcoming EBP Events section highlights upcoming conferences, workshops and training opportunities for EBP. (Author abstract)

Title: Moving the Child Welfare Reform Train Faster: Improving Maryland's Plan to Address the Foster Home Shortage.
Published: 2008
Available from: Advocates for Children and Youth (ACY)
http://www.acy.org/
8 Market Place, 5th Floor
Baltimore, MD 21202-4034
Printable version (PDF): http://www.acy.org/upimages/Moving%20the%20Train.pdf
Abstract: This issue brief highlights an initiative by the State of Maryland to increase the number of foster homes by 1,000 by 2010. It examines the extent to which the Maryland Department of Human Resources has established reasonable targets and identified clear, evidence-based strategies that are likely to enable Maryland to achieve these goals. Critiques are made of the plan's strategies for targeting potential foster families, recruiting foster families, and retention of foster families. It concludes that the initiative contains a bold goal and several ideas with potential, however, it lacks enough specific strategies to address the need. Recommendations are made for including Family Team Decision Making in the plan, as well as other key components. 6 references.

Title: National Child Welfare Leadership Institute 2008: 201 (NCWLI Leadership Curriculum).
Published: 2008
Available from: American Humane
http://www.americanhumane.org/
63 Inverness Drive East
Englewood, CO 80112
Abstract: In the midst of constant and often turbulent change in the broad child welfare environment, fraught with complexities, often with reforms which at times seem to compete with one another, child welfare managers need to be able to manage the chaos and complexities. Through participation in the program, NCWLI trainees will be able to enhance their leadership skills and succeed in the current environment. These enhanced skills will encourage productive and effective relationships with others within the immediate work setting and within the broader child and family services systems. Trainees will become aware of the evidenced-based management skills that are associated with personal and organizational success, especially in the current environment. They will understand the requirements for change, which include accepting the need for change, understanding what and how to change, committing to and practicing change, and finally applying, monitoring and institutionalizing the change. The NCWLI leadership model will address the skill development and application of these principles, acquiring knowledge and skills specific to the task, practicing and institutionalizing the skills. The model is based on the requirements for sustainable behavior change. The entire training curriculum, while focusing on leadership skills, will utilize evidence-based practice as the common link across the entire curriculum, and will promote data-driven decision making.

Title: Challenges to Evidence-Informed Practice and Policy Concerning Adolescent Sex Offenders.
Author(s): Chaffin, Mark.
Published: 2008
Journal Name: APSAC Advisor : American Professional Society on the Abuse of Children.
v. 20, 2, Spring 2008, p. 2-4
Available from: American Professional Society on the Abuse of Children.
http://www.apsac.org
PO Box 30669
Charleston, SC 29417
Abstract: This commentary discusses many of the issues facing practitioners and policy makers when serving youth with AISB (Adolescent Illegal Sexual Behavior). The article describes the complex relationships between scientific evidence, clinical practice, and policy development. It also highlights the dangers of applying findings from research on adult sexual offenders to AISB. (Author abstract modified)

Title: Implementation of California's Differential Response Model in Small Counties. (Journal article in Exploring Differential Response: One Pathway Toward Reforming Child Welfare.)
Author(s): Bagdasaryan, Sofya.;Furman, Walter.;Franke, Todd.
Published: 2008
Journal Name: Protecting Children
v. 23, 1-2, p. 40-56
Available from: American Humane
http://www.americanhumane.org/
63 Inverness Drive East
Englewood, CO 80112
Abstract: This article describes the implementation of differential response programs in 11 small, mostly rural, counties in Northern California. It discusses case identification and risk assessment, components of differential response systems and referral methods, and system response and service delivery. Data is reported that indicate counties have made much progress in implementing the differential response model. 2 figures and 20 references.

Title: Evaluation Results and Systems of Care: A Review. (Chapter 2 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Manteuffel, Brigitte.;Stephens, Robert L.;Brashears, Freda.;Krivelyova, Anna.;Fisher, Sylvia K.;
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: Results are shared from a national evaluation of systems of care implemented in 126 communities funded by the federal Comprehensive Community Mental Health Services to Children and Their Families Program. Findings indicate children experience reductions in their behavioral and emotional problems, increase their strengths, do better in school, and are less likely to be involved with the juvenile justice system after receiving services in systems of care. 8 figures and numerous references.

Title: Individualized Services in Systems of Care: The Wraparound Process. (Chapter 5 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Walker, Janet S.;Bruns, Eric J.;Penn, Marlene.
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: This chapter reviews the history and early development of providing wraparound services, a team-based collaborative process for developing and implementing individualized care plans for children with complex needs and their families. Principles of the wraparound process, phases and activities of the wraparound process, developing a practice model for wraparound, developing a theory of change for wraparound, and supporting high-fidelity wraparound are discussed. The role of the family partner, monitoring implementation quality, and the importance of system supports for wraparound are also explained. 1 figure, 4 tables, and 55 references.

Title: Implementing Evidence-Based Practices Within Systems of Care. (Chapter 6 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Walrath, Christine.;Blase, Karen A.;Kanary, Patrick J.;
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: This chapter outlines key issues that should be considered as evidence-based practices (EBPs) and programs are integrated into a system of care framework. A theory-driven, step-by-step approach to the integration of EBPs into a system of care environment is presented, as well as examples and lessons learned from communities that employ the practice. 2 tables, 15 boxes, and 34 references. (Author abstract modified)

Title: Improving Services Through Evidence-Based Practice Elements. (Chapter 16 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Schiffman, Jason.;Donkervoet, Christina M.;
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: This chapter describes the incorporation of evidence-based practice elements in the children's mental health system in Hawaii. It reviews the development of Hawaii's child and adolescent mental health system, the creation of an evidence-based culture through the development of the Evidence-Based Services Committee, the identification and application of practice elements, the integration of evidence-based practice elements into individualized care, and the engagement of system partners. A case example is provided. 6 figures and 26 references.

Title: Sustaining Systems of Care. (Chapter 8 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Stroul, Beth A.;Manteuffel, Brigette.;
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: A study surveyed key informants at 37 communities who received funding to develop and improve systems of care through the federal Community Mental Health Services for Children and Their Families Program (CMHS Program). Results indicate increases in the availability for behavioral aid services in homes, schools, and other settings; transition from residential treatment settings to community-based service settings; transition to adult services from services within the children's mental health system of care; medication monitoring; and substance abuse treatment. Only increases in behavioral aide services, however, achieved statistical significance. Lessons learned and recommendations are discussed. 10 tables and 16 references.

Title: Services for Young Children and Their Families in Systems of Care. (Chapter 18 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Perry, Deborah F.;Kaufman, Roxanne K.;Hoover, Sarah.;Zundel, Claudia.
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: A case study is presented of an initiative underway in four communities in Colorado to develop a system of care for young children. In addition, evidence-based practices for young children with or at risk for mental health problems are outlined, and future challenges and issues are considered as States and communities move forward in their efforts to serve young children and their families. 3 figures and 43 references.

Title: From Early Involvement with Child Welfare Services to School Entry: Wave 5 Follow-Up of Infants in the National Survey of Child and Adolescent Well-Being.
Published: 2008
Available from: ACF Office of Planning, Research and Evaluation (OPRE)
http://www.acf.hhs.gov/programs/opre/
370 L'Enfant Promenade, S.W.
Washington, DC 20447
Document available online at: http://www.acf.hhs.gov/programs/opre/abuse_neglect/nscaw/reports/wave_five_followup/wave_five_followup.html
Printable version (PDF): http://www.acf.hhs.gov/programs/opre/abuse_neglect/nscaw/reports/wave_five_followup/wave_five_followup.pdf
Abstract: This brief provides information about 962 children who were infants (zero to 12 months old) when they first became involved in investigations for child abuse or neglect and whose caregivers participated at the Wave 5 follow-up. Some children's cases were closed after investigation; others had a case opened to CWS services. Although the majority remained at home after investigation, others were removed from their homes. Five to 6 years after child protective services investigation, these children were 5 to 6 years old. This brief is the first in a series presenting findings from the NSCAW Wave 5 follow-up, and addresses the following questions: (1) Who are the children who have had contact with the CWS during infancy? What types of maltreatment did they experience as infants? What risks did they face? What environments were these children living in by the time they were 5 to 6 years old? (2) How well have these children been doing in terms of their physical, psychosocial, cognitive, peer, and academic development? How does this development compare with that of other children? (3) How stable have the children's living situations been? Were they living in permanent homes by the time they were 5 to 6 years old? (4) What services do these children, caregivers, and families need? What have they received? (Author abstract)

Title: Strengths-Based, Individualized Services in Systems of Care. (Chapter 15 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Rotto, Knute.;McIntyre, Janet S.;Serkin, Celia.;
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: This chapter considers the individualized service delivery process used in systems of care operated by Choices, Inc., a nonprofit care management organization in Marion County, Indiana, that coordinates services for individuals and families involved in one or more governmental systems. Choices uses the systems of care philosophy and approach with wraparound values and blends them with managed care technologies to provide a wide range of services and supports to high-risk populations with multiple and complex service needs. 2 tables, 4 figures, 1 box, and 11 references. (Author abstract modified)

Title: Adopted Children with Special Health Care Needs: Characteristics, Health, and Health Care by Adoption Type.
Author(s): Bramlett, Matthew D.;Radel, Laura F.
Published: 2008
Available from: Assistant Secretary for Planning and Evaluation (ASPE)
http://aspe.hhs.gov/
Room 415F
U.S. Department of Health and Human Services
200 Independence Av, SW
Washington, DC 20201
Document available online at: http://aspe.hhs.gov/hsp/08/CSHCN/rb.shtml
Printable version (PDF): http://aspe.hhs.gov/hsp/08/CSHCN/rb.pdf
Abstract: This research brief presents information on adopted children with special health care needs, using data from the 2005-2006 National Survey of Children with Special Health Care Needs (NS-CSHCN). The analysis takes advantage of questions in the NS-CSHCN that allow adopted children in the sample to be grouped and compared by adoption type, that is, foster care adoptions, international adoptions, and domestic adoptions through sources other than the public child welfare system (for convenience discussed below as "private domestic adoptions"). Findings provide a descriptive profile of adopted children with special health care needs (CSHCN); explore ways in which adopted CSHCN are similar to and different from other CSHCN; and describe their health status, health conditions and health care access and utilization across adoption types. The analysis excludes adoptive families in which a biological parent also resides in the household, which are primarily step-parent adoptions. The data presented are nationally representative of adopted CSHCN. Because only CSHCN are included in the sample, however, results may not be generalized to adopted children overall.

Title: Services for High-Risk Populations in Systems of Care. (Chapter 17 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Kamradt, Bruce.;Gilbertson, Stephen A.;Jefferson, Margaret.;
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: This chapter profiles Wraparound Milwaukee, a system of care for children with serious emotional and mental health needs and their families servicing Milwaukee County, Wisconsin. It describes how the program has evolved into a system of care that effectively works with high-risk youth and their families, the organization and financing of the system of care, key service components, and the system of care enhancements needed for working with subgroups of high-risk youth, including youth affected by juvenile sexual violence and their families. 1 table, 2 figures, and 27 references. (Author abstract modified)

Title: Increasing the Voice of Youth: Strategies for New York City Teens Influencing Public Policy.
Author(s): Swaner, Rachel.;Correia, Shane.
Published: 2008
Available from: Center for Court Innovation
http://courtinnovation.org/
520 8th Avenue, 18th floor
New York, NY 10018
Printable version (PDF): http://courtinnovation.org/_uploads/documents/Voice_Youth.pdf
Abstract: This report describes findings from a study that sought to understand how young people can become important players in the policymaking process. Youth civic engagement literature shows that there are low levels of civic and political participation among American youth, in part because there are few policy structures to support youth in community governance. Many youth programs that work to influence public policy have been designed in response to this, but evaluation of these programs has focused on the impact of participation on the individual youth themselves -- their knowledge of a particular issue, self esteem, communication skills, and perceptions of self-efficacy -- as opposed to measuring the impact that a particular youth campaign had on policy. In an attempt to understand what the most effective strategies are for youth having a voice in public policy, the study focused on the supply and demand for youth input. On the supply side, we examined several New York City programs that work to increase the voice of inner city youth in policy in order to determine what have proven to be effective strategies for influencing policy. On the demand side, we sought to determine what policymakers want to know from youth and how the voice of young people can most effectively be heard and respected. The findings of the study will be used to inform the Youth Justice Board, an after-school program of the Center for Court Innovation, that seeks to influence public policy related to juvenile justice issues. (Author abstract)

Title: Adolescents Involved with Child Welfare: A Transition to Adulthood.
Published: 2008
Available from: ACF Office of Planning, Research and Evaluation (OPRE)
http://www.acf.hhs.gov/programs/opre/
370 L'Enfant Promenade, S.W.
Washington, DC 20447
Document available online at: http://www.acf.hhs.gov/programs/opre/abuse_neglect/nscaw/reports/adolescents_involved/adolescents_involved.html
Printable version (PDF): http://www.acf.hhs.gov/programs/opre/abuse_neglect/nscaw/reports/adolescents_involved/adolescents_involved.pdf
Abstract: This brief provides information to enhance our understanding of the needs of young adults by addressing the following questions: (1) Who are the young adults who had contact with the CWS during adolescence? What types of maltreatment did they experience as adolescents? What risks did they face? What environments are these young adults living in by the time they are 18 to 21 years old? (2) How well are these young adults doing in terms of their physical, psychosocial, and emotional development? How does this development compare with that of young adults in the general population? (3) How are they transitioning to adulthood and integrating into society? How many have a job, and what types of work are they doing? For those who are parents, how are they doing in this new role? (4) What services do young adults need? What have they received? (Author abstract)

Title: Policy Implications: New Directions in Child and Adolescent Mental Health. (Chapter 25 in The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families).
Author(s): Goldman, Sybil K.;Stroul, Beth A.;Huang, Larke Nahme.;Koyanagi, Chris.
Published: 2008
Available from: Paul H. Brookes Publishing Co.
www.brookespublishing.com
Post Office Box 10624
Baltimore, MD 21285-0624
Abstract: This chapter focuses on future policy directions for child and adolescent mental health. A policy framework is presented that incorporates a public health approach to mental health, and important policy priorities and strategies to address these priorities are highlighted. Priorities addressed include family and youth centered care and partnerships, culturally and linguistically competent care, individualized care, comprehensive home and community-based services, cross-system coordination and financing, early intervention, integration of behavioral health and primary care, and mental health services in schools. 1 figure and numerous references.

Title: National Child Welfare Leadership Institute 2008: 101 (NCWLI Leadership Training Outline).
Published: 2008
Available from: American Humane
http://www.americanhumane.org/
63 Inverness Drive East
Englewood, CO 80112
Abstract: In the midst of constant and often turbulent change in the broad child welfare environment, fraught with complexities, often with reforms which at times seem to compete with one another, child welfare managers need to be able to manage the chaos and complexities. Through participation in the program, NCWLI trainees will be able to enhance their leadership skills and succeed in the current environment. These enhanced skills will encourage productive and effective relationships with others within the immediate work setting and within the broader child and family services systems.Trainees will become aware of the evidenced-based management skills that are associated with personal and organizational success, especially in the current environment. They will understand the requirements for change, which include accepting the need for change, understanding what and how to change, committing to and practicing change, and finally applying, monitoring and institutionalizing the change.The NCWLI leadership model will address the skill development and application of these principles, acquiring knowledge and skills specific to the task, practicing and institutionalizing the skills. The model is based on the requirements for sustainablebehavior change. The entire training curriculum, while focusing on leadership skills, will utilize evidence-based practice as the common link across the entire curriculum, and will promote data-driven decision making.

Title: Adolescents Involved with Child Welfare: A Transition to Adulthood.
Published: 2008
Available from: ACF Office of Planning, Research and Evaluation (OPRE)
http://www.acf.hhs.gov/programs/opre/
370 L'Enfant Promenade, S.W.
Washington, DC 20447
Printable version (PDF): http://www.acf.hhs.gov/programs/opre/abuse_neglect/nscaw/reports/transition_adult/transition_adult.pdf
Abstract: In 1999 the Administration on Children, Youth and Families, U.S. Department of Health and Human Services, undertook the National Survey of Child and Adolescent Well-Being (NSCAW) to learn about children and families coming in contact with the child welfare system (CWS). The sample, which represents the population of children and families who entered CWS services within a 15-month period (October 1999 through December 2000), included 5,501 children (aged 0 to 14 at the time of sampling) from 92 child welfare agencies nationwide. The first national longitudinal survey of its kind, NSCAW gathers information about children's safety, living-situation permanency, well-being, and services after a maltreatment investigation by child protective services. This is the first report to focus on adolescents transitioning to young adulthood, presenting findings from the NSCAW Wave 5 follow-up. It provides information about 620 young adults who were adolescents (12 to 15 years old) at baseline. (Author abstract)

Title: Depression Among Caregivers of Young Children Reported for Child Maltreatment.
Published: 2008
Available from: ACF Office of Planning, Research and Evaluation (OPRE)
http://www.acf.hhs.gov/programs/opre/
370 L'Enfant Promenade, S.W.
Washington, DC 20447
Document available online at: http://www.acf.hhs.gov/programs/opre/abuse_neglect/nscaw/reports/depression_caregivers/depression_among_care.html
Printable version (PDF): http://www.acf.hhs.gov/programs/opre/abuse_neglect/nscaw/reports/depression_caregivers/depression_caregivers.pdf
Abstract: This research brief examines CWS population rates of depression longitudinally, as well as average individual change over time, among caregivers of young children, particularly mothers. The following questions are addressed: (1) What percentage of the caregivers of young children involved with CWS suffer from depression? (2) How persistent is depression across time in the population? (3) What family and environmental characteristics predict a caregiver's having depression at the time of contact with CWS (baseline) and afterward? (4) What family and environmental characteristics predict individual changes in depression over time? (Author abstract)

Title: From Early Involvement with Child Welfare Services to School Entry: A 5- to 6-Year Follow-Up of Infants in the National Survey of Child and Adolescent Well-Being: With Tables of 5- to 6-Year Follow-Up Results for Children Aged 1 to 4 at Baseline.
Published: 2008
Available from: ACF Office of Planning, Research and Evaluation (OPRE)
http://www.acf.hhs.gov/programs/opre/
370 L'Enfant Promenade, S.W.
Washington, DC 20447
Printable version (PDF): http://www.acf.hhs.gov/programs/opre/abuse_neglect/nscaw/reports/early_involvement/early_involvement.pdf
Abstract: In 1999 the Administration for Children and Families, U.S. Department of Health and Human Services, undertook the National Survey of Child and Adolescent Well-Being (NSCAW) to learn about children and families coming in contact with the child welfare system (CWS). The sample, which represents the population of children and families that entered the CWS within a 15-month period (October 1999 to December 2000), comprises 5,501 children (aged 0 to 14 years) from 92 child welfare agencies nationwide. The first national longitudinal survey of its kind, NSCAW gathers information about children's safety, living-situation permanency, wellbeing, and services after a maltreatment investigation by child protective services. NSCAW has examined the experiences of children and families with the CWS, starting approximately 4 months after the completion of a CWS maltreatment investigation and following up 1½ years, 3 years, and 5 to 6 years later (in 2005 and 2006). This report provides information about 962 children who were infants (0 to 12 months old) when they first became involved in investigations for child abuse or neglect and whose caregivers participated at the 5- to 6-year follow-up. Some children's cases were closed after investigation; others had a case opened to child welfare services. Although the majority remained at home after investigation, others were removed from their homes. Five to 6 years after child protective services investigation, these children were 5 to 6 years old. This report is the first in a series presenting findings from the NSCAW 5- to 6-year follow-up. (Author abstract)

Title: Using Research to Improve Outcomes for Young Children: A Call for Action: Final Report of the Wingspread Conference, September 18-20, 2007.
Published: 2007
Available from: National Association for the Education of Young Children
http://www.naeyc.org/
1313 L Street, NW, Suite 500
Washington, DC 20005
Printable version (PDF): http://www.naeyc.org/files/naeyc/file/research/WingspreadReport.pdf
Abstract: The National Association for the Education of Young Children (NAEYC) and Society for Research in Child Development (SRCD) conducted a small multidisciplinary conference at the Wingspread Conference Center in Racine, Wisconsin from September 18-20, 2007. The primary goal of the conference was to develop a set of action-oriented recommendations that would advance the field of early childhood (EC) and improve the outcomes for young children, especially children living in the most vulnerable of circumstances. Approximately 40 experts in the field of EC, child development, and knowledge utilization convened to participate in a dynamic exchange of ideas and information centered on strengthening the link between early childhood research and practice. The conference format consisted of both small and large group discussions. Catalyst panels proposed topics for fellow participants to consider prior to small group discussions. There were three panels, each consisting of several presentations by EC and knowledge utilization experts, that addressed the challenges of knowledge utilization in EC, the importance of evidence-based practice and the role of purveyors in implementing research at multiple levels, and practical and innovative ways to strengthen the bridge between EC research and practice. This report discusses the desired outcomes of the conference, the structure of the conference, and the 25 action-recommendations produced at Wingspread. The recommendations address: developing infrastructures that require partnering, increasing knowledge base and implementation, focusing on professional development, encouraging collaboration among existing institutions, and strengthening communication.

Title: Summit on Public/Private Partnership: Partnering to Protect and Strengthen Families in Our Communities Proceedings.
Published: 2007
Available from: National Quality Improvement Center on the Privatization of Child Welfare Services
http://www.uky.edu/SocialWork/qicpcw/
University of Kentucky
College of Social Work
Training Resource Center
1 Quality Street
Suite 700
Lexington, KY 40507
Printable version (PDF): http://www.uky.edu/SocialWork/qicpcw/documents/Summit_Proceedings.pdf
Abstract: The National Quality Improvement Center on the Privatization of Child Welfare Services, in partnership with the Children's Bureau, convened a Summit on Public/Private Partnership to bring together leaders in the public child welfare and private provider communities to share innovative strategies and dialogue on effective practices. The format of the summit included brief panel discussions and facilitated roundtable discussions on the following topics: current trends/hot topics, performance-based contracting, quality improvement/quality assurance, and building trusting relationships within a public/private partnership. The challenges experienced and lessons learned by 133 participants representing 31 States, including Washington, D.C. and Puerto Rico were captured during four roundtable sessions and synthesized in this document. The summit agenda is provided, as well as a summary of the presentations and discussions on the four topics, and the roundtable facilitated discussions. (Author abstract modified)

Title: Assessing Site Readiness: Considerations about Transitioning to a Privatized Child Welfare System.
Author(s): Lee, Elizabeth.;Ensign, Karl.
Published: 2007
Available from: Assistant Secretary for Planning and Evaluation (ASPE)
http://aspe.hhs.gov/
Room 415F
U.S. Department of Health and Human Services
200 Independence Av, SW
Washington, DC 20201
Document available online at: http://aspe.hhs.gov/hsp/07/CWPI/site/index.htm
Printable version (PDF): http://aspe.hhs.gov/hsp/07/CWPI/site/report.pdf
Abstract: During the 1990s, a number of state and local child welfare agencies began experimenting with privatization of child welfare services in order to improve performance and reduce costs. Models of privatization vary across the country, from statewide reforms to more limited initiatives. States continue to look for best practice measures to fuse programmatic and fiscal reforms. However, because little sound research and few outcome evaluations have been conducted on these initiatives, little information on effective practices and models is available. To assist state and local child welfare policymakers who are considering --or implementing -- privatization reform, the Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services (HHS) has undertaken The Child Welfare Privatization Initiatives Project. This project is developing a series of topical papers drawing from the experience of child welfare and other social services programs which have privatized services and is intended to provide insights about factors that should be considered when approaching or improving upon privatization efforts. This paper assists child welfare administrators in thinking through key issues about transitioning to a privatized system of service delivery. The paper is organized around 12 questions that administrators need to ask themselves when assessing the "readiness" of their site to undertake this type of systems reform. (Author abstract)

Title: Children in Change: Group Curriculum For Kids Ages 8-14 Who Are Experiencing Family Change. A Resource for Educators, Social Workers, Clergy and Youth Leaders.
Author(s): Simmonds, Jennifer.
Published: 2006
Available from: Family and Children's Service
http://familychildrenservice.nonprofitoffice.com/
414 South Eighth Street
Minneapolis, MN 55404
Printable version (PDF): http://familychildrenservice.nonprofitoffice.com/vertical/Sites/%7B180D3755-B455-4299-8D88-544431B73DE8%7D/uploads/%7BE278FB8B-6117-4BFD-BAA5-97832071236F%7D.PDF
Abstract: The Children in Change curriculum was developed for a program designed to reduce the stress associated with separation, divorce or other family changes resulting from death, incarceration or drug treatment. The preventive, educational program is provided in the student's own school through eight weekly one-hour small group meetings. (Author abstract)

Title: Child Welfare: State Performance on Child and Family Services Reviews.
Author(s): Stoltzfus, Emilie.
Published: 2005
Available from: PolicyArchive (Center for Governmental Studies)
https://www.policyarchive.org/
10951 W. Pico Blvd. Suite 120
Los Angeles, CA 90064-2184
Printable version (PDF): https://www.policyarchive.org/bitstream/handle/10207/2481/RL32968_20050629.pdf?sequence=1
Abstract: This report describes the origins and design of federal Child Family Service Reviews (CFSRs) before turning to a discussion of State performance in the initial round of CFSRs conducted between March 2001 and March 2004. The first section explains how a CFSR is conducted and what is assessed. It explains the statewide assessment, the onsite review, and the meaning of substantial conformity. The following section reviews the aggregate State performance on outcomes in the initial CFSR by case review and by national standards. State performance on specific outcomes are then discussed, including outcomes assessed by case review and national standards relating to protecting child from maltreatment, and permanency and stability in living arrangements. Outcomes assessed by case review alone are then explained, as well as State performance on individual case review indicators. No State was found to be in substantial conformity with all of the outcomes and systems assessed. The next sections summarize State system performance in the initial CFSR and explore weaknesses identified by the CFSR. Common challenges to achieving permanent and stable living arrangements and to enhancing the capacity of families to meet the needs of their children are discussed. Final sections address assessing penalties and consider whether the initial CFSR accurately measured State performance. 2 figures, 20 tables, and 28 references.

Title: A Strategic Housing Plan for Special Needs Populations in Los Angeles County.
Published: 2005
Available from: Shelter Partnership
http://www.shelterpartnership.org/
523 West Sixth Street, Suite 616
Los Angeles, CA 90014-1224
Printable version (PDF): http://www.shelterpartnership.org/Common/Documents/studies/StratPlan3.pdf.pdf
Abstract: This report presents a two-year strategic housing plan to address the housing needs of special populations in Los Angeles County. The Plan focuses on the following three special needs groups: youth emancipated from the dependency and delinquency systems; homeless persons with mental illness; and persons living with HIV/AIDS. The Plan is divided into five sections and utilizes information from various sources, such as public planning documents, reports, academic journals, news articles, conference and workshop materials, and caseload information. The first section provides a recent composite of each special needs population in the County and includes information on emancipated foster youth, homeless persons with mental illness, and persons living with HIV. The following section on barriers to accessing and maintaining housing, identifies universal barriers and barriers unique to special needs populations. This section also includes responses from the series of County-sponsored focus groups conducted with program administrators, nonprofit housing and service providers, and consumers of County services. The third section presents an inventory of housing in Los Angeles County that is targeted to each of the three special needs populations. The next section highlights the various public funding programs that are available for providing housing and supportive services to special needs populations in Los Angeles County through formula grants and competitive grants. The Plan concludes with recommendations that offer specific strategies that the County and the Special Needs Housing Alliance should pursue to best address the housing and housing-related needs of their clients. 40 tables, 16 figures, and numerous references.

Title: An Epidemiological Study of the Prevalence and Needs Of Children of Incarcerated Parents within the State of Arizona.
Author(s): Shafer, Michael S.
Published: 2005
Available from: Center for Applied Behavioral Health Policy
http://www.cabhp.asu.edu/
P.O. Box 37100, Mail Code 3252
Phoenix, AR 85069-7100
Printable version (PDF): http://www.cabhp.asu.edu/projects/research/pdf/epidemiological%20study%20of%20the%20prevalence%20and%20needs%20of%20children%20of%20incarcerated%20parents.pdf
Abstract: This report summarizes the results of a survey that was conducted with inmates of the Arizona Department of Corrections. The purpose of the survey was to estimate the proportion of confined inmates who are parents, to estimate the statewide population of children whose parents are confined in ADC prisons, and to assess the needs of both these parents and children. Participants of this study consisted of 1,908 female inmates and 1,183 male inmates. Findings from the study indicate at least 1/3 of all participants reported that their mother and/or father had been arrested or imprisoned while they were a child or juvenile, and well over 25% of all respondents had lived in a group home, been placed in foster care, or spent time in the juvenile justice system. Among the respondents who identified themselves as parents, 75.5% of the women and 65.9% of the men reported being the victim of physical assault or violence, and 58.9% of the women and 20% of the men reported being sexually assaulted or molested by a family member, friend, or stranger prior to the age of 18. There were 3,882 children identified by the respondents. Most of the children live with their other parent, although approximately 20% are living with a grandparent, 20% of the children were present when their parent was arrested, and over 25% of the children's other parent has been or is currently in prison. Commonly identified problem areas for the children center around adjustment problems in school, active substance abuse, and other acting out behavior. Less than 1/3 visited their parent inmate in the last 90 days and slightly more than half of the children were written to by their parent inmate in the same time period. The report closes by stressing the need for agencies to be better informed to meet the unique needs of the children and the families of inmates and to support these families as the inmates re-enter communities and re-establish their roles as parents, spouses, and productive citizens of Arizona. 10 tables and 36 references.

Title: Los Pasos Program Replication Manual.
Author(s): Hsi, Andrew.;Bouchard, Bebeann.
Published: 2004
Available from: Child Welfare Information Gateway
http://www.childwelfare.gov
Children's Bureau/ACYF
1250 Maryland Avenue, SW
Eighth Floor
Washington, DC 20024
Abstract: This manual includes information for replicating the activities and outcomes of Los Pasos, a program that provides comprehensive services to drug exposed infants and their families in the greater Albuquerque area and four surrounding New Mexico counties. The program uses a family-centered service delivery model and offers primary health care at the weekly well-child El Viaje Clinic, case management, developmental monitoring, parenting guidance, legal services, community referrals for substance use, and specialty medical services. The replication manual includes program component descriptions, procedures, and protocol documents that have been proven successful, along with those that evolved during the 2000-2004 funding period. Information is provided on the team member's tasks, responsibilities, and programmatic foundation in key areas: case management, includes referral and intake forms, vision screening, and service planning forms; developmental services, includes a developmental services timeline and an assessment template; pediatric medical services, includes guidelines for Early Periodic Screening, Diagnosis, and Treatment, guidelines for obtaining maternal and neonatal UDM's, and an immunization schedule; and program evaluation, includes survey and interview assessment instruments. Document Scanned

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