This brief describes the American Public Human Services Association (APHSA) and Chapin Hall's partnership to build momentum and consensus for child welfare system transformation by bringing together human services agency leadership, experts with lived experience, and national partner organizations to advance cross-sector recommendations for shared…

Government-funded assistance program enrollment may play an important role in the overall increase of HIV testing among low-income U.S. adults. We pooled data from the 2016-2018 National Health Interview Survey and limited analyses to respondents aged 18 to 64 years with incomes less than 100% of the U.S. poverty threshold (N = 9,497). The outcome…

The South African National Integrated Early Childhood Development Policy was approved by the South African Cabinet in 2015. Given capacity and financial constraints, all services outlined cannot be implemented in a single step. Priorities must be set. We examine the budget implications (total cost and cost per child) and benefits of the four…

The once common use of restrictive interventions (the use of restraint and seclusion) for controlling the behaviour of people with an intellectual disability is now coming under greater scrutiny by government and community sector services. Questions are being raised with respect to the clinical efficacy and ethical appropriateness of such…

Evidence-based programs will be useful to the extent they produce benefits to individuals on a socially significant scale. It appears the combination of effective programs and effective implementation methods is required to assure consistent uses of programs and reliable benefits to children and families. To date, focus has been placed primarily…

This article examines the cost-effectiveness of providing permanent supported housing to homeless people with mental illness. Through the use of billing records and frequency of use charts, researchers were able to map the service usage of a cohort of 268 homeless individuals from both urban and rural communities. The results suggest that…

Since publication of the U.S. Surgeon General's report "Mental Health: Culture, Race and Ethnicity--A Supplement to Mental Health: A Report of the Surgeon General" (U.S. Department of Health and Human Services, 2001), several federal initiatives signal a sustained focus on addressing African American-White American disparities in mental health…

The concept of risk has found increasing prominence in social policy, human services management and front-line practice in recent years. This is particularly the case in relation to children and young people, who, in the UK, have been subject to a range of interventions based on the identification of population-based risk factors. Through the…

In 1997, American Evaluation Association member George Grob, now retired from the U.S. Department of Health and Human Services (HHS) and currently President of the Center for Public Program Evaluation, made a testimony on Medicare home health care fraud and abuse before the U.S. Senate Special Committee on Aging. The occasion was to announce the…

Nearly all governors have designated a state early childhood advisory council to advise policymakers in the state on how to best meet the needs of children from birth to school entry. Early childhood advisory councils in the states vary in their structure and scope, but all of them provide recommendations on improving the quality, availability,…

With Washington trapped in budget battles and partisan gridlock, cities have emerged as the best source of government innovation. Nowhere is this more visible than in New York City. Since taking office in 2002, Mayor Bloomberg has introduced a steady stream of innovative policies, from a competition to recruit a new applied sciences campus and a…

To use Lisbeth Schorr's term, children who are at risk for "rotten outcomes" are not randomly scattered throughout the society but are, rather, concentrated in impoverished neighborhoods. In recent decades, government policy and public opinion in the U.S. has reflected the belief that children who experience rotten outcomes are, at least…

This dissertation is a qualitative research study of two people labeled with developmental disabilities who live in residential settings with various supports provided by local agencies. Scott is 43 years old and lives in a Residential Supported Home with four other housemates and permanent staff support and supervision. Pat is 29 years old and…

Background: The turn to neoliberalism in welfare policy suggests that human services need to be based on a market approach. The problem with this suggestion is that it presupposes marketing information such that service providers can market their services for identified client needs. In the field of intellectual disability (ID) services this type…

Quality improvement centers were created by the U.S. Department of Health and Human Services' Children's Bureau beginning in 2001 to promote knowledge development through an innovative approach to applied collaborative research in child welfare. The National Quality Improvement Center on the Privatization of Child Welfare Services was funded to…