The Protecting Our Infants Act of 2015 (POIA) became law on November 25, 2015. The Act (Public Law 114-91) addressed problems related to prenatal opioid exposure called for HHS to review planning and coordination of HHS activities related to prenatal opioid exposure and neonatal abstinence syndrome (NAS), and to study and develop recommendations f
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Medication-Assisted Treatment for Opioid Use Disorder in the Child Welfare Context: Challenges and Opportunities
This brief describes four key challenges related to the use of medication-assisted treatment (MAT) in child welfare contexts for parents with opioid use disorder. It draws upon results from a mixed methods study examining how substance use affects child welfare systems across the country. Key challenges discussed include:
This project explores how the need for workers in healthcare professions can be partially met by hiring individuals with criminal records who do not pose a risk to public safety. The report is organized around the following five things to consider for employing certain individuals with criminal records in the healthcare sector: Growth in the
This report highlights key research questions and identifies opportunities to use existing data sources and implement data-linking strategies that can support the HHS five point strategy to combat the opioid crisis.
Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report
Federal policies implemented in the last decade, including the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act, have promoted insurance coverage for substance use disorders (SUDs). By providing funding for treatment services, these federal policies were intended to increase the proportion of individuals with SUDs wh
This study examines relationships between indicators of economic opportunity and the prevalence of prescription opioids and substance use in the United States. We have three primary findings: The prevalence of drug overdose deaths and opioid prescriptions has risen unevenly across the county, with rural areas more heavily impacted. Specific g
Substance Use, the Opioid Epidemic and the Child Welfare Caseloads: Methodological Details from a Mixed Methods Study
This brief describes the research methods used to produce the findings in Substance Use, the Opioid Epidemic, and Child Welfare Caseloads: A Mixed Methods Study . It is a part of a series of briefs that discuss different aspects and issues surrounding the relationship between substance use disorders and the child welfare system.
This report provides welfare dependence indicators through 2015 for most indicators and through 2016 for some indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.
Treatment foster care (TFC; sometimes known as therapeutic foster care) is a family-based placement option for children with serious emotional, behavioral, or medical needs who can be served in the community with intensive support. This report describes how TFC is implemented and supported by states. It provides an overview of the key program elem
Jonathan Brown, Sarah Hudson Scholle, Sarah Croake, Miriam Rosenau, Junquing Liu, Nathan Darter, Kelsey Farson Gray, Menolly Hart, Bonnie Harvey, Rita Lewis, Dean Miller, Suzanne Morton, Milesh Patel, and Christine Ranshous Mathematica Policy Research Printer Friendly Version in PDF Format (98 PDF pages)
This research brief describes how select indicators associated with substance use prevalence relate to the changing trend in child welfare caseloads. It is part of a series describing findings of a mixed methods study undertaken to better understand how parental substance use relates to child welfare caseloads, which began rising in 2012 followin
Substance Use, the Opioid Epidemic and the Child Welfare System: Key Findings from a Mixed Methods Study
This study examined the relationship between parental substance misuse and child welfare caseloads, which began rising in 2012 after more than a decade of decline. We examined county level variation in both phenomena and qualitative interviews documented the perspectives and experiences of local professionals in the child welfare agency, substance
The development of new drugs and biologics is critical to ensuring that the U.S. population continues to enjoy improvements in quality and length of life. However, pharmaceutical companies must balance this imperative with the need to earn economic returns when making investment decisions. Some drugs, although desirable from a societal perspecti
Providing TA to Local Programs and Communities: Lessons from a Scan of Initiatives Offering TA to Human Services Programs
This scan of public and private technical assistance (TA) initiatives synthesizes lessons, challenges, and best practices for providing federal TA to human services programs working to address poverty and child well-being. The scan, encompassing 18 TA initiatives, is intended to inform decisions about how best to target TA efforts for different si
Estimating Medical Costs for Regulatory Benefit-Cost Analysis: Conceptual Framework and Best Practices
The U.S. Department of Health and Human Services (HHS) is required to assess the benefits and costs of its major regulations prior to promulgation. To support these assessments, in 2016 HHS issued its Guidelines for Regulatory Impact Analyses , developed under the leadership of its Office of the Assistant Secretary for Planning and Evaluation and
Patterns of Foster Care Placement and Family Reunification Following Child Maltreatment Investigations
This research brief identifies characteristics of children and families who reunified with parents or family following the child’s stay in foster care, patterns regarding success or failure of reunification, as well as maltreatment re-reports among children reunified with their families. The analysis is based on data from the second cohort of th
Psychotropic Medication Use among Children who Are Subjects of Child Protective Services Investigations: Does Court Oversight Matter?
This ASPE Research Brief examines the courts’ role in overseeing psychotropic medication prescriptions for children who were subjects of child maltreatment investigations. The analyses examine associations between the courts’ roles in overseeing these medications for children in the child welfare system and the frequency and patterns with whic
Predictive Analytics in Child Welfare: An Assessment of Current Efforts, Challenges and Opportunities
Child welfare agencies are interested in leveraging new and emerging techniques to help them harness data and technology to make dramatic improvements to child welfare practice and ultimately produce better outcomes for children and families. This document explores the state of the use of predictive analytics in child welfare by conducting an envi