Three recent Federal laws are likely to affect kinship care: congressional amendments to the Social Security Act, the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), and the Adoption and Safe Families Act of 1997 (ASFA).
Understanding Disparities in Persons with Multiple Chronic Conditions: Research Approaches and Datasets. 4.1.2 Age
As discussed previously, there is a temporal aspect to accumulating chronic conditions for patients; the longer a person lives the higher the probability of disease onset. Consequently, the older the person, the more likely they are to have MCC and the more conditions they are likely to have. Freid and colleagues found over 24% difference in MCC p
The SASH program successfully launched 36½ panels statewide as of December 2013 with further expansion expected in 2014. A primary goal of the SASH program has been to create linkages with a diverse team of service, health care, and housing providers enabling better coordination of care for SASH program participants. Property managers we intervie
Support and Services at Home (SASH) Evaluation: First Annual Report. 2. Qualitative Implementation Findings
To address key evaluation questions and complement our quantitative analyses, we used two methods of primary data collection: semi-structured, in-person interviews and quarterly conference calls with SASH staff and ASPE/HUD/AoA. The primary purpose of these two methods of data collection is to understand the details of program implementation and o
Understanding Disparities in Persons with Multiple Chronic Conditions: Research Approaches and Datasets. 3.1 Definitions of Disparities
The multiple ways of defining and measuring disparities make it difficult to synthesize research on disparities and health equity. In a 2012 report by the IOM, one of the recommendations was to standardize the definition of disparities (IOM 2012). A seminal paper by Braverman (2006) provides a history of definitions and measures beginning with Whi
The individual, rather than the family or household, is the unit of analysis for most of the statistics in this report. The individual’s dependency status, however, is generally based on total family income, taking into account means-tested assistance, earnings and other sources of income for all individuals in the family. 1 The introductory ch
Indicators of Welfare Dependence: Annual Report to Congress, 2008. Economic Security Risk Factor 1. Poverty Rates
Figure ECON 1. Percentage of Persons in Poverty by Age: 1959-2006
Throughout the early development of the Federal foster care system, child welfare policies ignored the role of kin caregivers. If States provided assistance to kin caregivers, they did so through income assistance programs, thus effectively keeping them out of the child welfare services and payment systems. In large part, this was due to child wel
Despite States’ growing reliance on kin as foster parents, questions remain about how to use kin most effectively, including the extent to which they should be treated differently from non-kin foster parents. Moreover, State child welfare officials and other experts have questioned whether existing Federal child welfare policies, developed almos
Although data are limited, it appears that in 1997, approximately 200,000 children were in the care of foster parents who were related to them (Geen and Clark, 1999). 8 Table 1 provides data from 39 States on the number of children in public kinship care on March 31, 1998. Among these States, public kinship care accounted for 29 percent of all ch
Traditionally, kinship care has been separated into two categories. Informal kinship care refers to caregiving arrangements that occur without the involvement of a child welfare agency, whereas formal kinship care refers to arrangements in which kin act as foster parents for children in State custody.
Report to the Congress on Kinship Foster Care. Chapter 1 The Role of Extended Family in Child Rearing
In its broadest sense, kinship care is any living arrangement in which a relative or someone else emotionally close to the child takes primary responsibility for rearing a child. Most kinship care takes place without the involvement or knowledge of child welfare officials. Such arrangements are not a new phenomenon. Anthropologists have documented
Traditionally, when child welfare agencies found it necessary to remove children from their parents’ homes due to abuse or neglect, they placed them in the homes of foster parents who had no prior relationship to the children or the children's family. Over the last decade, however, these agencies have increasingly relied on kin—that is, person
The extended family has long played a role in caring for children whose parents were unable to do so—a practice commonly referred to as kinship care. Over the last decade, child welfare agencies have increasingly relied on extended family members to act as foster parents for children who have been abused or neglected, yet very little information
The Adoption and Safe Families Act of 1997 directed the Secretary of HHS to develop this report to Congress. This report was prepared with the input of the Advisory Panel on Kinship Care which met in October 1998 and January 1999. The report has two parts. Part I reviews the academic and related research literature on kinship care, including what
A Temporary Haven: Children and Youth Are Spending Less Time in Foster Care. Length of Time Spent in Foster Care
Data from the Adoption and Foster Care Analysis Reporting System (AFCARS) for fiscal years 2006 to 2013 were combined to create an eight-year longitudinal file, out of which three first-time entry cohorts (2006, 2007 and 2008) were identified. Each was followed for five years to identify how much cumulative time a child spent in the foster care sy
CHIPRA Mandated Evaluation of Express Lane Eligibility: First Year Findings. B. Implications of First-Year Findings Related to Enrollment
A second main policy inquiry regarding ELE is whether it increases enrollment. Because no two ELE programs operate in the same way, the analysis of enrollment is challenging.
Our impact analysis finds significant evidence that ELE implementation increased Medicaid enrollment. Across a series of model specifications, estimated impacts of ELE were consistently positive, ranging between 4.0 and 7.3 percent, with most estimates statistically significant at the 5 percent level. Overall, these estimates had a central tendenc
CHIPRA Mandated Evaluation of Express Lane Eligibility: First Year Findings. D. Characterizing ELE Effects
Any attempt to characterize the effects of ELE must be seen in the context of a policy that can vary widely in both its implementation and target population. This underscores the importance of assessing the effects of ELE within individual or small groups of states, as a way to best understand the ELE models that might be most effective.
CHIPRA Mandated Evaluation of Express Lane Eligibility: First Year Findings. a. Choosing Comparison States
Difference-in-difference models provide consistent estimates of the treatment effect only if, in the absence of the policy intervention, the time path in the outcome is the same for both the treatment and comparison states (Meyer 1995). For example, if Medicaid enrollment trends upward (downward) at a faster rate within the comparison group relati