Overflow designs, in which a comparison group is composed of cases not served because programs are full, provide information about effects that is somewhat better than single group or non- comparable group designs. We review four such studies here.
A Synthesis of Research on Family Preservation and Family Reunification Programs. Non-experimental Studies
Many early evaluations of programs designed to prevent placement used non-experimental designs in which groups receiving these services were followed without comparing them to other groups or in which nonequivalent comparison groups were used. 5 The studies of only groups receiving services appear to have had implicit "phantom" nontreatment cont
A Synthesis of Research on Family Preservation and Family Reunification Programs. Family Preservation
As indicated in the companion paper on current family preservation programs, one of the most striking features of these efforts is their diversity. They vary on a number of dimensions, including the extent to which the focus is on placement prevention versus other goals, such as the improvement of family functioning. 2 There is also variation in
by Julia H. Littell and John R. Schuerman Westat, Inc., in association with James Bell Associates, and the Chapin Hall Center for Children at the University of Chicago. A part of the National Evaluation of Family Preservation Servcies For the Office of the Assistant Secretary for Planning and Evaluation Department of Health and Human Servi
The National Institute on Drug Abuse (NIDA) and the National Institute on Alcoholism and Alcohol Abuse (NIAAA) each conduct research on a variety of substance abuse topics, including basic research and studies of epidemiological, clinical, prevention, and services aspects of alcohol and illicit drug abuse and addiction.
The Adoption Opportunities Program eliminates barriers to adoption and helps to find permanent families for children who would benefit by adoption, particularly children with special needs. The five major program areas, as mandated by the legislation, are: (1) the development and implementation of a national adoption and foster care data g
The Title IV-E Foster Care program provides funds to States to assist with: the costs of foster care maintenance for eligible children; administrative costs to manage the program; and training for staff, for foster parents and for private agency staff. The purpose of the program is to help States provide proper care for children who need p
With an annual budget of nearly $5 billion, the Children's Bureau works with State and local agencies to develop programs to assist America's children and their families.
Nationally, mental health, alcohol, and drug abuse treatment expenditures were $79.3 billion, or 8.1 percent of the $942.7 billion in total health care expenditures in 1996, with $12.6 billion spent on treatment for alcohol and other drug abuse (AOD). This represents a 10 percent decrease from 1986, when mental health, alcohol, and drug treatmen
Educational training and remediation services should be provided, with on-site provision of or case-managed linkages to local education/GED programs and other remediation issues identified at intake. English language competency and literacy assessment programs should be facilitated. Job counseling and training should be provided, if possible,
Health education and prevention activities should include HIV/AIDS education; the physiology and transmission of sexually transmitted diseases; reproductive health; understanding female sexuality; preconception care; prenatal education; child birth education; childhood safety and injury prevention; physical and sexual abuse education and preventi
Blending Perspectives and Building Common Ground. Substance Abuse Counseling and Psychological Counseling
Substance abuse education and counseling, psychological counseling (where appropriate), and other therapeutic activities should be provided by practitioners who are licensed or certified to provide these services and matched in competency to the populations served. Services should be offered in the context of families and relationships, includin
Appropriate linkages to local, State, and Federal programs must be maintained for those services not provided on-site. Linkages with outreach, outpatient, and residential programs should be maintained as a means to assure appropriate matching of women to substance abuse treatment. Similarly, linkages with parental/child programs (e.g., Head S
Medical assessments and subsequent care should be provided through arrangements with healthcare facilities accessible to individuals in the community or on-site, and should include the provision of preventive and primary medical care (including prenatal care, if appropriate); medical or medically supervised detoxification services, where clinical
Blending Perspectives and Building Common Ground. Intake Screening and Comprehensive Health Assessment
Admission priority must be given to women who are known to be pregnant, HIV-positive or who have AIDS, and/or TB. Pregnant/postpartum women should be immediately referred for obstetrical care. (See TIPs.) Immediate referrals must be made if the program cannot provide appropriate care for these women. Documentation of referrals and admissi
Development of joint cooperation among substance abuse agencies, schools, courts, probation, health and mental health providers, job training programs, and human service agencies. Creation of an inventory of local, State, and Federal resources available to the treatment program.
Blending Perspectives and Building Common Ground. Appendix B. Center for Substance Abuse Treatment Comprehensive Treatment Model for Alcohol and Other Drug Abusing Women and Their Children
The purpose of this model is to foster the development of state-of-the-art recovery for women with alcohol and other drug dependence and to foster the healthy development of the children of substance-abusing women. The model is a guide that can be adapted by communities and used to build comprehensive programs over time. The goal of alcohol an