Human Services

    U.S. Department of Health and Human Services   The Experiences of Workers Hired Under Consumer Direction in Arkansas Executive Summary

Alan White, Ph.D., Barbara Manard, Ph.D., Deborah Deitz, BSN, Terry Moore, MPH, RN, Donna Hurd, MSN, Christine Landino, MSW, MPH, Jennie Harvell, M.Ed. Abt Associates, Inc.

One of the challenges facing the U.S. in the 21st Century will be to ensure that individuals throughout their life will have the supports they need and will be treated with dignity. For the growing population of the elderly and people with disabilities, ensuring the adequacy and availability of direct care workers is key to meeting this ideal.

U.S. Department of Health and Human Services Children's Bureau Administration on Children, Youth and Families Administration for Children and Families andOffice of the Assistant Secretary for Planning and Evaluation

Contents Introduction Agency Administration and Staffing Screening and Intake Investigation and Alternative Response Collaboration with Other Agencies Changes in CPS Practice

Contents Purpose and Background Summary of Findings Reflections Endnotes

Submitted to:Children’s Bureau/ACYFAdministration for Children and Families

National Study of Child Protective Services Systems and Reform Efforts

Contents Site-Specific Analyses Cross-Site Analysis: The Changing Urban Context Cross-Site Analysis: Health Trends and Study Hypotheses Conclusions