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Children at Risk: Outcome and Cost Measures Needed

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Abstract

Sporadic reports in the media focus on the difficulty of America's social welfare leadership to protect children at risk and to allocate scarce resources. These criticisms suggest the need for valid conclusions in both socio-psychological and economic terms for evaluating the efficacy of three key strategies used for children at risk: reunification, foster and kinship care, and adoption. This article calls for creating a comprehensive data base that supplies the most critical variables leading to reasonable successes and the average cost per case when comparing children reunified with a biological parent to those who are placed into out-of-home settings and to those who are adopted. This analysis to include public and private expenditures for services provided by human services-welfare, special education, judicial, correctional, mental health, medical, and other related organizations.

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References

  1. Kopels S, Rycraft JR: The U.S. Supreme Court rules on reasonable efforts: a blow to child advocacy. Child Welfare 72:397-406, 1993.

    Google Scholar 

  2. House Committee on Ways and Means: 1995 Green Book: Background material and data on programs within the jurisdiction of the Committee on Ways and Means. Washington, D.C.: Government Printing Office, 1994.

    Google Scholar 

  3. Courtney ME: The foster care crisis and welfare reform. Public Welfare 54:27-33, 1995.

    Google Scholar 

  4. American Hospital Association (AHA): 1996/97 Hospital Statistics. Chicago: AHA, 1996, p. 7.

    Google Scholar 

  5. Courtney ME, Collins RC: New challenges and opportunities in child welfare outcomes and information technologies. Child Welfare 73:359-378, 1994.

    Google Scholar 

  6. Moffitt R: Incentive effects of the U.S. welfare system: A review. J Econ Lit 30:1-61, 1992.

    Google Scholar 

  7. Schor EL: The foster care system and health status of foster children. Pediatrics 69:521-528, 1982.

    Google Scholar 

  8. Halfon N, Klee L: Health services for California's foster children: current practices and policy recommendations. Pediatrics 80:183-191, 1987.

    Google Scholar 

  9. Takayama JI, Bergman AB, Connell FA: Children in foster care in the State of Washington. Health care utilization and expenditures. JAMA 271:1850-1855, 1994.

    Google Scholar 

  10. National Commission on Family Foster Care: A blueprint for fostering infants, children and youth in the 1990s. Washington, D.C.: Child Welfare League of America, 1991.

    Google Scholar 

  11. Curtis PN, McCullough C.: The impact of alcohol and other drugs on the child welfare system. Child Welfare 72:533-542, 1993.

    Google Scholar 

  12. Halfon N, Mendonca A, Berkowitz G: Health status of children in foster care. The experience of the Center for the Vulnerable Child. Arch Pediatr Adolesc Med 149:386-392, 1995.

    Google Scholar 

  13. Halfon N, Klee L: Health and development services for children with multiple needs: The child in foster care. Yale Law Policy Rev 9:71-96, 1991.

    Google Scholar 

  14. Halfon N, Berkowitz G, Klee L: Mental health service utilization by children in foster care in California. Pediatrics 89:1238-1244, 1992.

    Google Scholar 

  15. Danzy J, Jackson SM: Family preservation and support services: A missed opportunity for kinship care. Child Welfare 76:31-44, 1997.

    Google Scholar 

  16. Courtney ME: Factors associated with the reunification of foster children with their families. Social Service Rev 68:81-108, 1994.

    Google Scholar 

  17. Thornton, JL: Permanency planning for children in kinship foster home. Child Welfare 70:593-601, 1991.

    Google Scholar 

  18. Barth, RP, Berrick, JD, Needell, B: A comparison of kinship foster homes and foster family homes. Implications for kinship foster care as family preservation. Child Youth Service Rev 16:33-63, 1994.

    Google Scholar 

  19. Dubowitz H, Feigelman S, Zuravin S, Tepper V, Davidson N, Lichenstein R: The physical health of children in kinship care. AJDC 146:603-610, 1992.

    Google Scholar 

  20. Committee on Ways and Means, U.S. House of Representatives: Overview of entitlement programs: Background material and data on programs within the jurisdiction of the Committee on Ways and Means: 1991 Green Book. Washington, D.C.: U.S. Government Printing Office, 1991.

    Google Scholar 

  21. George RM: The reunification process in substitute care. Social Service Rev 64:422-457, 1990.

    Google Scholar 

  22. Wulczyn FH: Caseload dynamics and foster care reentry. Social Service Rev 65:133-156, 1991.

    Google Scholar 

  23. Flango VE, Flango CR: The Flow of Adoptions Information from the States. Williamsburg, VA: The National Center for State Courts, 1994.

    Google Scholar 

  24. American Public Welfare Association (APWA). Characteristics of Children in Substitute and Adoptive Care. The Voluntary Cooperative Information System. Washington, D.C.: APWA, 1996.

    Google Scholar 

  25. State of Wisconsin: Children's Code, paragraph 48.415.

  26. Stolley KS: Statistics on adoption in the United States. In Schulman, I. (ed.) The Future of Children. Los Altos, CA: Center for the Future of Children, 1993, pp. 26-42.

    Google Scholar 

  27. Tatara T. Characteristics of Children in Substitute and Adoptive Care: A Summary of the VVIS National Child Welfare Data Base. Washington, D.C.: The Public Welfare Association, 1988.

    Google Scholar 

  28. Barth RP, Berry M, Yoshikama R, Goodfield RK, Carson ML: Predicting adoption disruption. Social Work 33:227-233, 1988.

    Google Scholar 

  29. Rosenthal JA, Schmidt D, Conner J: Predictors of special needs adoption disruption: An exploratory study. Child Youth Service Rev 10:101-117, 1988.

    Google Scholar 

  30. Groze V: Successful Adoptive Families: A Longitudinal Study of Special Needs Adoption. Westport, CN: Praeger, 1996.

    Google Scholar 

  31. Skodak M, Skeels HM: A follow-up study of children in adoptive homes. J Genetic Psych 66:21-58, 1949.

    Google Scholar 

  32. United States Department of Health and Human Services: Final Report of the Advisory Committee on Adoption and Foster Care Children. Washington, D.C.: U.S. Department of Health and Human Services, 1988.

    Google Scholar 

  33. Meadowcroft P, Thomlison B, Chamberlain P: Treatment foster care services: A research agenda for child welfare. Child Welfare 73:565-582, 1994.

    Google Scholar 

  34. Maluccio AN, Fein E, Davis IP. Family reunification: research, findings, issues, and directions. Child Welfare 73:489-504, 1994.

    Google Scholar 

  35. Ross JL: Child Protective Services: Complex Challenges Require New Strategies. GAO/HEHS 97-115. Washington, D.C.: General Accounting Office, July 1997.

    Google Scholar 

  36. Wells K, Tracy E: Reorienting intensive family preservation services in relation to public child welfare practice. Child Welfare 75:667-692, 1996.

    Google Scholar 

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Authors and Affiliations

  1. Bedford Health Associates, Inc., Management Consultants for Health and Hospital Services, Asheville, N.C, 28804;

    Thomas P. Weil (President)

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  1. Thomas P. Weil
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Weil, T.P. Children at Risk: Outcome and Cost Measures Needed. Child Psychiatry Hum Dev 30, 3–18 (1999). https://doi.org/10.1023/A:1022667824165

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