This brief provides a snapshot of the types and scale of expansions that states have adopted in the early implementation phase of the Children's Health Insurance Program (CHIP), a program to expand health coverage for low-income children up to age 19. In addition, the brief examines how coverage expansions vary in relation to state…

This paper supports Ray Helfer's proposed model of child protection services (EC 600 595) and expands on the model from the perspective of the state's service role. It describes implementation of the model in Oregon, current problems, possibilities for change, and strategies for the future. (JDD)

At the request of the U.S. House of Representatives, this study identified problems confronting child protective service (CPS) units, which affect the system's capacity to protect children from abuse and neglect. State and local responses to these problems, and opportunities for the federal government to assist in improving the system's capacity…

This report describes the first-year implementation of the New York State Department of Social Services' (DSS) "No Time to Lose" initiative, whose goal is to implement the recommendations of the New York State Summit on Black and Hispanic Children in conjunction with the Governor's declaration of "The Decade of the Child."…

A survey of 47 state child protection services assessed the status of implementation of out-of-home protection programs since 1984. The survey addressed state law and regulations, reporting out-of-home abuse and neglect, properly constituted authority, independent investigative agencies, role of licensing, training, and staff and foster parent…

Measures of quality are now in widespread use across states as part of quality improvement initiatives. For example, many states are currently using global measures of quality that were first developed for research and practice purposes (such as the Environmental Rating Scales) in their Quality Rating Systems (QRSs). Although global quality…

Under the Adoption Assistance and Child Welfare Act of 1980 (P. L. 96-272), Congress outlined a case review system intended to assure that child welfare agencies deal directly with various aspects of child placement. The second of four volumes, this document presents case study descriptions of the hearings within the context of the case review…

This report describes the purpose, process, and outcomes of the Symposium on "Policy and Program Issues Related to Child and Family Services to Black Americans," sponsored by the Division of Black American Affairs of the Department of Health and Human Services (DHHS). In stage one of the symposium task group activities, the participants, who came…

Under the Adoption Assistance and Child Welfare Act of 1980 (P.L. 96-272), Congress outlined a case review system to assure that child welfare agencies monitor children under their care, that parental and child rights are protected, that agencies periodically report progress in implementing case plans, and that agencies work toward a permanent…

State and county initiatives in California have sparked a movement for integration of social services. The practical lessons learned by communities integrating services for children and families were studied and are presented in this report. The study draws on the experiences of seven California communities (Fresno County, Los Angeles County,…

This report is the third of four volumes presenting results of the Comparative Study of Case Review Systems Phase II--Dispositional Hearings, focusing on implementation of the dispositional hearing requirement of P. L. 96-272, the Adoption Assistance and Child Welfare Act of 1980. This volume of the study presents the results of a state statutory…

This report presents an evaluation of family preservation programs in Kentucky, New Jersey, and Tennessee, and a county program in Philadelphia County, Pennsylvania. Key goals of these programs were reducing foster care placement, maintaining child safety, and improving family functioning. The statewide programs employed the Homebuilders program…

This report reviews approaches that federal, state, and local governments have used to integrate the delivery of health and other educational and social services to at-risk families, and examines barriers to designing and implementing integrated service delivery systems. The report contrasts "system-oriented" integration efforts, which…

To ensure that all young children enter school in good health, ready and able to learn, and are socially and emotionally well developed, states are challenged by the State Early Childhood Comprehensive System (SECCS) Initiative to assure that services are coordinated, integrated and well managed. States must not only plan the delivery of services,…

During the past three decades, there has been an increase in knowledge about early childhood development. Early experiences can function as either risk factors or protective factors for a child's future health and development. This has led to concern about how current health systems contribute to the quality of the earliest experiences of life.…