Continuum of Care/Case Rate Payment: (two pilot sites): Intervention provides an expanded network of regular and specialized services for children, ages 7 to 15, with behavioral problems who are in residential or group homes. A single lead service agency (LSA) in each pilot site will coordinate all offered services, including case management, group care, home-based services, outpatient services, and aftercare. A negotiated case rate will cover 12 months of care and three months of follow-up services. Evaluation includes random assignment to experimental and control groups (30 children in each) over five years (for one pilot site.) Major goals include reduce average length of stay in out-of-home care; increase child safety (reduce substantiated allegations of CA/N); increase stability in the community for children affected Improve children's behavioral health (standardized measures); and increase children and families' satisfaction with department's services.
n=20 children randomly assigned into treatment as usual or continuum of care services on a weekly basis. The State and the LSAs agreed that the LSAs would serve a maximum of 30 children at any given time.
A total of 157 children participated in the waiver demonstration evaluation.
Execution
Outcome data was collected primarily through four comprehensive interviews over a 24-month period (upon admission, 6 months, 12 months, 24 months) with each caregiver and child over age 10.
