States' Use of Medicaid Waivers for Children with Behavioral Health Needs is Associated with Lower Rates of Voluntary Child Welfare Placements.
For many children with significant behavioral health needs, the inability to obtain funding for adequate behavioral health care through private means results in parents "voluntarily" placing their child in the state's child welfare system. This study investigated the association between states' use...
| Publicado en: | Child & Adolescent Social Work Journal Vol. 42; no. 6; pp. 783 - 799 |
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| Autores principales: | , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Dec2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=188906037&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 188906037 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 07380151 COK jtl: Child & Adolescent Social Work Journal issn: 07380151 maglogo: N pubinfo: dt: Dec2025 vid: 42 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 188906037 10.1007/s10560-024-00998-5 ppf: 783 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.5MB tig: atl: States' Use of Medicaid Waivers for Children with Behavioral Health Needs is Associated with Lower Rates of Voluntary Child Welfare Placements. aug: au: Graaf, Genevieve Zhang, Liwei Simmel, Cassandra affil: https://ror.org/019kgqr73 School of Social Work, University of Texas at Arlington, 501 S. Mitchell Ave, 76019, Arlington, TX, USA https://ror.org/00te3t702 School of Social Work, University of Georgia, Athens, GA, USA https://ror.org/05vt9qd57 School of Social Work, Rutgers University, New Brunswick, NJ, USA su: Child welfare Health services accessibility Mental health Mental health services Health policy State governments Foster home care Medicaid Children Multiple regression analysis Scientific observation Chi-squared test Medical needs assessment Data analysis software sug: subj: Child welfare Health services accessibility Mental health Mental health services Health policy State governments Foster home care Medicaid Children All other residential care facilities Other Residential Care Facilities Child and Youth Services Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Administration of Public Health Programs Offices of Mental Health Practitioners (except Physicians) Residential Mental Health and Substance Abuse Facilities Psychiatric and Substance Abuse Hospitals Multiple regression analysis Scientific observation Chi-squared test Medical needs assessment Data analysis software keyword: Child behavioral health Child behavioral health policy Child welfare policy Foster care Foster care voluntary placement Medical and Health Sciences Public Health and Health Services Child behavioral health Child behavioral health policy Child welfare policy Foster care Foster care voluntary placement Medical and Health Sciences Public Health and Health Services ab: For many children with significant behavioral health needs, the inability to obtain funding for adequate behavioral health care through private means results in parents "voluntarily" placing their child in the state's child welfare system. This study investigated the association between states' use of 1915(c) Medicaid waivers for children with behavioral health needs and state rates of voluntary foster care placements. This study used data from the Children's Bureau Adoption and Foster Care Analysis and Reporting System (AFCARS), from 2010 to 2019. Multilevel, linear regression models with state-year fixed-effects assessed the relationship between states' use of a 1915(c) waiver and their total new entry voluntary foster care placement rates for children with behavioral or developmental health care needs, controlling for a variety of state-level policy and demographic characteristics. States' use of 1915(c) waivers is significantly associated with lower total voluntary placement rates, both in total (β= -1.51 [-2.82, -0.21]) and proportionally (β=-1.03 [-2.07, 0.02]). HCBS Medicaid waivers targeting children with complex behavioral health needs may reduce state rates of voluntary foster care placements. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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