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 Title IV-E
Waiver
Demonstration Project
Department of Children and Families - Connecticut
Status Report
- December 15, 1999
Posted: February 3,
2000
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Connecticut has joined a growing number of states that
have received federal Title IV-E waiver approval on September 29, 1998 to
institute child welfare demonstration projects.
Connecticut's demonstration project, approved for a five-year period, is a
"Continuum of Care Model", utilizing a case rate payment, and
designed to provide an expanded network of regular and specialized
services for children, ages 7 to 15, with behavioral problems who are
deemed eligible for residential treatment or group home placement . 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, to
promote flexibility and integration, will cover 12 months of care and
three months of follow-up services. Goals of the demonstration project
include:
- Reduced average length of stay in out-of-home care
- Increased child safety (reduced substantiated
allegations of child abuse or neglect)
- Increased stability in the community for children
affected
- Improved children's behavioral health (via
standardized measures)
- Increased children and families' satisfaction with
the department's services.
OPEN MINDS is pleased to
report that the State of Connecticut has permitted us to share its most
recent status report on its project, submitted to the federal government
on December 15, 1999. The report clearly delineates the three focal points
of its research and evaluation:
An Outcome Study that
collects child- and family-specific data over time in order to examine
whether or not children receiving continuum of care services display
improved clinical and functional outcomes as compared to those receiving
treatment as usual. Most of the data for this component will be
collected through four comprehensive interviews over a 24-month period
(i.e., upon admission, 6 months, 12 months, 24 months) with each
caregiver and each child over 10 years old.
A Process Study to describe
service delivery in the Continuum of Care Demonstration and in the
treatment as usual system. This component will assess the service delivery
system functioning and compare service utilization patterns through
semi-structured interviews with key stakeholders, document reviews, and
data extracted from the Department and Local Services Agency data systems.
Further, the interviews for the Outcome Study will include questionnaires
to determine families' experiences with the service delivery systems.
A Cost/Benefit Analysis to
compare the costs of the continuum of care services with those provided
through treatment as usual. This component will attempt to quantify both
the direct and indirect costs of the evaluation.
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