Interorganizational disparities in foster care service provision
Performance contracting and managed care have recently migrated from the behavioral and physical health care sector into child welfare, and are being introduced under the premise that the financial incentives embedded in market-based models will motivate agencies and their workers to improve the cost-effectiveness and quality of care to children and families. These models, however, have been associated with disparities in service provision and client outcomes. This paper reports new findings from a longitudinal natural experiment that examined the effects of a performance-based, managed care contracting mechanism on service provision to 243 foster children and families served by nine nonprofit agencies. It finds dramatic differences in the intensity of agencies' foster care service provision, both between agencies in different financial environments and among agencies within similar contracting regimes. While the finding of service disparities between contracting environments is similar to results from studies of the effects of market-based models in the health care sector, the identification of considerable interorganizational service disparities within the same contracting environment is novel in child welfare. This paper thus provides the first estimates of distributive inequities in foster care service provision both within and across contracting environments, and introduces questions of equity and fairness in how child welfare agencies organize services to foster children and families in market-based contracting environments.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Burt S Barnow, 2000. "Exploring the relationship between performance management and program impact: A case study of the job training partnership act," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 19(1), pages 118-141.
- Howard S. Bloom & Carolyn J. Hill & James A. Riccio, 2003. "Linking program implementation and effectiveness: Lessons from a pooled sample of welfare-to-work experiments," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 22(4), pages 551-575.
- Wulczyn, Fred W., 2000. "Federal fiscal reform in child welfare services," Children and Youth Services Review, Elsevier, vol. 22(2), pages 131-159, February.
- Meezan, William & McBeath, Bowen, 2008. "Market-based disparities in foster care outcomes," Children and Youth Services Review, Elsevier, vol. 30(4), pages 388-406, April.
- Guo, Shenyang, 2005. "Analyzing grouped data with hierarchical linear modeling," Children and Youth Services Review, Elsevier, vol. 27(6), pages 637-652, June.
- Smith, Brenda D. & Mogro-Wilson, Cristina, 2007. "Multi-level influences on the practice of inter-agency collaboration in child welfare and substance abuse treatment," Children and Youth Services Review, Elsevier, vol. 29(5), pages 545-556, May.
- Chaffin, Mark & Friedrich, Bill, 2004. "Evidence-based treatments in child abuse and neglect," Children and Youth Services Review, Elsevier, vol. 26(11), pages 1097-1113, November.
- Kohl, Patricia L. & Edleson, Jeffrey L. & English, Diana J. & Barth, Richard P., 2005. "Domestic violence and pathways into child welfare services: Findings from the National Survey of Child and Adolescent Well-Being," Children and Youth Services Review, Elsevier, vol. 27(11), pages 1167-1182, November.
- Faver, Catherine A. & Crawford, Sharon L. & Combs-Orme, Terri, 1999. "Services for child maltreatment: Challenges for research and practice," Children and Youth Services Review, Elsevier, vol. 21(2), pages 89-109, February.
- Frank, Richard G. & Glazer, Jacob & McGuire, Thomas G., 2000.
"Measuring adverse selection in managed health care,"
Journal of Health Economics,
Elsevier, vol. 19(6), pages 829-854, November.
- Richard G. Frank & Jacob Glazer & Thomas G. McGuire, 1998. "Measuring Adverse Selection in Managed Health Care," NBER Working Papers 6825, National Bureau of Economic Research, Inc.
- McCullough, Charlotte & Schmitt, Barbara, 2000. "Managed care and privatization: Results of a national survey," Children and Youth Services Review, Elsevier, vol. 22(2), pages 117-130, February.
- Unrau, Yvonne A. & Wells, Michael A., 2005. "Patterns of foster care service delivery," Children and Youth Services Review, Elsevier, vol. 27(5), pages 511-531, May.
- E. S. Savas, 1978. "On Equity in Providing Public Services," Management Science, INFORMS, vol. 24(8), pages 800-808, April.
- Embry, Richard A. & Buddenhagen, Paul & Bolles, Spencer, 2000. "Managed care and child welfare: Challenges to implementation," Children and Youth Services Review, Elsevier, vol. 22(2), pages 93-116, February.
- Courtney, Mark E., 2000. "Research needed to improve the prospects for children in out-of-home placement," Children and Youth Services Review, Elsevier, vol. 22(9-10), pages 743-761.
When requesting a correction, please mention this item's handle: RePEc:eee:cysrev:v:31:y:2009:i:5:p:513-525. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.