Policy & Practice

A professional journal publishing articles on current health and human services issues for wide audience. Coverage includes social policy issues, reports of significant works of human service practitioners, social work theory and legislation, and editoria

Articles from Vol. 67, No. 5, October

ACS Awarded Illinois Contract to Expand Electronic Payment Card
DALLAS--The Illinois Department of Human Services will use Affiliated Computer Services Inc.'s electronic payment card solution to improve the distribution of state payments to child care providers and specialized personal assistants. The five-year...
Advancing the Health and Well-Being of Rural Communities
Securing the future of health care delivery for rural America is much more than the old stereotype of providing a country doctor for every small town. That stereotype has been replaced by a modern approach of securing all necessary health care services...
Believe It or Not: Hundreds of New York Lawyers Flock to Help the Rural Poor
Skeptical? It's true. I've seen it with my own eyes. Rural poor people face many issues, such as lack of adequate transportation, affordable housing and economic sustainability. However, a core issue is simply the lack of access to the legal system....
Burdern of Poverty in Rural America
Have you ever noticed that when we in health and human services talk about prevention of chronic disease and health disparities, we talk about cycles of violence, but we rarely talk about the most pernicious root cause--poverty? Let's have that...
Closing the Deal on Child Welfare Federal Finance Reform
Ohio recently emerged from its most devastating biennial budget process in recent history. Like other states in the nation, revenues had fallen sharply due to the flailing economy and structural changes in our state's tax code. Ohio's child welfare...
Collaboration Is Key for Rural Challenges
Rural communities face significant challenges, and they face them with fewer and different kinds of resources. Compared with metropolitan residents, rural Americans earn less, have higher poverty rates overall and for children, have higher rates of...
Eunice Kennedy Shriver, 1921-2009
Eunice Kennedy Shriver, who for over 50 years as a volunteer, led the Joseph P. Kennedy, Jr. Foundation died on August 11, 2009. She was 88. That is the formal notice of her death. But her life cannot be summed-up in a few pages, so here is a very...
Food Stamp Affiliate Changes Name, to Hold Conference in Albuquerque
The American Association of SNAP Directors is the new official name for our affiliate. Changes to our name and logo are forthcoming on the APHSA web site. The annual AASD conference is scheduled for Oct. 11-14, 2009 in Albuquerque, N.M. The site...
Health Care Reform Leads Fall Agenda
For more details on these and other policy issues, contact Larry Goolsby, director of legislative affairs, or see the APHSA web site. Health care reform remains a major focus of both the Congress and the Obama administration. At this writing, Congress...
In-Home Telecare Empowers Elderly
In a small rural community near the Georgia coast, as in many rural areas, finding people to provide in-home respite care is a struggle. Driving distances are lengthy, availability of work is scarce. But one family living there decided to take a chance...
ISM 2009-An Unqualified Success
ISM held it 42nd annual conference from Aug. 30--Sept. 2 in Chicago. The conference theme was "Winds of Change: Smart Choices for Tough Times." Despite a tepid economy that has created budget chaos for many state and local governments, the conference...
Medicaid Program Operation Efficiency
Serious health care reform has become a dominating topic at the national level, creating such a fury of debate that it now appears unlikely that it will reach its end without at least some degree of action. [ILLUSTRATION OMITTED] As the leading...
My Rural Vision
As I write this, many of our nation's leading economists are parsing numbers to determine when in the second quarter the U.S. recession officially ended. Amazingly, this outcome will have no impact whatsoever on the lives of Americans who are unemployed,...
NAPCWA Launches PPCWG Guidance and Web Site
Public child welfare agencies know what their mandate is--to protect children from abuse and neglect. However, agencies have not always agreed with how it is to be done and with which various activities and tools. This inconsistency in organizational...
NAPIPM Discusses Quality Control Memo
Julie Paradis, FNS administrator, and her staff participated in a conference call with several the National Association of Program Information and Performance Management Board members--Nan DeFoe representing SNAP Directors; CharrLee Metsker, representing...
NASMD Continues Dialog with CMS
The National Association of State Medicaid Directors has been very active and involved in the ongoing debate over health care reform. The Executive Committee and other members visited with the staff of the Senate Finance Committee to discuss the various...
Performance-Based Contracting Helps Improve Service Delivery
Performance-based contracting by human service agencies is not a new concept. Having served in both the public and private sectors, I am taking this opportunity to articulate the value I see in a performance-based contracting model. Advantages include...
Place Matters in Maryland
Admittedly, I'm often frustrated by the amount of time it takes to implement real change and lasting reforms. Occasionally, I've thrown my hands in the air and seriously questioned whether my efforts were making any difference whatsoever. You've done...
Reflections of APHSA Summer Interns
Editor's Note: The past summer APHSA benefited from the services of four college interns, who shared their enthusiasm, insight and diligence with staff. Here are their reflections of their experience with APHSA. At the beginning of my internship...
ResCare Swings to Second Quarter Profit
ResCare Inc. reported second-quarter net income of $7.1 million, or 25 cents per share, compared with a loss of $1.7 million, or 6 cents per share, a year earlier. Net income from continuing operations during the quarter was $8.2 million, or 25...
Rural Needs
The impending health care and human service workforce shortage is a national concern that is growing more urgent every day, but rural areas have long faced workforce challenges in filling jobs in these sectors. These jobs play a key role not only in...
Say What? According to Dorothy Parker, If You Have Any Young Friends Who Aspire to Become Writers, the Second-Greatest Favor You Can Do Them Is to Present Them with Copies of 'The Elements of Style.' the First-Greatest, of Course, Is to Shoot Them Now While They're Happy
A friend in Florida writes to ask about the appropriate plural of "memorandum." Should it be "memoranda" or "memorandums?" The latter is gaining ground but the former is still the more common usage. Perhaps we should just say "memos." (Editor's...
TANF Should Remain Work-Focused
As TANF reauthorization approaches, I find that I am more convinced than ever that welfare reform succeeded almost entirely because it focused the welfare system on finding jobs for clients. It seems obvious to me that the basic premise of the TANF...
Technology Speaks: There Is Much More Information Available on All of These Winning Projects. If Interested, Mike Coulson at Mcoulson@aphsa.org Can Provide Contact Information for Any of the Projects
In 2005, the IT Solutions Management for Human Services affiliate of APHSA initiated an award program to give national exposure to the application of information technology in support of state and local government human services. Awards are given in...
Teen Pregnancy in the Courtroom
On any given day, in any juvenile delinquency or dependency court, somewhere in this country, there sits a judge reviewing the case of a juvenile who is pregnant, parenting or who has fathered a child. Others find themselves adjudicating cases involving...
Who Is This Man and What Is He Talking About?
Clarence Carter is the third director of the District of Columbia Department of Human Services I have had the opportunity to support as the executive assistant to the director. The prior two directors were individuals whom I had encountered during...
Why Meet?
Editor's Note: "Jerry's Blog" is now a feature on APHSA's web site, www.aphsa.org. Please go there to share your thoughts with Jerry. The noted cynic Ambrose Bierce once defined a conference as "a place where people who are individually powerless...