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. 1, February

111th Congress Still Awaits Two Appointments
At press time, the 111th Congress had convened with just 98 members sworn in and the fate of the two other seats unsettled. Uncertainty continues over the seating of Roland W. Burns, the choice of Illinois Gov. Rod Blagojevich (D) to fill President-elect...
A Case for Federal-State Partnership
I had the good fortune to participate in APHSA's December Policy Summit, organized to develop a human service agenda to present to the new federal administration. While a timely opportunity to focus on national policy and to network with colleagues...
Amended Disabilities Act Widens Protection
When George H.W. Bush signed the Americans with Disabilities Act on June 26, 1990, congressional findings stated that 43 million Americans had disabilities. Over the course of the next 18 years, it appeared that 43 million was a gross over-estimate....
Automated Systems
Improving the social and physical well-being of citizens should be the primary goal of all federal agencies that administer health and human services. Instead, it often seems that many of these agencies intend that state and local agencies must meet...
Changing the 'Face' of Child Welfare in Greene County, Ohio
Greene County Children Services is a large, stand-alone child welfare agency located in Xenia, Ohio. It is a suburb of Dayton and in close proximity to Cincinnati and Columbus. Greene County is home to Wright Patterson Air Force Base and five universities....
Child Care
Child care plays a central role in the success of working families across the nation. Through the federal Child Care and Development Fund, state agencies are able to provide low-income working families with subsidized child care. With limited resources...
Child Support
Accomplishments From its beginnings in 1975, child support enforcement has flourished into a comprehensive and effective federal-state partnership. Authorized in Title IV, Part D of the Social Security Act, the program has grown to be a tremendously...
Child Welfare and Well-Being
Accomplishments Children, Youth, and Families Served by Public Child Welfare The public child welfare system serves the nation's most vulnerable children and families. Those helped by America's child welfare system include children and youth...
CMS Releases Final Rules
On Nov. 7, 2008, The Centers for Medicare and Medicaid Services released a final rule intended to clarify the definition of outpatient hospital services under Medicaid. The rule narrows the definition and scope of covered Medicaid outpatient hospital...
Colorado Child Support Program Helps Collection
STEAMBOAT SPRINGS, Colo.--The Routt County Child Support Enforcement Program has a few new collection tools in its arsenal, but without an enforcement case, payments aren't going to come in on their own. Assisted by computer programs and automated...
Communicating the Changing Human Service Landscape
How loud does a human service communication cry need to be in order to be effective in delivering messages about the concerns of the needy and vulnerable citizens in our communities, especially today? It's a question that communication professionals...
Creating a 21st Century Medicaid Health Care Coverage System
In a nutshell, the U.S. health care system is broken. All you have to do is ask anyone who uses the health care system and you will get an earful about the dysfunctional way the system operates. At every level of the health care system there are systemic...
Deloitte: $530B Savings Opportunity for Health Care Reform over 10 Years
As the White House changes guard, a new series of reports released by the Deloitte Center for Health Solutions identifies $530 billion in opportunities to reduce costs while improving the U.S. health care system over the next 10 years. The Deloitte...
Economic Services and Related Issues
TANF Accomplishments In 1996, Congress and the White House agreed to "end welfare as we know it" and passed the Personal Responsibility and Work Opportunity Reconciliation Act. This landmark legislation transformed the long-time cash payment...
Executive Summary
The United States faces its worst economic challenge in decades. APHSA's members, the nation's public health and human service administrators, share the widespread alarm over the difficult circumstances under which so many now suffer. As the nation's...
Federal-State Relationships
Accomplishments States have partnered with the federal government since the public human service system began many decades ago. This partnership functions well when federal financial support and reasonable oversight are combined with state initiatives,...
For Those We Serve
It was a chilly morning. But by 9 a.m. the line had already queued all the way around the building at the Community for Creative Non-Violence in Washington. The women who waited outside the adjacent shelter for women shuddered in the cold. The scene...
Health Care
Accomplishments. In the current political and fiscal environment, the state of America's health care has become an increasingly important topic of discussion. The number of uninsured individuals has risen significantly over the past decade, and...
Health Provisions among Public's Top Priorities for Economic Stimulus
WASHINGTON -- The public ranks action on health care highly as part of efforts to stem the impact of the economic recession. The public also viewed reforming health care as one of the top priorities for President Obama and Congress, according to a...
IBM Launches Initiative for Business Partners to Grow Revenue in Mid-Market
ARMONK, N.Y.--IBM on Jan. 14 introduced a new initiative designed to help business partners increase their revenue and grow customer relationships in the mid-market space. The IBM Business Partner Software Mid-Market Value Initiative offers incentives...
In Our Do'ers Profile, We Highlight Some of the Hardworking and Talented Individuals in Public Human Services. This Issue Features Rhonda Reagh, Greene County Children Services, Ohio
Name: Rhonda E. Reagh Title: Executive Director Years of Service: I've spent 31 years in child welfare, 12 in my current position as a local director. Rewards of the Job: The rewards are numerous. I am privileged to get up each day and know...
It's Health Care, Not Welfare
Record numbers of uninsured Americans with little or no access to health care have pushed health care reform toward the top of the domestic policy agenda. As change has been slow to come at the federal level, Oklahoma has joined many other states undertaking...
'Medical Home': Approach Benefits Medicaid Members, Providers
The right care, at the right place, at the right time. That's the philosophy behind the Oklahoma Health Care Authority's adoption of a "patient-centered medical home" approach to providing health care for the state's Medicaid members. [ILLUSTRATION...
Most Common Writing Mistakes, Part 2
Most writing errors are a mixture of misspellings and grammatical errors, although these days there is an increasingly thin line between what is right and what is acceptable as proper usage, what is literate and what's colorful. Over my past 32 years...
National Certification for Child and Youth Workers
It has long been known that the quality of care received by children and youth in educational, community-based and out-of-home care settings is largely a result of the competence of those providing the care. Yet the knowledge and skill level of these...
New Administration Pushes for Stimulus Plan: Congress Will Not Act until at Least February
President Barack Obama and his transition team have pushed for a stimulus plan that could total more than $775 billion, with some estimates ranging as high as $1.3 trillion. In a speech on Jan. 8, Obama warned of double-digit unemployment, $1 trillion...
Non-Violent Substance Abuse Offender Policy Options
The link between welfare expenditures and public policies toward non-violent substance abuse offenders needs more attention. The need for public welfare is often caused by the absence of a spouse from the home due to incarceration, lack of employment,...
Nutrition Assistance
Accomplishments Federal food assistance programs have long been critical to the success of the web of benefits and services that states administer. The ability to purchase adequate food and maintain a nutritious diet is essential to the general...
Pa., Ohio Need Billions for Social Services
As the recession's toll mounts in such Rust Belt cities as Pittsburgh and Cleveland, charities are turning to Washington for help to ease the pain for the growing number of people in need. Pennsylvania and Ohio will need $3.3 billion over the next...
Preface
Our nation has just witnessed the dramatic beginning of new national leadership, leadership that has pledged to meet and overcome the many challenges we face--particularly the economic problems that afflict steadily growing numbers of children and...
Say What
There is a saying that some stories write themselves. I saw this site months ago, but wanted to ensure that it wasn't a joke. The Central Pacific Railroad has an interesting "Photographic History Museum," which you can find at http://cprr.org/Museum/index.html....
States' Need for Economic Relief for Medicaid
States are facing their largest economic crises since the great depression. These problems have a profound impact on state Medicaid programs, which are counter cyclical in nature with economic recessions, causing large increases in enrollment, and...
The Electronic Days of Chinos and Skillets
I hate shopping. I avoid going into stores at all costs--the exceptions being grocery stores and wine and spirit shops. When I need something, I usually buy it on-line, and I do appreciate it when the sites I frequent notify me they are having a sale....
The National Association of Public Child Welfare Administrators
NAPCWA is working on an initiative to assist states with meeting the federal requirements for the National Youth in Transition Database. NAPCWA, in partnership with the Chapin Hall Center for Children and with support from the Jim Casey Youth Opportunities...
The Spirit of Life
I see couples, every day, walking and holding hands. People will never realize how this simple act has changed my life. When I met my future husband in 2000, I was unable to walk without crutches. I suffered a severe injury to my foot, leaving me...
Transition: In with the New
Henry Ford once said, "The only change that people really like is the coins that jingle in their pockets." Given the fact that most people have a natural tendency to maintain the status quo, I have been struck by the level of enthusiasm and willingness...