Policy & Practice of Public Human Services

Articles

Vol. 61, No. 1, March

Letter from the Executive Director
One of the great privileges of serving as executive director of APHSA is communicating with members through this column. I am frequently impressed by the numerous comments I receive on this feature and the fact that it is so widely read. I must admit,...
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A Conversation with MaryAlice Mowry: Building Employment Options for Persons with Disabilities
POLICY & PRACTICE In the Ticket to Work and Work Incentives Improvement Act of 1999, Congress directed the U.S. Department of Health and Human Services (HHS) to support states' efforts to help people with disabilities enter the workforce. In response,...
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Vol. 60, No. 4, December

Incarcerated Parents and Child Support
Jessica Pearson and Esther Griswold Across the country, states are finding new and better ways to collect child support payments. Despite the steady improvements, though, there is still work to be done, particularly with incarcerated noncustodial parents...
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Our Do'ers Profile
In Our Doers Profile, we highlight some of the hard-working and talented individuals in the public human services field. This issue features Walter B. Credle of the Department of Social Services in Hampton, Virginia. Name: Walter B. Credle Title: Director,...
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Vol. 60, No. 3, September

Keeping in Touch
Letter from the Executive Director Former APWA Executive Director Sid Johnson jokingly described Washington, D.C., as "78 square miles surrounded by reality." One of the real challenges of an association like APHSA is ensuring that its services reflect...
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On the Road to Compliance: Implementing HIPAA
State and local government agencies that provide health care can expect a new tidal wave of change brought on by the Health Insurance Portability and Accountability Act (HIPAA), which was originally dubbed the Kennedy-Kassebaum Health Care Reform Act....
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Research Methods for Public Administrators
Decisions made at every level of government have a tremendous impact on the lives of citizens and their perceptions about government's effectiveness. The public is increasingly demanding tangible results of policies and programs. Elected officials often...
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Our Do'ers Profile: David A. Berns
In Our Do'ers Profile, we highlight some of the hard-working and talented individuals in the public human services field. This issue features David A. Berns of El Paso County's Department of Human Services in Colorado Springs, Colorado. Name: David A....
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Vol. 60, No. 2, June

New Mexico
A unique photography exhibit, the Heart Gallery, is helping to raise awareness about children available for adoption in New Mexico. The exhibit captures the character and essence of many of the children waiting to be adopted. One boy was photographed...
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Service Integration and the Superwaiver
A CONVERSATION Wade Horn Nationwide, state and county human service agencies are recommitting themselves to providing the best human services to their clients in a more effective and efficient manner. The recommitment has been fueled by important trends...
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TANF Benefits in a Sagging Economy
It is well known that welfare caseloads have declined dramatically-from 5.0 million families with Aid to Families with Dependent Children (AFDC) in January 1995 to 2.2 million families with Temporary Assistance for Needy Families (TANF) in June 2001....
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There's Got to Be a Better Way
INFORMATION TECHNOLOGY and HUMAN SERVICE PROGRAMS Four years ago, we set out to find out if information systems were supporting the work of the new welfare. Not surprisingly, we found that, in many states, information systems have not kept up with the...
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Our Do'ers Profile: Bobby S Mink
In Our Do'ers Profile, we highlight some of the hard-working and talented individuals in the public human services field. This issue features Bobby Mink of the Department of Human Services in Salem, Oregon. Name: Bobby S. Mink Job Title: Director, Oregon...
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Inside Story
What do you get when you mix antiquated computer systems, state bureaucracy, and caseworkers from different branches of a state's health and human service agency? Up until recently, you'd get wasted time, wasted effort, and wasted money. You'd get an...
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Vol. 60, No. 1, March

Letter from the Executive Director
Since assuming the APHSA executive director position last September, I've met with state and local human service leaders throughout the country. During these meetings, the current budget shortfall has consistently emerged as the primary concern facing...
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Dispatches from the States: New Jersey
Children and their families often do not get the services they need when and where they need them, especially children with emotional and behavioral disturbances and those with multi-system involvement or complex needs. Families are often forced to choose...
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Runaway Prescription Drug Costs
Prescription drug costs are the fastest growing segment of health care spending nationwide. 'Yet more than one-third of the 38 million people coveyed by Medicare have no prescription drug coverage, and many of those who are covered have limited coverage...
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Unsung Heroes: Relative Caretakers in Child-Only Cases
Much attention has focused on families receiving Temporary Assistance for Needy Families (TANF) benefits. Yet, less attention has been given to TANF cases that do not have an adult receiving assistance. Such "child-only cases" are generally exempt from...
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Our Do'ers Profile: Anita Bock
In "Our Doers Profile," we highlight some of the hard-working and talented individuals in the public human services field. This issue features Anita Bock of the Los Angeles County Department of Children and Family Services in Los Angeles, California....
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Vol. 59, No. 4, December

Challenge Equals Opportunity: Food Stamp Reauthorization
View from the Nation's Capital It would seem somehow hollow to write an article for this issue of POLICY & PRACTICE without commenting on the events of September 11, and the courage and resilience of the American people. So before I begin with any...
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Florida: High-Tech Child Abuse Investigations
It is oftentimes difficult for child protection workers to determine, for instance, whether a child actually fell down the stairs or is suffering from neglect and abuse. If such a case occurs in a rural or remote part of a state, it can be even more...
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A Conversation with Secretary Tommy Thompson
In February, Tommy G. Thompson stepped down as governor of Wisconsin to serve as secretary of the U.S. Department of Health and Human Services (HHS). "I took this job because there is no other job in America where you have a greater opportunity to help...
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Reforming Welfare & Restoring Marriage
For decades, the federal government imposed a regime on the poor that destroyed family stability and penalized poor married couples... Gradually, as the picture is becoming clearer, many-from social conservatives to moderate liberals-agree that something...
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Our Do'ers Profile: Janet Schalansky
In "Our Do'ers Profile," we highlight some of the hard-working and talented individuals in the public human services field. This issue features Janet Schalansky of the Department of Social and Rehabilitation Services in Topeka, Kansas. Title: Secretary...
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Vol. 59, No. 3, September

New Mexico: An E-Government Solution
Dispatches from the States New Mexico's Child Support Enforcement Division has established paternity for more than 16,000 children in the state. In addition, the division collected more than $52,000,000 in child support owed to families--a 15 percent...
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A Conversation with Amy Sherman: Faith-Based Organizations and Welfare Reform
President Bush's proposal for "faith-based" solutions to the nation's social problems has raised questions for many who fear the government's power and resources could be used to break down the wall separating church and state. At the same time, however,...
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CATS: A Real-World Laboratory
You're on deadline-- and a child's future is at stake. You may be a social worker dealing with evidence of abuse and neglect in a family. Or you may be a judge about to decide whether to terminate a parent's rights. Or you may be a state agency administrator...
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Our Do'ers Profile
In "Our Doers Profile," we highlight some of the hard-working and talented individuals in the public human services field. This issue features Vera Blakes of the Louisiana Department of Social Services in Baton Rouge. She will retire in December. Blakes...
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Vol. 59, No. 2, June

Letter from the Executive Director
Prior to the enactment of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, participation in work was a volunteer activity for clients receiving Aid to Families with Dependent Children (AFDC). Under the new Temporary Assistance...
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Medicaid Plan Options for Persons with Disabilities
For years, millions of Americans with disabilities faced a frustrating dilemma. They have wanted to work, but would lose vital federal health care benefits if they earned even a meager salary. The loss of their Medicaid and Medicare benefits would leave...
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For Better or Worse?
From the White House to state houses, public officials nationwide are debating the role of faith-based institutions as social service providers. Fueling the debate is President George W. Bush's executive order establishing the Office of Faith-Based and...
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Learning Our Way through Welfare Reform
Like many skeptics, the National Center on Addiction and Substance Abuse at Columbia University (CASA) anticipated welfare reform would have a disproportionately negative effect on substance-affected mothers receiving public assistance. On the other...
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Our Do'ers Profile
In "Our Doers Profile," we highlight some of the hard-working and talented individuals in the public human services field. This issue features Nicholas Scoppetta, commissioner of the Administration for Children's Services in New York, New York. Name:...
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Vol. 59, No. 1, March

Letter from the Executive Director
On February 1st, APHSA released a transition report, Crossroads: New Directions in Social Policy, to President George W Bush and the 107th Congress. The report calls for policy changes in the human service programs Congress will reauthorize over the...
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New Directions in Social Policy
View from the Nation's Capital Editor's Note: In the December 2000 issue of POLICY & PRACTICE, Elaine M. Ryan, APHSA's director of government affairs, presented an overview of some of the social benefits, programs, and services to be reauthorized...
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A Conversation with Ron Haskins
Since its passage in 1996, the Personal Responsibility and Work Opportunity Reconciliation Act, also known as welfare reform legislation, has brought about tremendous change in our nation's welfare system. As part of the reform, the Temporary Assistance...
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Our Do'ers Profile
In "Our Doers Profile," we highlight some of the hard-working and talented individuals in the public human services field. This issue features Robin Arnold-Williams, the newly elected chair of the National Council of State Human Service Administrators,...
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Vol. 58, No. 4, December

Letter from the Executive Director
In our September 2000 issue of POLICY & PRACTICE, we featured an interview with Thomas Perez, director of the Office for Civil Rights of the U.S. Department of Health and Human Services. The U.S. Supreme Court decision in Olmstead v. L.C. and E.W.,...
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Oklahoma: The Hartpence Trust: Oklahoma's Scholarship Program for Custody Students
We've all heard the expression, "Let your little light shine." That's exactly what veteran human services professional Mary Louise Hartpence did through her estate 17 years ago. Today the Lou Hartpence Scholarship Trust shines brightly each year in the...
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Charting: New Courses for Children's Health Insurance
The passage of the Balanced Budget Act (BBA) of 1997 and the creation of the State Children's Health Insurance Program (SCHIP) as Title XXI of the Social Security Act launched a wave of speculation over how and whether states would use the flexibility...
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A Conversation with Sue Hall
The federal Food Stamp Program, a cornerstone of the nation's welfare program since 1961, was designed to ensure that all Americans have enough to eat. Yet the program appears to be falling far short of its mission. Many families are leaving the program...
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The Last Word
In November 11,2000,1 submitted my resignation as executive director of the American Public Human Services Association (APHSA). I have deeply enjoyed the wonderful opportunity to provide the staff leadership to an association dedicated to the same issues...
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Vol. 58, No. 3, September

Letters to the Editor
Human Service Staff Qualifications "Changing Personnel Practices to Support Health and Human Services Reform" by Allen Kraus (June 2000) provides some useful suggestions to assist human service managers in recruiting staff. Kraus also notes that most...
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Letter from the Executive Director
This year marks the 70th anniversary of the American Public Human Services Association (APHSA) as the premier association representing those who lead, plan, deliver, or care about public human services. It is truly awesome to contemplate the evolution...
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The Future Is Now: Transforming the Welfare System to Identify and Address Chronic Barriers
As the summer 2002 deadline approaches for the first round of people hitting the five-year time limit, policymakers are beginning to debate the content of TANF reauthorization. Yet, concern about hard-to-employ clients, who are still on the welfare rolls...
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Rhode Island: Keeping Families Together
It is clear from watching families interact at children's museums that, while they may well be learning about the physics of water or the history of the region, there is something else important and powerful taking place. As children and adults play...
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A Conversation with Thomas Perez
In June 1999, the U.S. Supreme Court ruled 6-3 in the Olmstead v. L.C. and E.W. case in favor of community settings over institutions for persons with disabilities. The case was brought by two Georgia women whose disabilities include mental retardation...
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A Team Approach to Public Services Delivery
Changing the culture of an agency is not an easy task but it can be done, as one Maryland county department of social services discovered. In May 1999, the St. Mary's County Department of Social Services (DSS) implemented a multidisciplinary team approach...
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Serving the Needs of Elder Abuse Victims
Over the years, adult protective service (APS) to the aged victims of domestic violence has received little attention by researchers and the professional literature as compared with other forms of domestic violence. Yet, elder abuse has been documented...
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Our Do'ers Profile
In "Our Doers Profile," we highlight some of the hard-working and talented Individuals in the public human services field. This Issue features the director of California's Department of Social Services, Rita Saenz of Sacramento, California. Name: Rita...
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Vol. 58, No. 2, June

Letters to the Editor
Final Ruling for ASFA and Kinship Care When I wrote "In the Interest of Children: Rethinking Federal and State Policies Affecting Kinship Care" (March 2000), I had not foreseen how the final rule implementing the 1997 Adoption and Safe Families Act (ASFA)...
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Charitable Choice: The End of Churches as We Know Them?
For nearly four years, religious groups throughout the country have been receiving government funding to provide employment, training, child care, housing, food, and transportation services to welfare recipients. In 1996, drafters of the welfare reform...
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Minnesota: Moving from Welfare to Work
One of the greatest barriers facing families as they move toward self sufficiency is transportation. In east-central Minnesota, there is little, if any, public transportation. In the more remote areas of the region, it is not uncommon to travel 40 to...
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Changing Personnel Practices to Support: Health and Human Service Reform
It has become increasingly clear: health and human service leaders must become human resource activists to solve their staffing problems and improve their programs. Left alone, personnel managers rarely approve critical staff changes when needed, nor...
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A Conversation with Gail R. Wilensky
In 1965, Medicare debuted as the centerpiece of President Lyndon Johnson's Great Society. Since Its inception, Medicare has helped countless seniors pay for health care. Yet, 35 years later, some consider Medicare to be outdated when compared with what...
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Our Do'ers Profile
In "Our Doers Profile," we highlight some of the hardworking and talented individuals in the public human services field. This issue features the chair of the National Council of Local Human Service Administrators, Thomas Hogan of Raleigh, North Carolina....
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Vol. 58, No. 1, March

New York: Coordinated Services Address Caseload Overlap
A seven-year-old child has poor attendance at school. A domestic violence victim lives in fear for her life and the lives of her children. A child enters foster care because of abuse or neglect. A mother is fired from her job as a result of missing work...
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Faces & Places
APHSA's Board of Directors appointed four new private-sector board members in December. In this issue of POLICY & PRACTICE, we feature short profiles of these new members who began their terms in January. Barrett A. Toan is president and chief executive...
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In the Interest of Children: Rethinking Federal and State Policies Affecting Kinship Care
The extended family has long played a role in caring for children whose parents were unable to do so-a practice commonly referred to as kinship care. In contrast, child welfare agencies' reliance on kin to act as foster parents is relatively new. When...
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New Directions for Child Support Agencies When Domestic Violence Is an Issue
There is little doubt that many low-income women suffer from domestic violence. According to a 1996 Bureau of Justice Statistics report (Craven, 1996), women living in households with annual incomes below $10,000 are four times more likely to be violently...
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A Conversation with Maria Foscarinis
Homelessness is an issue that has plagued our nation for more than two decades. Across the country, cities have taken increasingly punitive approaches to homelessness, with police crackdowns the rule rather than the exception. To learn more about the...
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Our Do'ers Profile
In "Our Do'ers Profile," we highlight some of the hard working and talented individuals in the public human services field. This Issue features Joe Leean, secretary of the Department of Health and Family Services in Madison, Wisconsin. Name: Joe Leean...
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Vol. 57, No. 4, December

Letter from the Executive Director
As our nation's welfare rolls continue at historic lows, the attention of the public has and will continue to shift to the well-being of children and families. Child welfare issues in particular are moving to center stage. The soon to be published federal...
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Louisiana
Flexible Computing Systems Can Help Provide Answers to Welfare Changes Recently Louisiana's Department of Health and Hospitals faced two major challenges. The first was to design and develop a Medicaid eligibility system that would meet the requirements...
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Faces & Places
Rochelle Chronister, secretary of the Kansas Department of Social and Rehabilitation Services (SRS), retired October 1. Chronister, a biologist and former state legislator, served as a member of APHSA's policy-making body, the National Council of State...
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A Conversation with Jess McDonald
In September, President Clinton announced the first award of $20 million to states that increased the number of children adopted from public foster care. Illinois, which received almost one-third of the $20 million, led the nation In matching state children...
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Our Do'ers Profile: Linda A Wolf
In "Our Do'ers Profile," we highlight some of the hard working and talented individuals in the public human services field. This Issue features Linda A. Wolf, who retired after 20 years of service as APHSA's deputy executive director. Name: Linda A....
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Vol. 57, No. 3, September

Letter from the Executive Director
This issue of POLICY & PRACTICE reflects our continuing commitment to senior care-to develop, promote, and implement comprehensive national policy that best serves our nation's senior citizens and their families. The recent summer meeting of the...
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The Next Decade in Long-Term Care
In the coming decade, the field of long-term care will experience important changes affecting all those who need care, their family members, and care providers. The changes will shape our ability to help people with disabilities maximize their functioning...
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Texas Plus
Like the rest of the nation, Texas will experience tremendous growth in its elderly population in the coming years. Because the elderly and disabled account for the bulk of Medicaid expenditures, this growth is expected to have a significant impact on...
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Who Are Our Seniors?: A Profile of Medicare Beneficiaries
Few programs in the history of the United States have brought as much benefit to society as Medicare. When President Lyndon Johnson signed Medicare into law 34 years ago, he envisioned that it would "take its place beside Social Security . . . to form...
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Out of the Shadows: Elder Abuse and Neglect
Neglect and Abandonment Family members abondoned Marilyn, an 86-yearold bedridden woman, when they quickly left town after not paying the rent for three months. They left food and water, but no one knew Marilyn was still there. By the time workers came...
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A Conversation with Christine Gianopoulos
For decades, states have relied almost exclusively on nursing homes to deliver long-term care services. Yet studies have shown that people prefer to remain in their homes and communities. This preference results in substantial savings to Medicaid because...
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Continuing Care Network: Building a Disability-Based Payment and Delivery Model
There has been much discussion on how the integration of primary, acute, and long-term care for Medicare beneficiaries can result in greater program efficiency, improved patient satisfaction, and enhanced clinical outcomes. Yet experience in this area...
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Our Do'ers Profile: Kevin W. Concannon
In "Our Do'ers Profile," we highlight some of the hard working and talented individuals in the public human services field. This issue features Kevin W. Concannon, commissioner of the Department of Human Services in Augusta, Maine. Name: Kevin W. Concannon...
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Vol. 57, No. 2, June

Making Food Stamps Part of Welfare Reform
Welfare reform has brought massive change to stateoperated cash assistance programs but, on certain key points, the Food Stamp Program has hardly changed. As a result, the two programs often seem to operate at cross-purposes, making it more difficult...
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Dispatches from the States: New York
The food pyramid, food labels, and cooking instruction are just the tip of the iceberg when it comes to topics included in New York's Food Stamp Nutrition Education Program (FSNEP). The program, a unique partnership between county social services offices...
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Child Support Enforcement Is Working Better Than We Think
Changes in child support enforcement since the 1970s have succeeded in improving collection efforts more than we think. Yet, sometimes it is difficult to see how far we have come because the dramatic shift in demographic make-up of single mothers hides...
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Our Do'ers Profile: Mark E. Orf
In "Our Do'ers Profile,"we highlight some of the hard working and talented individuals in the public human services field. This issue features Mark E. Orf of the Department of Health and talented individuals in the public human Services In Columbia,...
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Vol. 57, No. 1, March

Ensuring That Eligible Families Receive Medicaid When Cash Assistance Is Denied or Terminated
One of the big stories of welfare reform is the dramatic drop in the number of families receiving cash welfare. Many states are reporting that as welfare caseloads drop, the number of people enrolled in Medicaid is declining.1 The Medicaid caseload drop...
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Dispatches from the States: Mississippi
My boyfriend is pressuring me to have sex. What can I do?" "How can we increase the involvement and role of fathers in the family?" "How can we assist noncustodial parents with access to and visitation with their children?" These questions prompted the...
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A Conversation with Gary J. Stangler
This year, the American Public Human Services Association will launch its Executive Leadership Institute (ELI), a series of programs and services for public human services managers. To learn more about the institute, Policy & Practice talked with...
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Our Do'ers Profile
In "Our Do'ers Profile," we highlight some of the hard workin and talented individuals in the public human services field. This issue features Eric M. Bost, commissioner of the Texas Department of Human Services in Austin, Texas. Name: Eric M. Bost Title:...
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Vol. 56, No. 3, December

Letter from the Executive Director
Much has been written about the actual and projected impact of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 and related legislation and policy-about its devolution of more authority and responsibility for major social programs...
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Dispatches from the States: Texas
Reducing benefits fraud is one of Texas' major goals. When the Texas legislature passed a comprehensive welfare reform bill three years ago, the bill required the Texas Department of Human Services (TDHS) to develop a system using electronic finger or...
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A Conversation with Garth L. Splinter
With the recent discussions about Medicaid coverage for lifestyle-enhancement drugs, PoLICY & PRACTICE talked with Garth L. Splinter, M.D. Dr. Splinter is chief executive officer of the Oklahoma Health Care Authority. With a masters in business administration...
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Our Do'ers Profile
In "Our Do'ers Profile," we highlight some of the hard working and talented individuals in the public human services field. This issue features Cornelius D. Hogan of the Vermont Agency of Human Services, as we approach the end of his term as president...
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Vol. 56, No. 2, August

Letter from the Executive Director
The American Public Human Services Association is proud to present this new journal that explores aspects of public human services policy and practice. In this issue, our focus is on where we are two years after the passage of the Personal Responsibility...
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Welfare Reform: An Opportunity to Improve the Lives of Poor Families-But Not a Guarantee
The passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 signaled a break with the past-ending more than six decades of a federal guarantee of cash assistance for poor families with children. In most states, families...
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Dispatches from the States: Hawaii
When Honolulu Mayor Jeremy Harris learned that the Hawaii State Department of Human Services would reduce cash benefits of some 15,000 TANF recipients by 20 percent effective February 1, 1997, he perceived a crisis: Existing stateadministered welfare-to-work...
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A Conversation with Ron Haskins
Ron Haskins is the staff director for the Subcommittee on Human Resources of the Committee on Ways and Means, U.S. House of Representatives. Prior to becoming staff director, he was welfare counsel for the Republicans on the Ways and Means Committee....
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States' New TANF Policies: Is the Emphasis on Carrots or Sticks?
The federal Temporary Assistance for Needy Families (TANF) program imposes strict employment targets for states' cash assistance caseloads. States failing to meet federally established targets face financial penalties. This policy departs considerably...
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Our Do'ers Profile
As APHSA publishes its 59th edition of the Public Human Services Directory, POLICY & PRACTICE features Amy Plotnick, the staff member who works behind the scenes to produce it. Name: Amy J. Plotnick Title: Publications Manager Years of service: 17...
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