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. 70, No. 5, October

A Framework for Alternative Human Service Financing
APHSA's vision for a transformed human service system includes a reexamination of the current Loan service financing structure. With the financial outlook now wore uncertain than at any time in recent history, most observers believe that funding provided...
Citizen Engagement: A Model to Lower Costs and Improve Outcomes
THE CHALLENGE Few will disagree that the $7.7 trillion spent on health and social programs globally is unsustainable. But is it possible to reduce program costs while improving citizen outcomes? The theory behind a new service delivery model based...
Cutting through the Complexity: Lessons from Idaho's Medicaid Readiness Project
Reaching an eligibility decision on the same day a customer applies for services--not 20 to 30 days later--is more than wishful thinking. It's a reality in Idaho, where just over 70 percent of SNAP applicants and half of Medicaid applicants get same-day...
Director's Memo
By now, I hope our readers are familiar with our members' initiative, Pathways: The Opportunities Ahead for Human Services. It's been over a year since we embarked on the development of this robust policy and practice agenda and we're thrilled with...
In Our Do'ers Profile, We Highlight Some of the Hardworking and Talented Individuals in Public Human Services. This Issue Features Al Delia, Acting Secretary of the North Carolina Department of Health and Human Services
Name: Albert A. (Al) Delia Title: Acting Secretary, North Carolina Department of Health and Human Services [ILLUSTRATION OMITTED] Years of Service: I have worked for more than 25 years in the public sector in North Carolina. I was appointed...
More Negatives from the Campaign
The campaign season is fully upon us and woe to us who live in battleground states. It is nearly impossible to escape the deluge of negative ads and messages through just about every conceivable venue. One cannot watch TV or listen to the radio for...
Newsmakers
State and Local AgenciesCALIFORNIARon Arias will be retiring as director of the Long Beach Department of Health and Human Services at the end of December. He has served as its director since 2000.NORTH DAKOTAMaggie Anderson was appointed interim executive...
Our Do'ers Profile
In Our Do'ers Profile, we highlight some of the hardworking and talented individuals in public human services. This issue features Al Delia, acting secretary of the North Carolina Department of Health and Human Services.Name: Albert A. (Al) DeliaTitle:...
Supreme Court Ruling: More Information Needed
If you searched the Internet for major cases decided by the Supreme Court, Hooper v. California, a case from 1895, would not be one of them. If you read the brief filed by the U.S. Department of Health and Human Services in the landmark case dealing...
Texas Independence: Money Follows the Person in the Lone Star State
Wilma* is 94 years old, has no children, and her husband died more than 20 years ago. She was living with her niece's family when a heart attack briefly put her in a nursing facility. She had only been home a couple of weeks when a second heart attack--this...
Texas Independence: Money Follows the Person in the Lone Star State
Wilma and Mike are just two examples of thousands of Texans with a diverse range of disabilities who have sought independence through a process known as Money Follows the Person (MFP), which allows Medicaid home- and community-based services (HCBS) funds...
The Politics of Sequestration
Over the last several months the politics surrounding the pending sequestration of federal funding has begun to take shape. To be sure, it will be politics, and not economic considerations, that ultimately determine the fate of the sequester. [ILLUSTRATION...
The Role of IT in Agency Transformation: The States' Perspective
Health and human service (HHS) agencies across the nation are faced with a significant endeavor when planning and implementing information technology (IT) modernization projects. The economic pressures on state budgets, combined with the complexities...
The Teaching-Family Model: An Evidence-Based Model for At-Risk Youth
What Is Evidence-Based? In the health care field, evidence-based practice or practices, also called EBP or EBPs, generally refers to approaches to prevention or treatment that are validated by some form of documented scientific evidence. What counts...
They Do Everything by the eBook: Westchester County Turned Overlooked Documents into a Powerful Online Tool for Its Child Welfare Workers
"The web-based manual is by far one of the greatest resources made available to our child welfare staff. It adds a new dimension to how we train and acclimate workers to our agency. It is comprehensive, user-friendly, and promotes self-learning. I...
Think Globally Serve Locally
The U.S. Human Service Marketplace of the Future and Its Place in the WorldThough we've often heard the phrase "Think Globally, Act Locally," it's not one we typically associate with our day-to-day work in human service delivery. We may remember hearing...
Think Globally Serve Locally: The U.S. Human Service Marketplace of the Future and Its Place in the World
Though we've often heard the phrase "Think Globally, Act Locally," it's not one we typically associate with our day-to-day work in human service delivery. We may remember hearing it first at an Earth Day event, but its parentage likely predates the...
Undocumented Immigrants as Foster Parents
The health and well-being of foster children is a principal concern of every department of human services. Despite the urgency of finding a home for each child, departments try to be meticulous in screening and assessing each foster parent applicant....
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