Public Welfare


Vol. 56, No. 1, Winter

Using Art Therapy to Address Issues of Substance Abuse
The drawings that accompany this article were created during art therapy sessions at Amethyst, Inc., a residential treatment center in Columbus, Ohio, for low-income women recovering from drug and alcohol dependence. The 10-year-old program provides...
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FamilyWorks Strategic Imperatives for Sobriety and Employability
CONTEXT-the circumstances surrounding the client, the program, and the interrelated conditions in which it will occur. The client population: chemical dependency, welfare reform, violence, and employer perspectives and expectations. The individual client-comprehensive...
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State Dispatches: Minnesota
An estimated 50 to 75 percent of people who are chemically dependent are also mentally ill. Left untreated, mental illness can sabotage individuals' attempts to stop using drugs and alcohol-a critical fact that is often overlooked in efforts to treat...
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State Dispatches: Washington State
How ready are Dick and Jane to face the world? Are they on schedule? A new test that captures the views of youth and their caregivers regarding the young people's self-sufficiency is now available to educators and child welfare organizations. The Ansell-Casey...
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Vol. 55, No. 4, Fall

Child Health Q&A: New Jersey
Editor's Note: New Jersey will invest $136 million in state and federal funds beginning January 1, 1998, in an effort to meet the health care needs of the state's low-income children. The initial phase of NJ KidCare, the state's new program, will provide...
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Is It Necessarily Better to Adhere to the Formula?
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is promoting breast-feeding and thereby realizing cost savings in the WIC and Medicaid programs. Breast-feeding is arguably among the most elemental, natural activities...
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State Dispatches: California
Maricela Cabello first came to the United States to visit her father, who had promised her a trip to Disneyland. What Maricela didn't know was that her father had arranged with her mother, who was living in Mexico with Maricela's siblings, for the 15-year-old...
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State Dispatches: Arkansas
Arkansas's ConnectCare program, which uses technology to significantly imporve access to regular medical care for Medicaid receipients, has received a $100,000 grant from the Innovations in American Government Program. ConnectCare was one of 10 programs...
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Vol. 55, No. 3, Summer

Efforts by Child Welfare Agencies to Address Domestic Violence
Child welfare agencies across the country have begun to focus on the issue of domestic violence and how it affects their caseloads. The report that forms the basis for this article was prepared under contract with the Office of the Assistant Secretary...
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Dispatches from the States: Illinois
Hedy Bourland's restaurant career has taken off. In little more than a year, the 30-year-old mother of four has gone from subsisting on welfare to flipping burgers to training restaurant employees and managers. "I've been on and off welfare for about...
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Dispatches from the States: Rhode Island
In July 1997, Rhode Island Governor Lincoln Almond announced significant enhancements to the state's child care program to ensure that quality care is universally available to all working families in the state. As mandated in the 1998 state budget, reimbursement...
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Vol. 55, No. 2, Spring

Reengineering the Child Welfare Training and Professional Development System in Kentucky
The Cabinet for Families and Children moves to implement a continuum of preservice, in-service, and advanced leadership development opportunities for staff. Child welfare workers and administrators face serious challenges in the 1990s as a result of...
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Nevada's University State Partnership: A Comprehensive Alliance for Improved Services to Children and Families
In Nevada as in the nation, collaboration is the name of the game in educating child welfare workers. There has been a truly remarkable explosion in the number of collaborative ventures in various fields over the past decade. More and more frequently,...
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The Partnership Journey: First Decade
Editor's Note: PUBLIC WELFARE takes a break from its usual format this Spring with a special edition devoted to training and education partnerships that public child welfare agencies around the country have formed with colleges and universities. Inside...
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Developing Collaborative Child Welfare Educational Programs
Recruiting and preparing students in Arizona for careers in public child welfare. Child welfare training needs today have their roots in the growth of demand for services both at the national and the state levels.This demand is reflected in the enormous...
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Dispatches from the States: Oklahoma
Carole Taylor's husband broke the fingers of her right hand so that she couldn't work, but-fortunately for her-he forgot that she was left-handed, the only reason that she was able to finish her contract to make cheerleader outfits for the local high...
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Vol. 55, No. 1, Winter

The Relationship between Foster Care and Homelessness
Research shows that children in foster care have a greater chance of becoming homeless adults. I never felt like I was lovedthat anybody really cared. felt like the black sheep of the family. Latasha Birmingham, Alabama In the late 1980s, the National...
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A Conversation with John F. White Jr
PUBLIC WELFARE talks with the executive director of the Philadelphia Housing Authority about the need to coordinate social services in this new era of welfare reform. All photographs in this article provided courtesy of the Philadelphia Housing Authority....
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Dispatches from the States: New York
Denise Jacobs had a five-year gap in her resume when she went on welfare in order to support her three children. She felt she had no other choice: "I didn't have the computer background" that many jobs require, she said, "and I didn't know Windows."...
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Vol. 54, No. 4, Fall

Editor's Note
With this issue of PUBLIC WELFARE, we say goodbye to public assistance as it has existed in this country for more than 60 years. For some readers this will be a sad occasion; for others it will be a welcome opportunity. Wherever you stand, I think we...
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A Conversation with Bruce M. Bullen
Bruce M. Bullen is the commissioner of the Division of Medical Assistance, Executive Office of Health and Human Services, in Boston, Massachusetts. He is responsible for managing the $3.4 billion Massachussetts Medicaid program. In June, Bullen was elected...
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Dispatches from the States: Menominee, Michigan
Being the first identified success from Project Zero is Wendy Dionne's burden. But it's one she is happy to bear, for now anyway. "It's a ride I'm never going to forget," she says about her job transitioning other welfare clients toward work. "It's going...
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Vol. 54, No. 3, Summer

Managed Care and Child Welfare
There is an undeniable surge of support for managed care as a quick fix for a range of public human service problems. Child welfare is one area of human services that has had its share of problems-problems that seem to overwhelm the system and that help...
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A Conversation with Linda J. Blessing
Arizona's Department of Economic Security director talks with PUBLIC WELFARE about the state's EMPOWER program. PW: How has public assistance in Arizona changed since EMPOWER was instituted? Blessing: EMPOWER is really comprehensive. It includes provisions...
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Notes and References
1. The concern over the rate of growth in child welfare expenditures has been expressed to the Institute for Human Services Management by child welfare administrators throughout the country, who note increasing legislative and gubernatorial pressure...
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Vol. 54, No. 2, Spring

Emotional Injuries Need Not Be Permanent Andrea C. Walter, Albany, New York Thank you for publishing "It Takes a Whole Village to Raise a Child" [PUBLIC WELFARE, Winter 1996]. It is so crucial that people take risks -financial, emotional, and physical...
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Breaking the Cycle of Dependency: Innovations in Four States
Four public and private initiatives offer recipients a chance for self-sufficiency. The states have long been the leaders in the welfare reform movement, serving as laboratories for numerous initiatives aimed at shifting the focus of welfare from cash...
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Minnesota's Family Loan Program
Small interest-free loans can help low-income families stay on the job or in school. The Summer 1995 issue of PUBLIC WELFARE highlighted policy issues relevant to welfare reform: work requirements, training programs, low-wage jobs, foster care and family...
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In Their Own Words: Marcia
Marcia is an African American single mother and a student. I never anticipated being on welfare. I was three months pregnant when I came to Minneapolis, and I thought that me and my son's father were going to get married. But it didn't work out. I did...
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In Their Own Words: Wendi
Wendi is an employed European American single mother. Before, it was me, the kids, and their dad. I was working as a maid then, and he left us, so we had to go on welfare. I was on welfare for many years. Then I decided to go through school to become...
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Vol. 54, No. 1, Winter

"It Takes a Whole Village to Raise a Child"
When my husband, Phillip, and I married 23 years ago, we were only 17, but we knew what we wanted. We made a vow that we would never allow our lives to become boring. We wanted adventure and risk--not complacency and the middle of the road.Never in a...
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Vol. 53, No. 4, Fall

The Initiative at a Glance
The Children, Youth, and Families Initiative is a 10-year, $30 million enterprise active in eight Chicago communities, based on a new concept of the social-service system for children and families. The initiative's goal in each community is to build...
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Family Values among Homeless Families
One organization offers New York City's homeless families more than just shelter and explores their attitudes toward family values Today one in every four children in the United States is born to a single mother. One-thirdor 400,000-of these mothers...
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American Family Inns at Work: "Elena"
E lena" is an 18-year-old single mother with a 2-year-old son, "Ricardo." She has never been married, has never lived independently, and receives public assistance. She is a typical mother residing in an American Family Inn. Elena has a fractured and...
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Child Care Initiatives in the States
An APWA survey examines child care innovations as the states prepare for federal welfare reform. APWA recently conducted an informal survey of state child care efforts. Not waiting on Congress to act, states have already launched their own innovations....
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Vol. 53, No. 3, Summer

Using Work to Reform Welfare
Washington is in the midst of yet another of its periodic bouts with welfare reform. Since John F. Kennedy, every president except George Bush has tried to reform welfare. None of their plans succeeded because they did not face up to the realities of...
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Work Programs and Welfare Reform
Work-directed mandates have been the focus of welfare reform for the past 30 years, and they have a potentially critical role to play in the success of new reform efforts. What does the research record tell us about the performance and promise of welfare-to-work...
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The Foster Care Crisis and Welfare Reform
Despite its substantial caseload and the frequent media attention drawn to the tragic failures of its young charges, foster care remains a poorly studied and poorly understood social service program. A current case in point concerns the unexamined relationship...
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Vol. 53, No. 2, Spring

When Art Imitates Life: A Look at Art and Drama Therapy
Lights dim and the audience stills. Costumes and fans, movement and masks, rhythm and voice merge in practiced harmony to weave an ancient tale. This night's performance is Lemminkainen's Mother, a production that unites two disparate cultures and artistic...
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Vol. 53, No. 1, Winter

Rationalizing HHS Decision-Making
It is fundamental to the just exercise of governmental power that it be exercised in a lawful and uniform manner based on objective decisions that fairly balance any competing interest involved. Application o these principles to the HHS secretary's exercise...
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A Local Agency's View of the Waiver Process
Section 1115 was a part of the 1962 legislation to make public assistance more uniform throughout the nation. Section 1115 was seen as a way of accommodating issues within the states that made it difficult for them to conform with specific federal laws...
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Fixing Welfare Waiver Policy
The demonstration authority provided by Section 1115 of the Social Security Act is a very important aspect of national welfare policy. Given states' diverse needs and circumstances and the ambitious objectives of welfare reform, we need flexibility and...
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Vol. 52, No. 4, Fall

A Fond Farewell
A New Orleans psychologist has been on my mind of late, and that amuses me since he and talked for less than five minutes. I called him because I was thinking of switching to a different career, and I thought I might be helped by talking with a professional....
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Waiver Evaluations: The Pitfalls-And the Opportunities
Time-limited welfare. Financial incentives to work and save. Bonuses and sanctions for "responsible" parenting. Revamped approaches to child-support enforcement. Changes in employment and training and supportive services. Mandatory work.Since the Bush...
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Understanding and Preventing Violence
Violence and Our Response was the theme of the Fall 1992 issue of PUBLIC WELFARE. In that issue we challenged readers to examine how violence affects us and our society and to consider how we should respond as human service agencies, as practitioners,...
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Vol. 52, No. 3, Summer

Purchase of Service at 20: Are We Using It Well?
A few changes in funding and service delivery over the past 50 years have had as profound an effect on both the public and private, not-for-profit social-service sectors as has purchase-of-service (POS) contracting. No definitive comprehensive study...
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Streamlining Intake and Eligibility Systems
Gaining access to health and human service programs is seldom easy, and the process is rarely simple-for either the prospective participants seeking help or for the human service staff who are trying to help them. In fact, the process often discourages...
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Women on Welfare Talk about Reform
We frequently overlook the views of welfare recipients when considering the effect of welfare on their lives or the lives of their children. When it comes to developing policies and programs, the recipient's voice is even less likely to be heard. Yet...
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Managing JOBS Caseloads
A Common concern the among among administraators of human service programs is the appropriate ratio of clients to staff. The number of people with whom a case manager is able to work at any given time can depend on many circumstances, including the characteristics...
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Vol. 52, No. 2, Spring

The California Story: Immigrants Come to California as a Re
California is committed to rebuilding its economy and providing for safe and prosperous communities. The state has been hard hit by natural disasters and an international recession, and its problems have been compounded by federal policies that have...
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Making the Most of What We Already Know
Human-service administrators probably have the toughest jobs in America. When I reviewed the agenda for your meeting, I was delighted that both welfare reform and health care reform would be so expertly covered, so that I would be free to talk about...
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Leaving Home: The Noted Humorist Remembers His Nine Years I
Shortly after I was born, my mother was taken away from me or I was taken away from my mother. This was done because she was mentally ill. She suffered from severe chronic depression, which required that she be committed to a private sanitarium. She...
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Setting the Record Straight: What Are the Costs to the Publ
Few areas of public policy provoke such charged, emotional responses as welfare and, of late, immigration. Not surprisingly, therefore, when the two are joined, public debate is dominated by many misunderstandings. In this article, we note some of the...
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Vol. 52, No. 1, Winter

Ohio Boosts Attendance among Teen Parents
Early results from a large-scale evaluation of Ohio's statewide Learning, Earning, and Parenting (LEAP) Program indicate that its unusual combination of financial incentives, penalties, and support services is improving the school attendance of teenage...
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A New Management Model for Child Welfare: True Reform Means
Many solutions have been proposed for dealing with the child welfare crisis, but one area of need rarely receives the attention it deserves: agency management. This lack of attention is surprising because child welfare agencies have fundamental weaknesses...
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CAP: New York State's Experiment with Economic Incentives
In 1989, New York State launched the Child Assistance Program (CAP), a highly innovative approach to welfare reform. CAP is distinctive in its reliance on positive economic incentives and case management in encouraging clients to increase earnings and...
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