Child Welfare

National Study of Child Protective Services Systems and Reform Efforts

U.S. Department of Health and Human Services Children's Bureau Administration on Children, Youth and Families Administration for Children and Families andOffice of the Assistant Secretary for Planning and Evaluation

U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluationand Administration for Children and Families Administration on Children, Youth and Families Children's Bureau

By: Sheena McConnell, Andrew Burwick, Irma Perez-Johnson, and Pamela Winston March 2003

The privatization of welfare services has increased significantly and expanded into new services since passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) gave states additional flexibility to design and operate their Temporary Assistance for Needy Families (TANF) programs.

This report draws primarily on findings from case studies in six of the ten states selected for the evaluation, whose early experiences implementing SCHIP have been examined closely: California, Colorado, Louisiana, Missouri, New York, and Texas. Case study respondents interviewed in the case studies included state officials, advocates, plan staff, and providers.

State Experience and Perspectives on Reducing Out-of-Wedlock Births   Final Report Prepared for: Assistant Secretary for Planning and Evaluation Department of Health and Human Services Prepared by: The Lewin Group, Inc. Mark W. Nowak Michael E. Fishman Mary E. Farrell February 2003

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