{"id":31483,"date":"2018-05-16T08:30:45","date_gmt":"2018-05-16T08:30:45","guid":{"rendered":"https:\/\/caseyfamilyv2.wpengine.com\/building-the-bridge-2\/"},"modified":"2026-05-15T21:36:12","modified_gmt":"2026-05-15T21:36:12","slug":"construir-el-puente","status":"publish","type":"post","link":"https:\/\/www.casey.org\/es\/building-the-bridge\/","title":{"rendered":"Construyendo el puente"},"content":{"rendered":"<div class=\"content-section light fresh-text single is-style-single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Linking Medicaid and Child Welfare Data to Identify High Service Users in Child Welfare<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"fresh-image overflow-x-hidden wp-block-fresh-image\">\n             <div class=\"container mx-auto px-5\">\n        <div class=\"fresh-image__align flex justify-center\">\n                      <img loading=\"lazy\" decoding=\"async\" width=\"1300\" height=\"1200\" src=\"https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/the-facts-whole-2.jpg\" class=\"fresh-image__img h-auto max-w-full\" alt=\"About 440,000 children are in foster care. Children in foster care are eligible for Medicaid. Nearly a billion Medicaid dollars are spent annually on youth in foster care Children in foster care account for a disproportionate amount of Medicaid expenditures for behavioral health\" style=\"width: 950px;\" srcset=\"https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/the-facts-whole-2.jpg 1300w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/the-facts-whole-2-300x277.jpg 300w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/the-facts-whole-2-1024x945.jpg 1024w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/the-facts-whole-2-768x709.jpg 768w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/the-facts-whole-2-13x12.jpg 13w\" sizes=\"auto, (max-width: 1300px) 100vw, 1300px\" data-copyright=\"\" data-headline=\"About 440,000 children are in foster care. Children in foster care are eligible for Medicaid. Nearly a billion Medicaid dollars are spent annually on youth in foster care Children in foster care account for a disproportionate amount of Medicaid expenditures for behavioral health\" data-description=\"Infographics showing Medicaid and Child Welfare data \" \/>\n                  <\/div>\n      <\/div>\n     <\/div>\n\n\n<div class=\"fifty-fifty backgrounds-and-margins-aware-block margin-top margin-bottom wp-block-fifty-fifty\">\n <div class=\"container mx-auto px-5\">\n <div class=\"grid split-6040 media-left addon-none\">\n <div class=\"content pt-7 md:pt-0\">\n  <div class=\"my-6 text-salt-box\"><p>Data sharing across Medicaid and child welfare is rare, despite the fact that both systems play important roles in providing services for youth in foster care. By linking child welfare and Medicaid data, a new, more comprehensive perspective on service use is gained that can improve service delivery and outcomes for youth in care.\u00a0<strong>Casey Family Programs<\/strong> and <strong>Mathematica Policy Research, Inc.<\/strong> partnered to take this on.<\/p>\n<\/div>\n    <\/div>\n\n <div class=\"gap\"><\/div>\n <div class=\"media self-start \">\n    <h2 class=\"mt-3\">The challenge<\/h2>\n   <\/div>\n\n <\/div>\n <\/div>\n<\/div>\n\n\n\n<div class=\"fifty-fifty backgrounds-and-margins-aware-block margin-top margin-bottom wp-block-fifty-fifty\">\n <div class=\"container mx-auto px-5\">\n <div class=\"grid split-6040 media-left addon-none\">\n <div class=\"content pt-7 md:pt-0\">\n  <div class=\"my-6 text-salt-box\"><p>Two sites participated in a study to link child welfare and Medicaid data to identify high service users. The study was based on a sample of children in foster care during a five year period in each state.<\/p>\n<\/div>\n    <\/div>\n\n <div class=\"gap\"><\/div>\n <div class=\"media self-start \">\n    <h2 class=\"mt-3\">The undertaking<\/h2>\n   <\/div>\n\n <\/div>\n <\/div>\n<\/div>\n\n\n\n<div class=\"content-section light fresh-text single is-style-single wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n  <div class=\"preheader\"><span>Study sites<\/span><\/div>\n \n   <h2> <\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><h3>Tennessee<\/h3>\n<p><!-- \/wp:heading --><!-- wp:paragraph --><strong>Descriptive and latent class analysis sample:\u00a0<\/strong>Sample includes children who enter out-of-home care between July 1, 2011, and December 31, 2015. (N=21,672)<\/p>\n<p><strong>Predictive analysis sample:\u00a0<\/strong>Sample includes children who enter out-of-home care between July 1, 2012, and January 31, 2014. (N=12,056)<\/p>\n<p>&nbsp;<\/p>\n<h3>Tri-County Area in Florida<\/h3>\n<p><strong>Descriptive and latent class analysis sample:<\/strong> Sample includes children who enter out-of-home care between September 1, 2013, and December 31, 2015. (N=6,695)<\/p>\n<p><strong>Predictive analysis sample: <\/strong>Sample includes children who enter out-of-home care between July 1, 2012, and January 1, 2014. (N=8,290)<\/p>\n<p class=\"has-small-font-size\"><em>Pasco county, Pinellas county and Hillsborough county<\/em><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><a href=\"https:\/\/www.casey.org\/wp-content\/uploads\/2025\/11\/Dimension-Circle.jpg\"><img decoding=\"async\" src=\"https:\/\/www.casey.org\/wp-content\/uploads\/2025\/11\/Dimension-Circle.jpg\" alt=\"Dimension-Circle\" style=\"width:700px\"\/><\/a><\/figure>\n<\/div><\/div><\/div>\n\n\n<div class=\"faq  content-section light  wp-block-f-a-q backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5 grid\">\n <div class=\"faq--title-callout\">\n <h2 class=\"mb-5\">Superutilization<\/h2>\n  <div class=\"callout\"><p>Superutilization of services was measured across the data sources on the following dimensions:<\/p>\n<p><!-- wp:image {\"width\":\"850px\",\"linkDestination\":\"media\",\"align\":\"center\"} --><\/p>\n<p><!-- \/wp:image --><\/p>\n<p><!-- wp:image {\"width\":\"900px\",\"align\":\"center\"} --><\/p>\n<figure class=\"wp-block-image aligncenter is-resized\"><\/figure>\n<p>&nbsp;<\/p>\n<\/div>\n  <\/div>\n <ul class=\"faq__list\" data-functionality=\"accordion\">\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Frequency\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p><strong>Measured by:<\/strong><\/p>\n<ul>\n<li class=\"block-editor-rich-text__editable rich-text\" role=\"textbox\" contenteditable=\"true\" aria-multiline=\"true\" aria-label=\"List text\" data-wp-block-attribute-key=\"content\">number of custody episodes<\/li>\n<li class=\"block-editor-rich-text__editable rich-text\" role=\"textbox\" contenteditable=\"true\" aria-multiline=\"true\" aria-label=\"List text\" data-wp-block-attribute-key=\"content\">number of placement moves<\/li>\n<li class=\"block-editor-rich-text__editable rich-text\" role=\"textbox\" contenteditable=\"true\" aria-multiline=\"true\" aria-label=\"List text\" data-wp-block-attribute-key=\"content\">number of child welfare services<\/li>\n<li class=\"block-editor-rich-text__editable rich-text\" role=\"textbox\" contenteditable=\"true\" aria-multiline=\"true\" aria-label=\"List text\" data-wp-block-attribute-key=\"content\">number of inpatient, outpatient, and emergency Medicaid services<\/li>\n<li class=\"block-editor-rich-text__editable rich-text\" role=\"textbox\" contenteditable=\"true\" aria-multiline=\"true\" aria-label=\"List text\" data-wp-block-attribute-key=\"content\">non-Medicaid mental health and substance abuse services per year (for Florida only)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Intensity\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p><strong>Measured by:<\/strong><\/p>\n<ul>\n<li class=\"block-editor-rich-text__editable rich-text\" role=\"textbox\" contenteditable=\"true\" aria-multiline=\"true\" aria-label=\"List text\" data-wp-block-attribute-key=\"content\">average share of time spent in group home or residential treatment care<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Duration\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p><strong>Measured by:<\/strong><\/p>\n<ul>\n<li class=\"block-editor-rich-text__editable rich-text\" role=\"textbox\" contenteditable=\"true\" aria-multiline=\"true\" aria-label=\"List text\" data-wp-block-attribute-key=\"content\">total length of stay in out-of-home custody<\/li>\n<\/ul>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Cost\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><p><strong>Measured by:<\/strong><\/p>\n<ul>\n<li class=\"block-editor-rich-text__editable rich-text\" role=\"textbox\" contenteditable=\"true\" aria-multiline=\"true\" aria-label=\"List text\" data-wp-block-attribute-key=\"content\">cost of child welfare placements<\/li>\n<li class=\"block-editor-rich-text__editable rich-text\" role=\"textbox\" contenteditable=\"true\" aria-multiline=\"true\" aria-label=\"List text\" data-wp-block-attribute-key=\"content\">cost of child welfare services<\/li>\n<\/ul>\n<\/div>\n <\/li>\n  <\/ul>\n <\/div>\n<\/div>\n\n<div class=\"faq  faq--single-column content-section light  wp-block-f-a-q backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5 grid\">\n <div class=\"faq--title-callout\">\n <h2 class=\"mb-5\"> <\/h2>\n  <div class=\"callout\"><p>When comparing children identified as experiencing superutilization to those who did not, we find those experiencing superutilization had the following attributes:<\/p>\n<\/div>\n  <\/div>\n <ul class=\"faq__list\" data-functionality=\"accordion\">\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Tennessee\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><ul>\n<li><strong>Higher proportions<\/strong> of adolescents and infants<\/li>\n<li><strong>Higher proportions<\/strong> investigated for maltreatment while in foster care<\/li>\n<li><strong>Higher proportions<\/strong> removed from home due to a behavior problem<\/li>\n<li><strong>Lower proportions<\/strong> removed from home for reasons of parental drug abuse<\/li>\n<li><strong>Higher proportions<\/strong> with high needs and less developed life skills as measured on the Child and Adolescent Needs Assessment and Ansell-Casey Life Skills assessment, respectively<\/li>\n<li><strong>Higher proportions<\/strong> with prior investigations and out-of-home placements<\/li>\n<li><strong>Lower proportions<\/strong> of exiting state custody<strong>\u00a0<\/strong><\/li>\n<li><strong>Higher proportions<\/strong> of exiting through emancipation, among those who exited state custody, and lower proportions exiting to guardianship and relative care<\/li>\n<\/ul>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Florida\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><ul>\n<li><strong>Higher proportions<\/strong> of adolescents and <strong>lower proportions<\/strong> between 1 and 5 years old<\/li>\n<li><strong>Higher proportions<\/strong> of males<\/li>\n<li><strong>Higher proportions<\/strong> adopted and <strong>lower proportions<\/strong> reunified among those who exited state custody<\/li>\n<li><strong>Higher proportions<\/strong> with prior investigations and out-of-home placements<\/li>\n<\/ul>\n<\/div>\n <\/li>\n  <\/ul>\n <\/div>\n<\/div>\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><strong>Tennessee and Florida<\/strong> had many similar and a few distinct types of superutilization. In both locations, children were high service users due to:<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"fresh-image overflow-x-hidden wp-block-fresh-image\">\n             <div class=\"container mx-auto px-5\">\n        <div class=\"fresh-image__align flex justify-center\">\n                      <img loading=\"lazy\" decoding=\"async\" width=\"1512\" height=\"1120\" src=\"https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxesv2.jpg\" class=\"fresh-image__img h-auto max-w-full\" alt=\"High placement instability Long duration in foster care Recurrent foster care episodes Medicaid emergency service use Child welfare service use Group Home Use and Placement Costs\" style=\"width: 950px;\" srcset=\"https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxesv2.jpg 1512w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxesv2-300x222.jpg 300w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxesv2-1024x759.jpg 1024w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxesv2-768x569.jpg 768w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxesv2-16x12.jpg 16w\" sizes=\"auto, (max-width: 1512px) 100vw, 1512px\" data-copyright=\"\" data-headline=\"High placement instability Long duration in foster care Recurrent foster care episodes Medicaid emergency service use Child welfare service use Group Home Use and Placement Costs\" data-description=\"\" \/>\n                  <\/div>\n      <\/div>\n     <\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom padding-top\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>In addition, both <strong>Tennessee and Florida<\/strong> had conceptually distinct types of superutilization.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"fresh-image overflow-x-hidden wp-block-fresh-image\">\n             <div class=\"container mx-auto px-5\">\n        <div class=\"fresh-image__align flex justify-center\">\n                      <img loading=\"lazy\" decoding=\"async\" width=\"1506\" height=\"710\" src=\"https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxes-2v2.png\" class=\"fresh-image__img h-auto w-full object-cover\" alt=\"Tennessee Medicaid outpatient service use Florida Complex child welfare and Medicaid service use Medicaid and mental health service use\" style=\"\" srcset=\"https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxes-2v2.png 1506w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxes-2v2-300x141.png 300w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxes-2v2-1024x483.png 1024w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxes-2v2-768x362.png 768w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/services-boxes-2v2-18x8.png 18w\" sizes=\"auto, (max-width: 1506px) 100vw, 1506px\" data-copyright=\"\" data-headline=\"Tennessee Medicaid outpatient service use Florida Complex child welfare and Medicaid service use Medicaid and mental health service use\" data-description=\"\" \/>\n                  <\/div>\n      <\/div>\n     <\/div>\n\n\n<div class=\"faq  faq--single-column content-section light  wp-block-f-a-q backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5 grid\">\n <div class=\"faq--title-callout\">\n <h2 class=\"mb-5\">Digging deeper<\/h2>\n  <div class=\"callout\"><p>Both <strong>Tennessee<\/strong> <strong>and<\/strong> <strong>Florida<\/strong> were interested in a deeper understanding of placement instability.<\/p>\n<p>Children in foster care who experience high placement instability are at greater risk for:<\/p>\n<ul>\n<li>emotional and behavioral disorders<\/li>\n<li>attachment disorders<\/li>\n<li>lower academic achievement<\/li>\n<li>lower likelihood of relational permanence<\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p>Relational permanence refers to many types of important long-term relationships that help a child or young person feel loved and connected &#8211; relationships with brothers and sisters, family friends and extended family, former foster family members and other caring adults.<\/p>\n<p>Available prior child welfare, Medicaid, and non-Medicaid substance use and mental health data were used to predict high placement instability.<\/p>\n<p>While each site had its own set of unique predictors, there were some similarities among the most important predictors identified for each site. Children had higher risk of placement instability if they:<\/p>\n<ul>\n<li>were older at the time of entry<\/li>\n<li>had more prior child welfare investigations<\/li>\n<li>previously spent more time in foster care<\/li>\n<li>had Medicaid-covered outpatient services for physical or behavioral health<\/li>\n<li>had Medicaid-covered emergency services for physical health incidents<\/li>\n<\/ul>\n<p>Children had higher risk of placement instability over the course of 12 months after entering foster care if they:<\/p>\n<\/div>\n  <\/div>\n <ul class=\"faq__list\" data-functionality=\"accordion\">\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Tennessee\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><ul>\n<li>Were older at the time of entry into this custody episode<\/li>\n<li>Had more prior lifetime child welfare investigations<\/li>\n<li>Had more Medicaid-covered outpatient services for physical health in the year prior to this custody episode<\/li>\n<li>Had more Medicaid-covered outpatient services for behavioral health in the year prior to this custody episode<\/li>\n<li>Had more Medicaid-covered emergency services for physical health in the year prior to this custody episode<\/li>\n<li>Were removed for child behavioral reasons and neglect<\/li>\n<li>Spent more time in foster care prior to this custody episode over the course of their lifetime<\/li>\n<li>Received more in-home CW services in year prior to this custody episode<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<\/div>\n <\/li>\n  <li class=\"mb-6 pb-6 border-b border-b-spring-wood \">\n <button class=\"grid grid-flow-col w-full items-center justify-between gap-5\" onClick=\"toggleThisFold(event)\">\n <h4 class=\"text-revolver text-left\">\n Florida\n <\/h4>\n <span class=\"text-xl text-well-read print:hidden\">\n <span class=\"icon-General-Add\"><\/span>\n <span class=\"icon-General-Remove inline-block pb-[1.5px]\"><\/span>\n <\/span>\n <\/button>\n <div class=\"answer text-motar mt-7\"><ul>\n<li>Were older at the time of entry into this custody episode into this custody episode<\/li>\n<li>Spent more time in foster care prior to this custody episode over the course of their lifetime<\/li>\n<li>Had more prior lifetime child welfare investigations<\/li>\n<li>Had more Medicaid-covered outpatient services for physical health in the year prior to this custody episode<\/li>\n<li>Had more Medicaid-covered outpatient services for behavioral health in the year prior to this custody episode<\/li>\n<li>Had more Medicaid-covered emergency services for physical health in the year prior to this custody episode<\/li>\n<li>Had more non-Medicaid-covered substance abuse services in the year prior to this custody episode<\/li>\n<li>Had more Medicaid-covered inpatient services for behavioral health in the year prior to this custody episode<\/li>\n<li>Had more lifetime removals to out-of-home care<\/li>\n<li>Had more non-Medicaid covered mental health services in the year prior to this custody episode<\/li>\n<\/ul>\n<\/div>\n <\/li>\n  <\/ul>\n <\/div>\n<\/div>\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><h2 class=\"wp-block-heading\">What can we do with this information?<\/h2>\n<p>Child welfare agencies can partner with other systems to identify youth experiencing superutilization services, tailor interventions to better address their needs, and prevent placement instability for youth in care.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"fresh-image overflow-x-hidden wp-block-fresh-image\">\n             <div class=\"container mx-auto px-5\">\n        <div class=\"fresh-image__align flex justify-center\">\n                      <img loading=\"lazy\" decoding=\"async\" width=\"1800\" height=\"1400\" src=\"https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/what-to-dov2.jpg\" class=\"fresh-image__img h-auto max-w-full\" alt=\"Child welfare agencies can: Train and support foster parents to care for children with behavioral health needs See child welfare investigations as a window of opportunity to meet family needs Conduct case record reviews and timely case consultation for youth at high risk of placement instability Increase staff and family access to behavioral health, medical and early childhood consultants in child welfare agencies Medicaid agencies can: Conduct behavioral health screening for all young children entering foster care Develop collaborative treatment plans with child welfare Monitor performance of providers and gaps in service delivery Child welfare agencies in collaboration with other providers can: Implement early interventions for children at high risk for placement instability Obtain federal approval to use Medicaid to pay for a small set of evidence-based programs that are most effective for these high risk children and their families\" style=\"width: 950px;\" srcset=\"https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/what-to-dov2.jpg 1800w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/what-to-dov2-300x233.jpg 300w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/what-to-dov2-1024x796.jpg 1024w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/what-to-dov2-768x597.jpg 768w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/what-to-dov2-1536x1195.jpg 1536w, https:\/\/www.casey.org\/wp-content\/uploads\/2018\/05\/what-to-dov2-15x12.jpg 15w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\" data-copyright=\"\" data-headline=\"Child welfare agencies can: Train and support foster parents to care for children with behavioral health needs See child welfare investigations as a window of opportunity to meet family needs Conduct case record reviews and timely case consultation for youth at high risk of placement instability Increase staff and family access to behavioral health, medical and early childhood consultants in child welfare agencies Medicaid agencies can: Conduct behavioral health screening for all young children entering foster care Develop collaborative treatment plans with child welfare Monitor performance of providers and gaps in service delivery Child welfare agencies in collaboration with other providers can: Implement early interventions for children at high risk for placement instability Obtain federal approval to use Medicaid to pay for a small set of evidence-based programs that are most effective for these high risk children and their families\" data-description=\"\" \/>\n                  <\/div>\n      <\/div>\n     <\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>The following programs are listed in the <a href=\"https:\/\/www.cebc4cw.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">California Evidence-Based Clearinghouse<\/a> as having at least promising evidence for addressing adolescent behavioral health and placement stabilization:<\/p>\n<ul class=\"wp-block-list\">\n<li>Aggression Replacement Training<\/li>\n<li>Attachment Biobehavioral Catch-up (ABC)<\/li>\n<li>Cognitive Behavioral Therapy<\/li>\n<li>Dialectical Behavior Therapy (DBT)<\/li>\n<li>Ecologically Based Family Therapy<\/li>\n<li>Family Group Decision Making<\/li>\n<li>Functional Family Therapy<\/li>\n<li>Generation PMTO (formerly Parent Management Training &#8211; Oregon Model)<\/li>\n<li>Keep (Keeping Foster and Kin Parents Supported and Trained)<\/li>\n<li>Keep Safe<\/li>\n<li>Life Space Crisis Intervention<\/li>\n<li>Multisystemic Therapy<\/li>\n<li>Multidimensional Family Therapy<\/li>\n<li>Neighbor to Family Sibling Foster Care Model<\/li>\n<li>PAX Good Behavior Game<\/li>\n<li>Teaching-Family Model<\/li>\n<li>Trauma-Focused Cognitive Behavioral Therapy<\/li>\n<li>Treatment Foster Care Oregon for Adolescents and Preschoolers<\/li>\n<li>Wraparound<\/li>\n<\/ul>\n<p>In summary, this study provides much-needed insight, through linked administrative data and advanced statistical methods, into the superutilization of services among children in foster care. The results of this study can be used to improve the delivery of services to improve outcomes for children and families. Stay tuned for stories about how Florida and Tennessee are using these results.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>Access an <a href=\"https:\/\/www.casey.org\/addressing-unaddressed-needs\/\">issue brief<\/a> on child welfare and Medicaid.<\/p>\n<p><a href=\"https:\/\/www.mathematica-mpr.com\/our-publications-and-findings\/projects\/super-utilizers-of-child-welfare-and-other-services\" target=\"_blank\" rel=\"noopener noreferrer\">More information<\/a> about the study, including the executive summary and full report.<\/p>\n<p>For more information contact the research team at Casey Family Programs <a href=\"mailto:Researchteam@casey.org\">Researchteam@casey.org<\/a> or Elizabeth Weigensberg, the study&#8217;s project director at Mathematica Policy Research, at <a href=\"mailto:EWeigensberg@mathematica-mpr.com\">EWeigensberg@mathematica-mpr.com<\/a>.<\/p>\n<p>Research done in partnership with:<\/p>\n<p><a href=\"https:\/\/www.mathematica-mpr.com\/\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" src=\"\/wp-content\/uploads\/2025\/11\/MPR-logo-150.jpg\" width=\"198\" height=\"66\" \/><\/a><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Estudio sobre los j\u00f3venes en acogida temporal en Tennessee y Florida que utilizan muchos servicios, utilizando datos vinculados de Medicaid y de bienestar infantil.<\/p>","protected":false},"author":14,"featured_media":36380,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_searchwp_excluded":"","footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[276,265],"content_type":[202,201],"hidden-tags-misc":[],"audience":[313,317,327,498],"content_location":[342,329,386],"topic":[448,413,417,429,438,456,457,459,463],"class_list":["post-31483","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-data-resources","category-support-effective-public-and-private-investments","content_type-infographic","content_type-report","audience-academia-researcher","audience-child-welfare-leader","audience-policymaker","audience-social-worker-direct-practitioner","content_location-florida","content_location-national","content_location-tennessee","topic-behavioral-health","topic-collaboration-and-partnership","topic-data","topic-group-institutional-placements","topic-intake-practice","topic-physical-health","topic-public-policy","topic-research","topic-substance-use-disorder"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v19.4 (Yoast SEO v28.2) - 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