Private vs public child welfare systems: A comparative analysis of national safety outcome performance |
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| Institution: | 1. Bob Shapell School of Social Work, Tel-Aviv University, Israel;2. Child Advocacy Center, Israel;1. Department of Human Development and Family Science, University of Missouri, 314 Gentry Hall, Columbia, MO 65211, United States;2. Department of Family, Consumer, and Human Development, Utah State University, 2705 Old Main Hill, Logan, UT 84322, United States;3. Department of Child, Family and Consumer Sciences, California State University, Fresno, FFS305, Fresno, CA 93740, United States;4. Department of Family and Child Studies, Montclair State University, University Hall, Room 4144, One Normal Avenue, Montclair, NJ 07043, United States;1. Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway, MS F-63, Atlanta, GA 30341, United States;2. ICF International, 3 Corporate Square, Suite 370, Atlanta, GA 30329, United States;3. RTI International, 3040 Cornwallis Road, Research Triangle Park, NC, 27709, United States;1. Portland State University School of Social Work and Hatfield School of Government, PO Box 751, Portland, OR 97207, United States;2. University of Louisville Kent School of Social Work, United States;3. University of California-Los Angeles Fielding School of Public Health, Department of Health Policy and Management, United States;4. Texas A&M University Health Sciences Center, Department of Health Policy and Management, United States;5. The Ohio State University College of Social Work, United States;6. University of North Carolina Gillings School of Global Public Health, Department of Health Policy and Management, United States |
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| Abstract: | BackgroundEnsuring the safety of American children is one of the chief mandates of the U.S. Child Welfare System. Yet system differences, including privatization remain an area of concern for whether safety of children is achieved.ObjectiveThis study examined the effect of privatization policy on the performance of state child welfare systems in terms of achieving national safety outcome standards.Participants and SettingN1 = 10 states systems (5 privatized and 5 public systems) with N2 = 118,761 foster care cases located throughout the U.S.MethodUsing data from the Adoption and Foster Care Analysis and Reporting System (AFCARS), safety outcome performance measures were assessed, as were child-/case factors to predict the likelihood of the system types meeting the national safety outcome standards.ResultsLogistic regression models of child, case, and system factors predicting the likelihood state systems met national safety outcome performance standards were statistically significant. Private systems, compared to non-private systems, were found to have lower odds of meeting the safety outcome 1 standard (OR = 0.41, 95% CI = 0.40–0.42), but greater odds of meeting the safety outcome 2 standard (OR = 6.79, 95% CI = 6.56–7.02).ConclusionsThe implementation of privatization policy in state child welfare/foster care service delivery was found to have mixed results in terms of the national safety outcome standards. |
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| Keywords: | Child welfare systems Privatization Safety outcomes |
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