Research and Data Analysis

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Use of Long-Acting Reversible Contraception by Washington Women on MedicaidUse of Long-Acting Reversible Contraception by Washington Women on Medicaid

Overall, more than one-third of Washington State births result from unintended pregnancies. The rate is significantly higher for women with Medicaid coverage (51%) than for women not receiving Medicaid (23%). This report summarizes use of Long-Acting Reversible Contraception (LARC) among Washington women and teens on Medicaid, including yearly numbers of LARC insertions from 2010-2014, and describes the medical specialty and licensure of practitioners who performed LARC insertions for Medicaid clients and the clinical settings in which LARCs were inserted. Key findings include: more than 100,000 women and teens on Medicaid received LARCs in the past five years, 2010-2014; more than 2,000 medical providers performed LARC insertions for Medicaid clients in 2014; and women on Medicaid receive LARCs in a wide range of clinical practice settings. With the 2014 expansion of Medicaid eligibility through the ACA, the TAKE CHARGE family planning waiver of fifteen years’ duration, and a state-funded program for postpartum family planning coverage for undocumented women, a variety of Medicaid programs provide coverage for contraceptive products and counseling; however, some groups including undocumented women and women who decline to apply for Medicaid have limited access to Medicaid coverage for family planning services.

 

Transition to Adulthood: Foster Youth at 19Transition to Adulthood: Foster Youth at 19

An Analysis of the 2013 National Youth in Transition Database Survey for Washington State This report follows-up on an earlier National Youth in Transition Database survey of 19-year-old youth transitioning from foster care in Washington. Authors examine outcomes related to education, employment, and measures of stability among 370 youth who participated in the survey (88 percent of those eligible). We found 78 percent of respondents are no longer in foster care. Many youth report participating in education (53 percent), employment (30 percent), and job training (18 percent). Nine in ten youth have established close, supportive relationships with adults. The biggest reported challenge is housing instability, which was identified for 30 to 52 percent of respondents (depending on the question asked). Reported utilization of the behavioral health support system has dropped precipitously since two years ago, when the youth were 17 years of age and in foster care.

 

Take Charge - Health Insurance SurveyTake Charge - Health Insurance Survey

This report describes the reasons that women remained on the TAKE CHARGE family planning waiver program instead of obtaining health insurance through another source, such as Washington’s Health Benefit Exchange. The main data source was a brief mailed survey of women enrolled in TAKE CHARGE between February and July 2014. The majority of women who remained on the TAKE CHARGE program were working but did not have employer-sponsored health insurance, for a variety of reasons. Nearly half the respondents indicated they were unable to pay for health insurance because of bills they had to pay. A small number of women in Washington continue to have clear needs for family planning coverage that are not being met, except through the TAKE CHARGE family planning program.

 

Access to RecoveryAccess to Recovery

This report examines the benefits of Washington State’s Access to Recovery (ATR) program, which provides recovery support services to adults in recovery from substance use disorders. Changes in outcomes between a one-year baseline and one-year outcome period were examined for ATR recipients relative to a statistically matched comparison group. The analysis examines differences in substance use disorder treatment rates, employment outcomes, arrests and hospital utilization. We found that, relative to the matched comparison group, ATR clients experienced greater increases in outpatient SUD treatment and employment, and greater decreases in incidence of arrests. These outcomes were found both for clients who had received SUD treatment in the baseline year and those who had not. Statistically significant declines were also found in rates of hospitalization from Emergency Department admissions and for other hospitalizations, relative to changes experienced by the matched comparison group. No significant effects on outpatient Emergency Department visits were found.

 

Permanent Options for Recovery-Centered Housing (PORCH)Permanent Options for Recovery-Centered Housing (PORCH)

The Permanent Options for Recovery-Centered Housing (PORCH) program aims to increase housing stability and encourage independent living among adults with a history of mental illness and housing instability or homelessness. Regional support networks, mental health and housing providers located in two counties (Pierce and Chelan/Douglas) participated in the SAMHSA funded project. In this third report about the PORCH program, we provide an update on the population served and examine preliminary outcomes on housing stability, psychiatric hospitalizations, emergency department use, arrests and employment. We found that most participants (89 percent) were stably housed after one year of PORCH services. Preliminary data indicate PORCH may reduce emergency department visits and community psychiatric hospitalizations. A final evaluation at the end of the five-year grant period will assess the extent to which outcomes for PORCH participants may differ from those of other DSHS clients with similar housing needs and behavioral health problems.

 

TANF Caseload DeclineTANF Caseload Decline

This report describes key outcomes for parents and children who left TANF before and after recent program changes, including changes to the criteria for time limit extensions. WorkFirst cases make up a decreasing share of the TANF caseload relative to child-only cases, as a greater proportion of WorkFirst families leave and do not return. Relative to other groups of WorkFirst leavers, those who left due to time limits had high rates of baseline health risk but were less likely to transition to disability-related medical coverage. Time limited leavers and those who took longer to leave the caseload also faced greater barriers to work but remained connected to supports and services.

 

2014 Foster Parent Survey: DSHS Foster Parents Speak2014 Foster Parent Survey: DSHS Foster Parents Speak

This report describes the results of the third annual DSHS Foster Parent Survey. Between September 2013 and August 2014, 1,351 foster parents were surveyed about their satisfaction with the support and training provided by Children’s Administration and private agencies. Most foster parents expressed satisfaction with the support and training they receive, and with their social workers. Some would like better access to resources, faster and more flexible processes, and more inclusion and information concerning the cases of their foster children. Some would like more convenient training locations and schedules, interaction with experienced foster parents, online training, and choices for their training.

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