Effects of placement changes on health insurance stability among a national sample of children in the child welfare system

Ramesh Raghavan, Peichang Shi, Sigrid James, Gregory A. Aarons, Scott C. Roesch, Laurel K. Leslie

Research output: Contribution to journalArticle

Abstract

Children in the child welfare system have entitlements to health insurance coveragecritical because of their considerable physical and mental health needsbased largely on their placement status. This study conducted path and transitions analyses on data from the National Survey of Child and Adolescent Well-Being (3,801 children followed-up for 3 years) to examine the interplay between placement changes and insurance stability. Children maintained in-home at Wave 1 had significantly lower odds of being insured (OR = 0.7); children transitioning from out-of-home placement to in-home care had significantly lower odds of maintaining insurance coverage (OR = 0.6). Child welfare workers working with children maintained in-home and those being reunified should safeguard the children's insurance status. Policy makers should consider extension of categorical eligibility to all children presenting to child welfare agencies in order to assure access to needed services for these vulnerable children.

Original languageEnglish (US)
Pages (from-to)352-363
Number of pages12
JournalJournal of Social Service Research
Volume35
Issue number4
DOIs
StatePublished - Oct 1 2009

Keywords

  • Child welfare
  • Health insurance
  • Medicaid
  • Placement instability

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Sociology and Political Science

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