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

    Fingerprint

    child welfare
    health insurance
    insurance
    welfare worker
    insurance coverage
    home care
    well-being
    mental health
    adolescent

    Keywords

    • Child welfare
    • Health insurance
    • Medicaid
    • Placement instability

    ASJC Scopus subject areas

    • Social Sciences (miscellaneous)
    • Sociology and Political Science

    Cite this

    Effects of placement changes on health insurance stability among a national sample of children in the child welfare system. / Raghavan, Ramesh; Shi, Peichang; James, Sigrid; Aarons, Gregory A.; Roesch, Scott C.; Leslie, Laurel K.

    In: Journal of Social Service Research, Vol. 35, No. 4, 01.10.2009, p. 352-363.

    Research output: Contribution to journalArticle

    Raghavan, Ramesh ; Shi, Peichang ; James, Sigrid ; Aarons, Gregory A. ; Roesch, Scott C. ; Leslie, Laurel K. / Effects of placement changes on health insurance stability among a national sample of children in the child welfare system. In: Journal of Social Service Research. 2009 ; Vol. 35, No. 4. pp. 352-363.
    @article{028cb42edc494f2795b425450befeef0,
    title = "Effects of placement changes on health insurance stability among a national sample of children in the child welfare system",
    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.",
    keywords = "Child welfare, Health insurance, Medicaid, Placement instability",
    author = "Ramesh Raghavan and Peichang Shi and Sigrid James and Aarons, {Gregory A.} and Roesch, {Scott C.} and Leslie, {Laurel K.}",
    year = "2009",
    month = "10",
    day = "1",
    doi = "10.1080/01488370903113161",
    language = "English (US)",
    volume = "35",
    pages = "352--363",
    journal = "Journal of Social Service Research",
    issn = "0148-8376",
    publisher = "Routledge",
    number = "4",

    }

    TY - JOUR

    T1 - Effects of placement changes on health insurance stability among a national sample of children in the child welfare system

    AU - Raghavan, Ramesh

    AU - Shi, Peichang

    AU - James, Sigrid

    AU - Aarons, Gregory A.

    AU - Roesch, Scott C.

    AU - Leslie, Laurel K.

    PY - 2009/10/1

    Y1 - 2009/10/1

    N2 - 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.

    AB - 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.

    KW - Child welfare

    KW - Health insurance

    KW - Medicaid

    KW - Placement instability

    UR - http://www.scopus.com/inward/record.url?scp=70449671403&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=70449671403&partnerID=8YFLogxK

    U2 - 10.1080/01488370903113161

    DO - 10.1080/01488370903113161

    M3 - Article

    AN - SCOPUS:70449671403

    VL - 35

    SP - 352

    EP - 363

    JO - Journal of Social Service Research

    JF - Journal of Social Service Research

    SN - 0148-8376

    IS - 4

    ER -