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Category: Congregate Care

Despite long-standing criticisms and the preference for less restrictive placement settings, congregate care remains an important component of the care continuum used to meet the complex behavioral and mental health needs of children and youth who cannot live at home (Dinges et al., 2008; Blau et al., 2014; Butler & McPherson, 2007; Whittaker et al., 2016). High-quality, tailored congregate care placements with strong program models and highly qualified practitioners do serve as an important placement alternative for children and youth with complex clinical needs who require a short-term stay in a treatment facility (Blau et al., 2014; Daly et al., 2018; James, 2011). The 2018 Family First Prevention Services Act (FFPSA), which alters federal policy concerning congregate care, preserves the appropriate use of congregate care through an emphasis on family-based placements and the development of qualified residential treatment programs (QRTPs). Against this backdrop, we aim to answer the following four… Read more >

When we know why an outcome varies, we can use that knowledge to deploy targeted interventions where they have the most potential to create the change we want to see. No scenario highlights the importance of targeting interventions more than the Title IV-E waiver. This post describes how observing and interpreting variation early on in the waiver proposal process can help a state build a strong proposal.... Read more >
Variation not only helps you define the outcome you want to improve, it also creates a springboard for crafting the solution. Once we know that an outcome varies, the next step in the CQI process is to ask: Why? This post provides guidance on how to interpret the variation you observe in your system and explains why that interpretation is vital to strategic planning.... Read more >