Effective Services for Young Children Report of a Workshop (1991) / Chapter Skim
Currently Skimming:
The Challenges of Services Integration for Children and Families
The Challenges of Services Integration for Children and Families
Pages 74-79
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From page 74... ...
Welfare case workers could be moved out of their offices and into community settings. Community agencies could agree on uniform assessment tools and abide by service plans.
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From page 75... ...
It has high-level representation and is directed by senior White House staff. The LIOAB has the authority not just to tinker with categorical programs, but to help effect the thoroughgoing changes necessary to enable states and communities to pool financing, to reorganize services, and generally to change the rules and try out new approaches.
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From page 76... ...
The LIOAB would establish guidelines and solicit proposals, implementing 10 to 20 integrated service programs for children. If the White House was not interested, the Department of Health and Human Services could take the lead itself.
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From page 77... ...
Alternatively, the federal government could mandate that states offer participation in Medicaid to school-based services programs meeting specified standards laid out in federal rules. Participation in Medicaid could also be used as a carrot to leverage more comprehensive services than Medicaid can cover, by stipulating that eligibility to participate would depend on the ability to provide a range of services beyond those actually covered by the state's Medicaid program.
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From page 78... ...
Increasing the earned income tax credit, increasing welfare grants, expanding Medicaid eligibility, paying for more child care, guaranteeing minimum child support payments .
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From page 79... ...
Eighth, and most broadly, most calls for integrated services would place those service efforts in the context of broader community mobilization schemes. While the grass roots nature of these community-based strategies have brought liberals and conservatives together in support of integrated services as an approach, I worry about community-based strategies as our main weapon in the fight against poverty in the decade ahead.
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