A systems analysis of youth in acute and subacute therapeutic residential care

The Arkansas Department of Children and Family Services (DCFS) has reduced the use of therapeutic residential care (e.g., group homes, residential treatment centers) for youth placed in child welfare. Youth in acute or subacute congregate care for 30 or more days without Medicaid now are of particular interest. This is a longer-term psychiatric program, typically 3 to 6 months. The project team conducted a systems analysis to determine the specific characteristics and levels of need for 42 youth so that DCFS can more effectively serve these youth in the least restrictive form of treatment possible.     

Public policy,perverse incentives,and the homeless problem

Is homelessness a housing problem per se? In this paper we employ a HUD study from 1984 and Census data from 1990 within the context of simultaneous empirical models to examine this and other issues relating to homelessness in the United States. Our central conclusion is that homelessness does not appear to be a national housing problem as such and that, given untoward incentives among actual and potential homeless populations, policies addressing homelessness should be directed at other instruments of change (such as mental health funding and expenditures to treat substance abuse).