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Evaluating Child Welfare Policies with Decision-Analytic Simulation Models
Authors:Jeremy D. Goldhaber-Fiebert  Stephanie L. Bailey  Michael S. Hurlburt  Jinjin Zhang  Lonnie R. Snowden  Fred Wulczyn  John Landsverk  Sarah M. Horwitz
Affiliation:Stanford Health Policy, Stanford University, 117 Encina Commons, Stanford, CA, 94305-6019, USA, jeremygf@stanford.edu.
Abstract:
The objective was to demonstrate decision-analytic modeling in support of Child Welfare policymakers considering implementing evidence-based interventions. Outcomes included permanency (e.g., adoptions) and stability (e.g., foster placement changes). Analyses of a randomized trial of KEEP-a foster parenting intervention-and NSCAW-1 estimated placement change rates and KEEP's effects. A microsimulation model generalized these findings to other Child Welfare systems. The model projected that KEEP could increase permanency and stability, identifying strategies targeting higher-risk children and geographical regions that achieve benefits efficiently. Decision-analytic models enable planners to gauge the value of potential implementations.
Keywords:
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