Where Are They Now? Cash and Counseling Successes and Challenges Over Time

The positive results of the Cash and Counseling Demonstration and Evaluation (CCDE) led to the funding of a replication project that included 12 more states in 2008. Since then, the political and economic environments have changed. The authors sought to investigate how well the 3 original and 12 rep...

Full description

Saved in:
Bibliographic Details
Published in:Care management journals : Journal of case management : the journal of long term home health care 2014-09, Vol.15 (3), p.104-110
Main Authors: Simon-Rusinowitz, Lori, Schwartz, Abby J., Loughlin, Dawn, Sciegaj, Mark, Mahoney, Kevin J., Donkoh, Yaw
Format: Article
Language:English
Subjects:
Counseling
Decision Making
Disabled Persons
Health Care Administration and Management
Health Sciences
Home Care Services
Interviews as Topic
Medicaid - economics
Patient Preference
Program Evaluation
United States
United States Dept. of Health and Human Services
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The positive results of the Cash and Counseling Demonstration and Evaluation (CCDE) led to the funding of a replication project that included 12 more states in 2008. Since then, the political and economic environments have changed. The authors sought to investigate how well the 3 original and 12 replication CCDE programs are coping with current challenges and how their experiences may inform the growth and sustainability of emerging participant-directed programs. Semistructured telephone interviews were conducted with the 15 Cash and Counseling state program administrators. Key topics addressed included successful aspects of state programs, biggest challenges for each program, and information program administrators would like to learn from state colleagues. Themes related to budget issues (e.g., staff shortages and program funding cuts) and non-budget-related issues (e.g., understanding of program operations) emerged from the interviews. State program administrators also discussed program successes. To promote the sustainability and growth of participant-directed programs, existing participant-directed programs should be tied to national policy trends as well as review whether or not the programs address participant-directed principles. The development of new participant-directed programs should be based on other states' experiences as discussed in this article.
ISSN:1521-0987
1938-9019
DOI:10.1891/1521-0987.15.3.104