Perspectives of Foster-Care Providers, Service Providers, and Judges Regarding Privatized Foster-Care Services

Abstract

This qualitative study examined perceptions of foster-care providers, service providers, and juvenile-court judges regarding privatized foster-care services in Kansas. Kansas was the first state to privatize all foster care, adoption, and family-preservation services. Most states report either beginning to implement managed-care principles in their child welfare services or exploring this option. Fifty-eight interviews with 33 participants (youth in out-of-home placements, their parents, foster-care providers, service providers, and judges) were conducted. The impact of privatization on access to services (i.e., mental health, appropriate out-of-home placement, aftercare, family support and family preservation, and reunification), communication, caseload levels, and spending is discussed. Recommendations regarding these issues are presented.