Providing Evidence-Based Programs With Fidelity in Washington State Juvenile Courts: Cost Analysis

The Washington State Legislature has been funding evidence-based programs in the Washington State juvenile courts since 1999. In 2009, the Legislature directed the Institute to “conduct an analysis of the costs per participant of evidence-based programs by the juvenile courts.” This report provides estimated costs per participant for these evidence-based programs:

• Aggression Replacement Training (ART)
• Coordination of Services (COS)
• Functional Family Therapy (FFT)
• Family Integrated Transitions (FIT)
• Multi-Systemic Therapy (MST)

The statewide average costs can be used to estimate the number of youth who can be served by these programs for a given amount of funding.

Return on (Taxpayer) Investment: Evidence-Based Prevention and Intervention—Initial Report to the Legislature on Study Design—

The 2009 Washington State Legislature directed the Washington State Institute for Public Policy “to calculate the return on investment to taxpayers from evidence-based prevention and intervention programs and policies.”

This short report summarizes the four-step approach the Institute is taking to this assignment.

• First, we describe how we assess research evidence from throughout the United States to determine what works and what does not.
• Second, we indicate how we calculate costs and benefits for Washington.
• Third, we briefly discuss our procedures to provide a “portfolio-level” analysis on how a set of policy options could affect the statewide outcomes identified by the Legislature.
• Fourth, we describe our approach to testing the uncertainty in our conclusions.

Foster Care to College Partnership: Evaluation of Education Outcomes for Foster Youth

The Foster Care to College Partnership (FCTCP) was a three-year foundation-funded initiative led by six different state and community agencies in Washington State. The aim of the FCTCP was to increase the high school graduation and college attendance rate for youth aging out of foster care.

Foster Care to College partners implemented an educational campaign (including a website, direct mail, and local seminars) to encourage youth to attend college and provide information and resources to foster students and their families. In addition, FCTCP agencies established a statewide volunteer mentor program and summer college assistance workshop for foster youth.

As part of the FCTCP initiative, the Institute was asked to evaluate the effectiveness of these activities. This report includes the results of this evaluation. We found that compared to similar youth in foster care, foster students who participated in FCTCP programs were significantly more likely to graduate from high school and attend the first year of college. While high school completion and college enrollment rates for this population are still low, this research shows that these programs hold promise in improving the educational outcomes for youth in foster care.

General Assistance Programs for Unemployable Adults

The 2009 Legislature directed the Institute to review state general assistance programs and to identify “promising approaches that both improve client outcomes and reduce state costs.” General Assistance-Unemployable (GA-U) is a state-funded program that provides cash and medical assistance to adults with temporary incapacities (for example, an illness) that prevent them from working. Nineteen states (including Washington) operate GA-U programs. Research evidence suggests that client and taxpayer finance outcomes can be improved by providing treatment services to individuals diagnosed with mental illness or substance abuse disorders. These services are appropriate for many GA-U clients.

Personal Hygiene and Cleaning Supplies: Options to Increase Access and Availability for Low-Income People in Washington State

This paper examines existing public and private programs that provide personal hygiene and cleaning supplies to low-income populations.

Based on interviews with knowledgeable people, three principal options are identified if the legislature chooses to increase access and availability. A hybrid approach is possible, as the options are not mutually exclusive: 1) Establish a benefit card or voucher program for personal hygiene and cleaning supplies; 2) Allocate additional support services’ funds to cover personal hygiene and cleaning products for recipients of TANF; and 3) Use existing governmental purchasing contracts to allow more community organizations to purchase products at lower negotiated prices.

Impacts of Housing Supports: Persons with Mental Illness and Ex-Offenders

After the 2009 Legislative session, the Institute was asked to participate in a Housing Focus Group, and provide a summary of research findings on the effectiveness of housing programs for populations at risk of homelessness. In this report, we examine the impact of housing supports for persons with mental illness and for ex-offenders returning to the community following incarceration.

In this initial review of the literature, we found:

• Housing assistance for persons with mental illness significantly reduced homelessness, hospitalization, and crime when compared to similar individuals who did not participate in a housing program.

• Reentry programs that included housing support for the general population of ex-offenders did not affect the incidence of recidivism.

• Reentry programs for serious violent ex-offenders significantly reduced recidivism.

Graduation and Dropout Outcomes for Children in State Care (2005—2008)

The report represents the latest analysis in an ongoing study to investigate educational outcomes for foster youth. While the Institute has conducted previous analyses on the educational attainment of foster youth, this is this first report to compare these outcomes using the standard, federal definitions of dropout and graduation rates. Based on this methodology, we found:

• Approximately 70 percent of high school students in Washington State graduate on time. About 30-40 percent of foster youth in placement for at least half of the school year graduate after four years in high school.

• The statewide annual dropout rate for high schoolers in Washington State ranges between 5 and 6 percent. Between 8 and 13 percent of foster youth with a long-term (full-year) placement drop out of high school.

• Foster youth with longer-term placements (360 days or more during the school year) have lower dropout rates and higher graduation rates compared with foster youth with short-term placements during high school.

Long-Term Disability Benefits of Members of the Public Employee, Teacher, and School Employee Retirement Systems

The 2009 Legislature directed the Institute to study the disability benefits provided to members of Plans 2 and 3 of the state’s Public Employees’, Teachers’, and School Employees’ Retirement Systems (PERS, TRS, and SERS), and to examine options to improve coverage.

Due to the structure of these pension plans, disability retirement benefits for some Plan members may be considerably smaller than benefits provided to similar employees in other retirement systems. The average disability retirement pension of Plans 2 and 3 members is $369 per month. Eligibility for other income replacement sources, such as workers compensation and long-term disability (LTD) insurance, has considerable influence on the financial status of a Plan member who retires early due to disability. A 50-year-old Plan 2 member with pre-disability earnings of $4,000 a month would collect from $384 to about $3,200 per month, depending on his or her eligibility for other disability benefits. At greatest risk of receiving the low disability benefit are plan members (1) who are under the age of 55 and with fewer than 30 years of service, (2) experiencing non-duty disabilities that do not meet Social Security disability standards, and (3) who have inadequate or no LTD insurance benefits.

The report provides a range of options to improve the availability and level of disability benefits for members of Plans 2 and 3.

Washington's Truancy Laws in the Juvenile Courts: Wide Variation in Implementation and Costs

The 2008 Washington State Legislature directed the Institute to investigate the ways schools and courts are implementing the truancy provisions of the Becca Bill. In this report, we describe the various ways the courts have chosen to process truancy cases. We estimate the costs of these interventions to courts and local governments were $15.4 million for the 2007–09 biennium; the average cost per case statewide is $475 (in 2007 dollars).

Outpatient Treatment for Children Served in Washington's Public Mental Health System: Usage Patterns and Outcomes

The 2001 Washington State Legislature directed the Washington State Institute for Public Policy to “conduct a longitudinal study of long-term [mental health] client outcomes to assess any changes in client status at two, five and ten years.”

For this report, we followed 30,055 youth who received individual or family therapy in 2004. We looked at the most significant episode of treatment during the youth’s entire treatment history and found that 17 percent had “one-time” episodes lasting fewer than 30 days, 48 percent had short-term episodes lasting fewer than six months, 10 percent had an episode of intermediate duration (six to 12 months), and 25 percent had a long-term episode lasting longer than 12 months.

Among youth in public mental health care in Washington, 8 percent were in a foster placement following treatment (compared with 1.3 percent of the state population), 10 percent had a criminal conviction in the year following treatment (compared with 2.2 percent of the general population), and less than half (47 percent) of 18-year olds had any paid employment (compared with 88 percent of all 18-year-olds).