Steve Lerch - March 2003

Although persons with severe disabilities comprise about 15 percent of individuals receiving Medicaid services in Washington, they account for about 27 percent of all Medicaid expenditures. A major component of these expenditures is for outpatient services, such as prescription drugs and physician office visits. In this report, we focus on three key factors: i) change in price; ii) change in utilization; and iii) change in caseload size, to explain why expenditures on outpatient services provided to Medicaid recipients with severe disabilities have increased between 1999 and 2001.

Steve Lerch - March 2003

The caseload for the Medicaid program providing health care services to persons with severe disabilities has been growing faster than the overall population in Washington State. This report examines factors that may contribute to caseload growth in this program and the characteristics of individuals who qualify for Medicaid on the basis of a severe disability. Some of the key findings are that the number of individuals qualifying for Supplemental Security Income (SSI) due to mental disorders is growing faster than the overall SSI caseload and that likely contributors to caseload growth include changes in the mix of occupations and industries in Washington, the rising value of Medicaid benefits, and the declining numbers of nursing home beds in the state.

Roxanne Lieb - January 2003

This chapter describes the approach used in the United Kingdom to assess and monitor released sex offenders in the community. The chapter was originally published in Sex Offenders in the Community: Managing and reducing the risks. (2003) Amanda Matravers, Ed. Cullompton, English: Willan, pp. 207-232.

Steve Aos - January 2003

In 1999, the Washington Legislature passed, and Governor Locke signed into law, the Offender Accountability Act (OAA). The Act primarily affects how the Department of Corrections (DOC) provides community supervision to adults convicted of felony crimes. The OAA directs DOC to classify all felony offenders according to the risk they pose to re-offending in the future and the amount of harm they have caused society in the past. The OAA then directs DOC to allocate more of its community-based resources to the higher-risk offenders. The primary goal is to reduce the subsequent criminal behavior of these offenders when they are back in the community. In this report, we present the first information on how well DOC’s risk assessment tool—the Level of Service Inventory-Revised (LSI-R)—predicts actual recidivism. We also describe some of the technical statistical steps we are taking to ensure that the OAA’s outcomes can be reliably evaluated.

Steve Aos - January 2003

This report reviews basic information on Washington’s criminal justice system and the level of crime in the state. The purpose is to provide policymakers with a “big picture” summary of long-term trends and relationships.

Robert Barnoski - January 2003

The 1994 Violence Reduction Act transferred jurisdiction of 16- and 17-year-old youth charged with certain violent felonies from juvenile to adult court. The 1997 Legislature revised the juvenile sentencing system and expanded the crimes that automatically transfer juvenile cases to adult court. The 1997 legislation also directed the Washington State Institute for Public Policy (Institute) to “examine the impact and effectiveness of changes made in the exclusive original jurisdiction of juvenile court over juvenile offenders.” This report analyzes the law’s impact and effectiveness by comparing similar cases filed before and after the law’s enactment. Because of inaccuracies in the state administrative databases, this report cannot be considered an audit of practice.

Robert Barnoski - December 2002

In 1997, the Washington State Legislature funded intensive parole for the highest-risk youth committed to the state’s Juvenile Rehabilitation Administration. The Washington State Institute for Public Policy was asked to determine whether this strategy reduces recidivism. The findings are that the first two cohorts of youth in the program have the same recidivism rates as a control group of comparable youth. The conclusion is that the anticipated reductions in recidivism, due to intensive parole, have not been observed.

Jim Mayfield, William Chance, Roxanne Lieb - December 2002

The 2002 Legislature directed the Washington State Institute for Public Policy (Institute) to review the mission and operations of the HECB and evaluate its role and practices in policy setting, evaluation, review, and approval of higher education programs and budgets and administration of financial aid programs. This report is divided into two parts. Part I examines stakeholders' views regarding the role and functioning of the HECB. The in-person and telephone interviews focused on the statutory roles of the HECB and on the external and internal factors that influence the agency's effectiveness. Part II describes the evolution of higher education coordination in Washington State and the current role and authority of the HECB. It also examines governance options from other states and an emerging approach to coordinating higher education.

Annie Pennucci - December 2002

The 1989 Washington State Legislature created two University of Washington branch campuses (in Tacoma and Bothell) and three Washington State University branches (in Vancouver, Tri-Cities, and Spokane). This interim report reviews the mission of branch campuses and key factors that led to their creation, including access to higher education and regional economic development. Appendices for this report are linked separately.

Shannon Matson - December 2002

In 2001, the Legislature adopted the recommendations of the Professional Educator Standards Board (PESB) and created three alternative routes to certification for prospective teachers in Washington. The Washington State Institute for Public Policy (Institute) was directed by the 2001 Legislature to evaluate three pilot certification programs selected by the PESB. The Institute also received funding from the Office of the Superintendent of Public Instruction to incorporate four federally funded "Transitions to Teaching" programs in this same evaluation. This interim report addresses the following research questions: 1) What are alternative routes to teacher certification? 2) What is the status of Washington's alternative route partnerships? 3) Who are Washington's alternative route interns?