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Substitute-care information systems under public law 96-272
Authors:Steven L. McMurtry
Affiliation:1. University of Eastern Finland, Department of Nursing Science, City of Helsinki, Department of Social Services and Health Care, P.O. Box 1627, FIN – 70211 Kuopio, Finland;2. Department of Social Services and Health Care, Toinen linja 4 A, P.O. Box 6000, FI-00099 Helsinki, Finland;3. University of Easter Finland, Department of Nursing Science, P.O. Box 1627, FIN – 70211 Kuopio, Finland;1. The Charlotte Jack Spitzer Department of Social Work, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva 8410501, Israel;2. School of Social Work and Social Welfare, Hebrew University, Mount Scopus, Jerusalem 91905, Israel
Abstract:This paper reports on the results of a survey of state responses to the requirements of Public Law 96-272, including the use of permanency planning and periodic review techniques in substitutecare services, and, in particular, the nature and scope of information systems developed to monitor these services. Officials from 44 states and the District of Columbia completed the survey.All respondents reported having implemented statewide policies requiring permanency planning for and periodic review of all substitute-care cases. Those surveyed also indicated strongly favorable attitudes toward these policies among both administrators and direct-service personnel.A large majority (85%) of responding states had developed automated information systems for substitute care, most in the form of a central, statewide data base. Only four states reported depending solely on manual record keeping. The computer systems were most frequently used for administrative applications such as generating aggregate reports, monitoring case reviews, and coordinating caseloads. Applications least commonly reported included reducing narrative recording, determining placement availability, and linking clients to resources, activities more common to direct services. Finally, results of a set of attitudinal questions indicated support for the use of automated data management and the belief that it is a necessary technology, but many respondents also noted that automation has engendered complaints and opposition from staff members in field settings.
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