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State experiences with implementing the Cash and Counseling Demonstration and Evaluation project
Mark Sciegaj1, Kevin Mahoney, Kristen Simone
1RoseMary B. Fuss Center for Research on Aging and Intergenerational Studies, Lasell College, Newton, MA 02466, USA. msciegaj@Lasell.edu
Journal of Aging & Social Policy
|January 17, 2008
Summary
New York
Area of Science:
- Health Services Research
- Public Policy Analysis
- Social Work Administration
Background:
- The Cash and Counseling Demonstration and Evaluation (CCDE) initiative aimed to increase consumer direction in personal assistance services.
- Four states, including New York, received grants in 1996/97 to implement CCDE programs.
Purpose of the Study:
- To analyze why New York was unable to implement the Cash and Counseling Demonstration and Evaluation (CCDE).
- To identify key policy implementation challenges and stakeholder interactions affecting CCDE adoption.
Main Methods:
- Utilized Hasenfeld and Brock's (1991) political economy policy implementation model.
- Conducted a case study analysis focusing on New York's CCDE implementation process.
Main Results:
- New York's participation in CCDE was hindered by specific interactions between policy implementation instruments and stakeholders.
- Arkansas, Florida, and New Jersey successfully implemented their CCDE programs.
Conclusions:
- Understanding stakeholder dynamics and policy instruments is crucial for successful implementation of consumer-directed care models.
- Lessons learned from New York's experience can inform other states pursuing Cash and Counseling initiatives.
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