Related Experiment Video
Updated: May 1, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
Explaining variations in state foster care maintenance rates and the implications for implementing new evidence-based
Jeremy D Goldhaber-Fiebert1, Kimberly S Babiarz1, Rachel L Garfield2
1Stanford Health Policy, Centers for Health Policy and Primary Care and Outcomes Research, 117 Encina Commons, Stanford, CA 94305-6019, USA.
Foster care maintenance rates have declined in real terms in many states since 1991. State variation in these rates is not linked to child welfare outcomes, suggesting idiosyncratic factors drive differences.
Area of Science:
- Child Welfare Policy
- Social Work Research
- Public Finance
Background:
- U.S. Child Welfare systems serve millions of children, with annual spending over $26 billion.
- Out-of-home foster care maintenance rates are a significant expense, but reasons for state-level variation are unclear.
- Understanding drivers of maintenance rate variation is crucial for disseminating evidence-based practices.
Purpose of the Study:
- To analyze factors influencing state foster care maintenance rates from 1990-2008.
- To examine the relationship between maintenance rates and socioeconomic, demographic, political, and federal funding variables.
- To explore the correlation between maintenance rates and child welfare outcomes.
Main Methods:
- Assembled a longitudinal, state-level panel dataset (1990-2008) for all 50 states.
- Included data on foster care maintenance rates, child population, poverty, employment, demographics, political control, federal funding, and lawsuits.
- Employed longitudinal panel regressions with state and year fixed effects, lagging predictors by one year.
Main Results:
- Real foster care maintenance rates declined in many states between 1991 and 2008.
- Increased state unemployment and Republican control of government were associated with marginal declines in maintenance rates.
- Higher federal TANF share correlated with increased maintenance rates, but over 50% of variation was due to unobserved state factors.
Conclusions:
- Foster care maintenance rates have declined in real terms in many states, unaffected by economic or political shifts.
- State variation in maintenance rates is largely unexplained by measured factors and shows no strong correlation with child welfare outcomes.
- Idiosyncratic state-level factors significantly influence maintenance rates, impacting evidence-based service dissemination.
More Related Videos
Related Concept Videos
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Determination of Multiple Dosing Parameters: Loading and Maintenance Doses
Standards of Care II
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...

