Austin, TX - Un reporte reciente confirma el papel vital que juega Medicaid en los pueblos de las áreas rurales de Texas y de todo el país. El estudio de la Universidad Georgetown muestra que más niños y familias habitantes de las áreas rurales están inscritos en Medicaid, en comparación con quienes viven en áreas metropolitanas. Comentan Stacy Wilson, presidenta de la Asociación de Hospitales Infantiles de Texas (Children's Hospital Association of Texas); y Joan Alker ("AL" rima con "pal"), profesora invetigadora y directora ejecutiva del Centro de la Universidad Georgetown para los Niños y las Familias (Georgetown University Center for Children and Families).
Un reporte reciente muestra que Medicaid es importante para asegurar que las familias rurales de Texas y de todo el país tengan acceso a la atención ¬¬¬que necesitan para mantenerse sanos. El Centro de la Universidad Georgetown para Niños y Familias (Georgetown University Center for Children and Families) encuentra que el 46 por ciento de la infancia rural de Texas tienen Medicaid, comparado con el 41 por ciento en las áreas urbanas. Stacy Wilson, quien encabeza la Asociación de Hospitales Infantiles de Texas (Children's Hospital Association of Texas) dice que estos niños y sus familias corren el riesgo de perder su acceso al cuidado de la salud conforme el Congreso y la Casa Blanca consideran recortes al programa.
"Los ninos con acceso a Medicaid tienen logros educativos mas elevados. Tambien son mas productivos como fuerza laboral, contribuyen a nuestra economia. Darle a los ninos el mejor principio que puedan tener mediante programas importantes como Medicaid y CHIP ayuda a nuestra economia."
Los funcionarios de Texas declinaron expandir Medicaid bajo la Ley de Cuidado Asequible (Affordable Care Act). A pesar de eso, Texas tuvo la mayor reducción en el número de niños no asegurados, con 52 mil casos en pueblos pequeños y áreas rurales que obtuvieron cobertura entre 2009 y 2015. Pero las propuestas actuales cortarían 1.4 trillones de dólares a Medicaid en la próxima década.
Joan Alker, directora ejecutiva del Centro de la Universidad Georgetown para los Niños y las Familias (Georgetown University Center for Children and Families), dice que la investigación muestra que los estados que incrementaron Medicaid vieron un crecimiento significativo en los niveles de cobertura y mejoraron los resultados de salud para las familias rurales.
"Hay un vinculo clarisimo entre el rol del programa Medicaid y la creciente importancia del programa Medicaid, y la reduccion en la tasa de ninos y adultos sin seguro en pueblos pequenos y zonas rurales. Es muy, muy impactante."
Amén de brindar acceso a la atención médica necesaria, Alker dice que Medicaid también mejora la seguridad económica y ayuda a proteger a las familias de deudas médicas y de la bancarrota. Y destaca que el programa es un soporte crucial para comunidades enteras, pues aporta fondos para centros de salud y hospitales.
Un reporte reciente muestra que Medicaid es importante para asegurar que las familias rurales de Texas y de todo el pais tengan acceso a la atencion necesaria para permanecer saludables. Un reporte de Mark Richardson.
1.4 trillones de dolares a Medicaid en la proxima decada.
Wilson puede ser contactada en el 512-320-0910; Alker, en el 202-784-3138. El reporte esta en: https://ccf.georgetown.edu/topic/rural-health/.
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An evidenced-based social work model to help parents struggling with substance use stay connected to their children is offering hope to Ohio counties ravaged by the opioid epidemic.
A new survey of parents in predominantly Appalachian Ohio counties finds most had positive experiences with Ohio Sobriety Treatment and Reducing Trauma or "START."
Erin Mills, Ohio START family peer mentor for Summit County Children's Services, said the program uses a trauma-informed approach to help parents forge healthy relationships with their children, while voluntarily agreeing to enter a recovery program.
"It's an amazing tool within the community as we are facing this opioid epidemic," Mills asserted. "We have tons of children who are being displaced due to addiction issues."
According to the survey, many parents gave credit to Ohio START for helping them keep custody of or reunite with their children, and say their experiences led to a more positive perception of child protective services. According to 2022 state data, more than 5,000 residents died from drug overdoses and the majority of the deaths involved opioids.
Jen McClellan, Ohio START regional manager for the Public Children Services Association of Ohio, explained substance abuse in the home increases the odds of child abuse and neglect but pointed to research which shows removing children from their home and placing them in foster care can cause mental distress and in some cases, lead to worse outcomes.
She believes the program's success is driven by its use of peer mentors and wraparound services aimed at keeping parents and kids together safely.
"We use more intense practices, the family peer mentor is paired with a caseworker who serves the families together," McClellan explained. "And they see their families much more frequently than in a traditional Children's Services case."
Jessica Okolish, Ohio START family peer mentor for Summit County Children's Services, said the intensity and speed of recovery services to participating families can help set in motion positive changes, noting without the START network, parents could wait months for a bed in a recovery program.
"Another big thing is recovery coaches having a seat at the table to show the positive impact of peer support and that it works. I think Summit County has proven that." Okolish reported.
Most survey participants said the shared lived experience between family peer mentors and parents helped established trust and made a difference overcoming resistance in working with child protective services.
Disclosure: The Public Children Services Association of Ohio contributes to our fund for reporting on Children's Issues, Family/Father Issues, Livable Wages/Working Families, and Mental Health. If you would like to help support news in the public interest,
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Advocates for accessible child care saw wins during Washington state's legislative session this year but still see room for improvement.
Lawmakers invested in a number of programs to increase funding for child care providers.
Genevieve Stokes, director of government relations for Child Care Aware of Washington, said the state is building a foundation for universal access for families.
"The investments this year were modest but still really tackled some of the crucial things that we were hoping they would look at," Stokes acknowledged.
Some of the investments include $1.75 million for free infant and early childhood mental health consultations, more than $8 million for the Early Childhood Education and Assistance Program, and nearly $7 million in additional grant money for capital improvements for early learning facilities.
However, Stokes emphasized gaps remain.
"The funding this year and the funding so far doesn't address the child care crisis for middle-income families," Stokes noted. "And it doesn't solve the issue of child care providers not being able to make a living wage."
Stokes added not finding care puts parents in a bind and impacts the economy.
"When parents can't find child care or can't afford child care, they can't work and then they're faced with impossible choices with few good outcomes," Stokes stressed.
Disclosure: Child Care Aware of Washington contributes to our fund for reporting on Budget Policy and Priorities, Children's Issues, Early Childhood Education, and Mental Health. If you would like to help support news in the public interest,
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This month is National Disability Awareness Month, and in Ohio, parents who've adopted kids with special needs say living with a disability isn't always a barrier to independence and thriving.
Aaryn McGregor, a nurse in Richland County, said her husband adopted 15-year-old Samantha from foster care nearly four years ago. Samantha was born without some of her organs and was placed in foster care as a toddler because of medical neglect.
With both physical and cognitive disabilities, Samantha has high needs for day-to-day care, but McGregor said she's made progress in her new home and is learning independent-living skills.
"We realize they have a disability, but we also want to see past that a little, just so that they can reach their full potential, it's not just the label, because people of all ages with disabilities, they can achieve a lot in their life. We think that's important," McGregor said.
Research shows children with disabilities have significantly more disruptions and longer stays in foster care. Of the more than 680,000 children in the U.S. foster care system in 2017, 22% had a medical or disability diagnosis requiring additional or specialized care.
Rita Soronen, president and CEO of the Dave Thomas Foundation for Adoption, said no matter what race, age or background, children with any type of disability or special needs are more likely to linger in foster care or age into institutional care. She said it's important for families interested in adoption to build a network of support, and points to the Wendy's Wonderful Kids Program as a model for pre-adoption relationship-building.
"Making those connections -- access to medical or psychological resources that they'll need before that adoption is finalized -- is critical, so that families feel that they will be supported, that they will have access, and that they can successfully raise a child in their home," she explained.
According to the Dave Thomas Foundation, its Wendy's Wonderful Kids Program is responsible for more than 14,000 successful adoptions across the United States and Canada.
Disclosure: Dave Thomas Foundation for Adoption contributes to our fund for reporting on Children's Issues, LGBTQIA Issues, Philanthropy, Social Justice. If you would like to help support news in the public interest,
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