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Graduation, Reality, and Dual-role Skills (GRADS) Program for Pregnant and Parenting Teens: Outcome Evaluation and Benefit-Cost Analysis
The Washington State Institute for Public Policy's (WSIPP) Board of Directors approved a contract between WSIPP, the Department of Health, and the Office of Superintendent of Public Instruction to evaluate outcomes and conduct a benefit-cost analysis of the GRADS program. GRADS is a K–12 program for pregnant and parenting teens that focuses on helping students take on the "dual role" of student and parent and prepare them for the world of work. In this evaluation, we compare teen mothers that participated in GRADS to a group of similar teen mothers from districts that did not offer the program. Based on the results of our analysis, we estimate that GRADS participants have a 10.6 percentage point higher rate of high school graduation by age 22 and a 6.5 percentage point higher rate of postsecondary course enrollment by age 24.
Updated Inventory of Evidence- and Research-Based Practices: Washington's Learning Assistance Program
Washington State provides funding to school districts to help underachieving students through the Learning Assistance Program (LAP). The 2013 Washington State Legislature directed the Washington State Institute for Public Policy to prepare an inventory of evidence-based and research-based effective practices, activities, and programs for use by school districts in LAP and to update the inventory each two years thereafter. This report describes the third update to the inventory of evidence-based and research-based practices for use in LAP.
Updated Inventory of Evidence-Based, Researched-Based, and Promising Practices: For Prevention and Intervention Services for Children and Juveniles in the Child Welfare, Juvenile Justice, and Mental Health Systems
The 2012 Legislature passed E2SHB 2536 with the intention that “prevention and intervention services delivered to children and juveniles in the areas of mental health, child welfare, and juvenile justice be primarily evidence-based and research-based, and it is anticipated that such services will be provided in a manner that is culturally competent.” The bill directs the Washington State Institute for Public Policy (WSIPP) and the University of Washington Evidence-Based Practice Institute (UW) to publish descriptive definitions and prepare an inventory of evidence-based, research-based, and promising practices and services, and to periodically update the inventory as more practices are identified. This is the sixth update to the September 30, 2012 publication. The accompanying report describes the inventory update process, as well as the ongoing technical assistance process by UW.
The 2015 Washington State Legislature reduced public resident undergraduate tuition in 2015 and limited future tuition increases to no more than the average annual percentage growth in Washington’s median hourly wage. The legislature also directed WSIPP to examine how this median hourly wage “growth factor” will affect tuition at the state’s public colleges and universities and to study alternative metrics for limiting tuition increases. This report describes alternative tuition growth factors including hourly wages, total income, and inflation indices. We also discuss a potential growth factor related to student affordability as directed in legislation. This report was revised in April 2016 to correct community and technical college tuition data.
The King County Education and Employment Training (EET) Program: Outcome Evaluation and Benefit-Cost Analysis
Education and Employment Training (EET) is a program, currently operating exclusively in King County, for juvenile offenders at moderate- to high-risk to re-offend. In 2010, EET was designated a “promising program” by the Community Juvenile Accountability Act oversight committee. At that time, the Washington State Institute for Public Policy agreed to evaluate the program when enough time had passed to measure the program’s effect on recidivism. This study compares recidivism rates for youth served by EET to that of similar juvenile offenders served by other court programs in Pierce and Snohomish Counties.
John Bauer, Madeline Barch, Noa Kay, Matt Lemon, Steve Aos, Mason Burley, Michael Hirsch, Stephanie Lee
The Washington State Institute for Public Policy (WSIPP) Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts to extend WSIPP’s benefit-cost analysis to certain health care topics. We present findings for four new topics: 1) hospital–based programs to reduce Cesarean sections; 2) school-, workplace-, and community-based obesity prevention programs; 3) accountable care organizations; and 4) patient cost sharing. We also summarize prior findings for six topics: 1) “lifestyle” programs designed to prevent diabetes; 2) behavioral interventions to reduce obesity in adults and children; 3) transitional care to prevent hospital readmissions; 4) patient-centered medical homes to reduce health care costs; 5) programs to reduce avoidable emergency department visits; and 6) smoking cessation programs in pregnancy.
The Washington State Legislature directed the Washington State Institute for Public Policy (WSIPP) to “calculate the return on investment to taxpayers from evidence-based prevention and intervention programs and policies." Additionally, WSIPP’s Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and Pew Charitable Trusts to extend WSIPP’s benefit-cost analysis to certain health care topics. We provide extensive discussions of interventions, methodological issues, and meta-analytic findings for six topics in this appendix. These topics include: 1) diabetes prevention, 2) Cesarean section reduction, 3) transitional care, 4) patient-centered medical homes, 5) accountable care organizations, and 6) patient cost sharing.
Download: Technical Appendix
The Washington State Institute for Public Policy (WSIPP) Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts to extend WSIPP's benefit-cost analysis to workforce development programs. This report reviews the evidence on workforce programs in three broad program categories: 1) job training and work experience, 2) job search and placement assistance, and 3) case management.
Washington's Involuntary Treatment Act: Use of Non-Emergent Petitions and Less Restrictive Alternatives to Treatment
Washington State’s Involuntary Treatment Act establishes a process under which individuals may be committed by the courts for mental health evaluation and treatment. An involuntary treatment detention may be initiated if an individual is determined by a designated official to be gravely disabled or poses a danger to self or others as a result of a mental illness. The 2015 Washington State Legislature directed the Washington State Institute for Public Policy (WSIPP) to examine two aspects of Washington State's involuntary commitment process: the use of non-emergent petitions for initial detention and less restrictive alternative orders for outpatient treatment. Our findings are based on a review of available data and an online survey of legal and treatment professionals.
Assessing the Risk of Criminal Offense for Washington's Involuntary Treatment and Forensic Commitment Populations
The 2013 Washington State Legislature directed WSIPP to develop a risk assessment for patients in the state’s involuntary mental health treatment system. In Washington State, formal risk assessments have been used to predict the risk of criminal recidivism among juvenile and adult offenders. This report finds that the existing Static Risk Assessment (SRA), used by courts and corrections in Washington for criminal populations, can also serve as a valid tool for determining the level of risk for adults with involuntary civil commitments and forensic competency evaluations. Results indicate that the adapted SRA described in this report has reasonable predictive accuracy for both the civil and forensic populations.