Where are they now? Cash and counseling successes and challenges over time

Lori Simon-Rusinowitz, Abby J. Schwartz, Dawn Loughlin, Mark Sciegaj, Kevin J. Mahoney, Yaw Donkoh

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


The positive results of the Cash and Counseling Demonstration and Evaluation (CCDE) led to the funding of a replication project that included 12 more states in 2008. Since then, the political and economic environments have changed. The authors sought to investigate how well the 3 original and 12 replication CCDE programs are coping with current challenges and how their experiences may inform the growth and sustainability of emerging participant-directed programs. Semistructured telephone interviews were conducted with the 15 Cash and Counseling state program administrators. Key topics addressed included successful aspects of state programs, biggest challenges for each program, and information program administrators would like to learn from state colleagues. Themes related to budget issues (e.g., staff shortages and program funding cuts) and non-budget-related issues (e.g., understanding of program operations) emerged from the interviews. State program administrators also discussed program successes. To promote the sustainability and growth of participant-directed programs, existing participant-directed programs should be tied to national policy trends as well as review whether or not the programs address participant-directed principles. The development of new participant-directed programs should be based on other states' experiences as discussed in this article. 2014

Original languageEnglish (US)
Pages (from-to)104-110
Number of pages7
JournalCare Management Journals
Issue number3
StatePublished - 2014

All Science Journal Classification (ASJC) codes

  • Health Policy


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