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California HealthCare Foundation;
Since the last round of this study in 2011-2012, the Sacramento economy has largely rallied from its long post-recession slump. While the health care sector has remained mostly stable overall, it has grappled with capacity constraints and access challenges stemming largely from the Affordable Care Act (ACA) insurance coverage expansions. In addition, the competitive standing among the four major hospital systems in this region-- Dignity Health; Kaiser Permanente; Sutter Health; and University of California, David-- has shifted somewhat over the past few years.
Sierra Health Foundation;
This market analysis of the Sacramento Region identifies the current service capacity within the primary care safety net in preparation for an influx of newly insured residents in 2014. The report includes data from multiple sources and input from health care stakeholders in El Dorado, Placer, Sacramento and Yolo counties in Northern California.
Sierra Health Foundation;
This strategic plan offers a road map to develop an integrated health care delivery system model for the four-county Sacramento Region. The plan to build capacity and efficiently coordinate care would expand access to high-quality and culturally sensitive services for low-income adults and children across the region.
Cottage Housing Incorporated;
Poverty is a well-documented risk factor for family involvement with child protective services and other elements of the child welfare system.Recent studies show that homeless families have higher rates of being involved in the child welfare system than the general population.However, there is little known about how supportive housing programs for homeless families can affect their long-term outcomes.
This report describes the outcome evaluation of Cottage Housing Incorporated's Serna Village program in Sacramento, California. Serna Village is a supportive housing program serving homeless families. Outcomes from the program illustrate that it is possible to end recidivism into the child welfare system for homeless families by providing them with permanent housing and comprehensive support services. Although homeless and marginally housed families have high support and case management services can prevent these disenfranchised families from re-entering the foster care system.
The intervention of supportive housing -- housing and services focused on the unique needs of adults and their children exiting homelessness -- may break the cycle of abuse and neglect among these families.
Conducted in 2011, this study involved a sample of 293 children and youth from approximately 150 families who lived with one or more parents in Cottage Housing Incorporated's Serna Village between 2002 and 2009, thefirst seven years of the program.
The findings from this study indicate that comprehensive supportive housing programs following a best-practice model can provide homeless parents and their children with stable living for a significant period of time. Supportive housing programs also may give homeless parents an opportunity to find and maintain employment, work on their education, save a substantial amount of money for move-out costs, learn daily living skills, experience a real-world living situation and prevent re-entry into the child welfare system. The outcomes from this study may help inform policymakers and child welfare administrators with recommendations to better assist marginalized families and save valuable funding dollars.
Pew Charitable Trusts;
The Great Recession created fiscal challenges for the 30 cities at the centers of the nation's most populous metropolitan areas that continued well past the recession's official end in June 2009. For most of these cities, the fiscal brunt was borne later than for the national and state governments and recovery has been slow.
Cities dealt with fiscal strain in a variety of ways: dipping into reserve funds, cutting spending, gaining help from the federal or state governments, and increasing revenue from tax and nontax sources. Although these strategies offered short-term solutions, many cities still faced declining revenue in 2011, the consequence of reduced spending, shrunken reserves, and rising pension and retiree health care costs.
Property taxes, which can be slow to respond to economic swings, helped delay the early fiscal effects of the Great Recession for most of these cities, but they began to decline in 2010, reflecting a deferred impact of the housing crisis. This trend was compounded by increasingly unpredictable aid from states and the federal government that were dealing with their own budgetary constraints.
Researchers from Pew standardized data from the Comprehensive Annual Financial Reports from 2007 through 2011, the latest year of complete data available, for all of these 30 cities. This report examines key elements of each city's fiscal conditions, including revenue, expenditures, reserves, and long-term obligations, and adjusted them for inflation to facilitate comparison across the years. These adjustments allow insight into fiscal trends across cities and over time. Direct comparisons between cities may be limited, however, by differences in cities' tax structures and the range of services each city provides
Center for American Progress;
Profiles the goals, activities, implementation, and challenges of the twelve states that won Race to the Top federal funds to improve teacher quality and preparation program accountability; analyzes their strategies; and makes policy recommendations.
Henry J. Kaiser Family Foundation;
Presents findings from a survey that examines the enrollment decisions, experiences, and future concerns related to the prescription drug coverage of beneficiaries with the new Medicare prescription drug benefit. Part of a series of interviews.
James Irvine Foundation, The;
Provides an overview of Irvine's Communities Organizing Resources to Advance Learning program, a ten-year effort working with Pasadena, Long Beach, San Jose, Fresno, and Sacramento communities to support out-of-school educational programs for youth.