Cutler Institute for Health and Social Policy

Maine Rural Health Research Center, Population Health and Health Policy

Ziller co-authors chapter on children's health policy

Health Policy and Politics 5th edition book cover

Children's Health Policy: Promising Starts, Disappointing Outcomes, co-authored by Beth Kilbreth, PhD (Muskie School faculty, retired) and Erika Ziller, PhD (Deputy Director, Maine Rural Health Research Center), explores the many federal and state programs addressing the health concerns of children. This authors find that this is an especially vulnerable population that struggles with significant gaps in coverage and limited political influence.

This chapter is part of a collection of writings on the factors that shape the US healthcare system and policy, published in the 5th edition of Health Politics and Policy, a widely used text in university courses on health policy.

Suggested Citation:

Kilbreth, E., & Ziller, E. (2014). Children's health policy: Promising starts, disappointing outcomes. In J. A. Morone & D. Ehlke (Eds.), Health politics and policy (5th ed.). Independence, KY: Cengage Learning.

 

Cutler Institute awarded $600,000 to help youth raised in foster system

Marty Zanghi

USM's Cutler Institute for Health and Social Policy has been awarded a $600,000 grant to help young people raised in Maine's foster system to prepare for college and the workforce.

The money comes from the Annie E. Casey Foundation as part of a $5.4 million national effort aimed at youth who are homeless or in either the foster care or juvenile justice systems.

"Many of these young people have suffered abuse or trauma and were raised in poverty and neglect," said Marty Zanghi, the Cutler Center's youth development director.

The money -- including an expected $400,000 more in matching funds -- will pay for contracted work with agencies in the target areas, starting with the greater Portland area and Penobscot, Kennebec and Somerset counties.

Nationally and in Maine, only about 3 percent of people who grow up in the foster care system achieve a college degree, he said.

"It's dramatically lower than the rate for the general population," Zanghi said. "It's a horrible outcome."

It doesn't have to be that way, though.

"There are young people that overcome these circumstances," he said. "I know people who have master's degrees and Ph.Ds."

The Casey Foundation's national effort is being called the "Learn and Earn to Achieve Potential" (LEAP) initiative.

The initiative is working on partnerships in Maine and nine other areas: Alaska, Arizona, California, Massachusetts, Michigan, Minnesota, Nebraska and New York. In each case, people will adapt two evidence-based models to meet the needs of these youth, including support to address the trauma they may have experienced in their lives.

In Maine, the work will include a pair of successful programs, Jobs for Maine Graduates (JMG) and Jobs for the Future. Results will be carefully tracked, Zanghi said.

After the first year, the program is expected to grow.

"Eventually, the additional help will be available to all children, 14 and over, in the foster care system in the state of Maine," Zanghi said.

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