Avoiding Cruel Choices

Avoiding Cruel Choices: A guide for policymakers and family organizations on Medicaid's role in preventing custody relinquishment details the growing national crisis in children's mental health services and describes state policy options for increasing families' access to such services. For your convenience, report sections are available in browser-friendly HTML and printer-friendly PDF file formats. If you have not already done so, you will need to download the free Acrobat Reader to view PDF files. Print copies of the book may be ordered from the Bazelon Center's bookstore for $10 each.

Full Report (649k PDF file)

• Acknowledgments (PDF version)
• Introduction (PDF version )
• State Options for Providing Access to Care (PDF version )
• State Response (PDF version)
• Improving State Systems (PDF version)
• Advocating for TEFRA and the Home- and Community-Based Care Waiver (PDF version )
• Conclusion (PDF version)
  
• Notes (PDF version)

Appendices

Table 1: TEFRA and Home-and Community-based Waivers by State (PDF version )

Fact Sheets

• Access to Services for Children with Serious Mental Disorders (PDF version )
• States' Use of the TEFRA Option for Children with Serious Mental Disabilities (PDF version)
• TEFRA (Katie Beckett) Medicaid Option: State Policies (PDF version)
• Fact Sheets for States Interested in Creating a Home- and Community-Based Waiver for Children with Serious Mental Disorders (PDF version )