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POLS 5001 Foundation Of Public Administration

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POLS 5001 Foundation Of Public Administration

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POLS 5001 Foundation Of Public Administration

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Course Code: POLS5001
University: The University Of Louisiana Monroe

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Country: United States

Question
Case Study 3: HKS 1477.0 (Oklahoma’s Milestones Reimbursement System: Paying for What You Get)
Recommended questions to address or to consider:
1. Whether or not you believe that Milestones is on balance an improvement over the previous system for paying vendors of employment services for the severely disabled, assess its greatest strengths relative to the status quo ante.
2. Whether or not you believe that Milestones is on balance an improvement over the previous system, assess its greatest weaknesses and risks.
3. The vendors providing employment-related services for the severely disabled in Oklahoma, both prior to and after the 1996 reforms, were private, but not-for-profit. Was this an essential constraint under the earlier input-based contracting system? What would have been the advantages and disadvantages of for-profit private suppliers under the pre-1996 fee-for-service system? Is the case for restricting contracts to non-profits (instead of contracting with both non-profit and for-profit vendors) stronger, or weaker, with the new Milestones system? Why?
4. What are the characteristics of a social service function that make it most suitable to outcomes-based contracting? What characteristics make outcomes-based contracting inappropriate? Under what general circumstances is inputs-based private contracting (rather than outcomes-based contracting, on the one hand, or direct governmental service delivery, on the other) likely to be the most suitable way to deliver public services?

Answer
Case Study 3:  HKS 1477.0 (Oklahoma’s Milestones Reimbursement System: Paying for What You Get)
Central Issue: 
The central issue of the article is to present the current employment situation of the people in Oklahoma with severe disabilities. It is due to that reason many of the disabled individuals are unable to get jobs and lead a proper lifestyle (Mårtensson, Jacobsson & Engström, 2014). For that, a program called the Supported Employment has been undertaken to assist the people who are capable of employment despite their disabilities.
Background:
Despite its positive objectives, the program faced several disappointing records of accomplishment that allowed it be departed from the government contract. However, it can be said that the Milestone made a balance of improvement from the previous system as the vendors got paid when the clients made certain changes in the path towards employment (Corrigan, Druss & Perlick, 2014). If compared with the previous record, it can be said that the Milestone is certainly made a better balance of improvement. The new system made a significant improvement in terms of payment and placement. There have also been better results in term of low cost towards job closure.
Advantages and disadvantages of the New Milestone:
The new Milestone system provides various advantages that includes the hourly system through which the hourly system. This allows individuals to work more effectively and in good faith and effort. In terms of disadvantage, if a vendor were to suggest an hourly time even passing for a period of two years, it would drop out after a while (Allen et al., 2014). Vendors are very much uncomfortable with the process of emphasizing milestone to be used for long-term methods of employment, this would allow reimbursable outcome towards Supported Employment.   
Characteristics of Social Service:
In terms of social service, the studies show there are thousands of individuals who are living with disability. These individuals are moving into a community that allows de-institutionalization by forcing to close state institutions. There are many social service that offers vocational preparation for the people who have mild disability. This shows how the social service helps in training the people with disabilities in order to keep their jobs.  Under the social service, the programs are backed by various federal funds that allow the possibility of serving individuals with mental illness and traumatic brain injury (World Health Organization, 2014).
Recommended Solution and Rationale: 
The mental health social workers by the means of therapy, support and advocacy allow the perspective of people to manage the social factors like employment and well-being. Social services allow the option in building resilience among individuals and their network and it allows communities to transform the wellbeing and improve the social and economical factors. By working at various settings towards mental health, Supported Employment programs allow people to qualify themselves for the adult community mental health services. These factors would include building a relation with people, providing a proper guidance and therapy based program, by arranging proper support and care and ensuring the safety of the individuals.
References
Allen, J., Balfour, R., Bell, R., & Marmot, M. (2014). Social determinants of mental health. International review of psychiatry, 26(4), 392-407.
Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37-70.
Mårtensson, G., Jacobsson, J. W., & Engström, M. (2014). Mental health nursing staff’s attitudes towards mental illness: an analysis of related factors. Journal of psychiatric and mental health nursing, 21(9), 782-788.
World Health Organization. (2014). Social determinants of mental health. World Health Organization.

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