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To achieve the federal outcomes of the Child and Family Services Review with limited budgets, program evaluation of strategies such as family preservation programs (FPP) is necessary. This naturalistic state-level study compared 1,510 families and 3,229 children served by FPP to non-served families. Cost avoidance was calculated on out-of-home care (OOHC) diversion rates. FPP-served families had high risks, young children, and repeated child welfare involvement. FPP was associated with fewer and shorter stays in OOHC, higher reunification rates, and more placement stability. The FPP-served families showed a recurrent pattern of need, suggesting the need to develop alternative intervention protocols.
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