Washington State Department of Social and Health Services

Research & Data Analysis Division



Description: TAKE CHARGE, the Department of Social and Health Services Health and Recovery Services Administration's family planning program, began in July 2001. A Centers for Medicare and Medicaid Services (CMS) Section 1115 waiver authorizes TAKE CHARGE as a research and demonstration project. The waiver expands Medicaid eligibility for pre-pregnancy family planning services to men and women with incomes up to and including 200% of the Federal Poverty Level. Program goals are to improve the health of women, children and families in Washington State by reducing unintended pregnancies and lengthening intervals between births. See the TAKE CHARGE Program website for more information.

The TAKE CHARGE Evaluation tested the effectiveness of intensive follow-up services, in combination with client-centered practice by providers, on the successful use of contraceptive methods by clients. The evaluation used a pre-post design to study changes in the following outcome measures: fertility rates, number of unintended pregnancies, and the actual number of births. Provider behavior and client self-efficacy, and the relationship of these measures to other outcomes, were compared for five randomly selected intervention sites and five control sites.

Data sources for the evaluation include the Office of Financial Management Eligibility History, First Steps Database, Medicaid Management Information System, and Pregnancy Risk Assessment Monitoring System. In addition, primary data collected at the ten research sites includes surveys of providers and their staff, surveys of clients, and informational interviews with key staff at each site. A process report was completed in December 2003 and a final report for the first five years was completed in September 2006. Additional evaluation activities are underway during the three year renewal period (July 2006-June 2009).

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Contact: Laurie Cawthon, telephone: 360.902-0712