Pay for Success as a Policy Tool

Mayor Ben McAdams, J. Keele, F. Nelson
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引用次数: 1

Abstract

ing economies, year after year Salt Lake County’s budget is essentially flat. Without additional resources, using taxpayer dollars effectively and efficiently is not only ideal, it’s a necessity. However, as is often the case, state and local governments are reactive—paying for things that often go wrong, such as our prisons and homeless shelters, which provide only limited treatment for people with criminogenic risk factors or behavioral health disorders. Treatment services are inadequately funded to ensure long-term benefits, and even though we know prevention can create savings for years into the future, we rarely invest adequately in the prevention side of the equation. But whether we are paying for a safety net or prevention, the county government has a difficult time justifying the time and cost of evaluating the value of those investments for the people we serve.
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为成功付费是一种政策工具
由于经济不景气,盐湖城县的预算年复一年基本持平。在没有额外资源的情况下,有效和高效地使用纳税人的钱不仅是理想的,而且是必要的。然而,就像经常发生的情况一样,州和地方政府正在为经常出错的事情买单,比如我们的监狱和无家可归者收容所,它们只为有犯罪风险因素或行为健康障碍的人提供有限的治疗。治疗服务的资金不足,无法确保长期效益,尽管我们知道预防可以为未来几年节省开支,但我们很少在预防方面进行充分投资。但是,无论我们是为安全网买单还是为预防买单,县政府都很难证明评估这些投资对我们所服务的人的价值所花费的时间和成本是合理的。
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