"In Tennessee, Youth Villages has been credited with playing a catalytic role, helping the state’s Department of Children’s Services to upgrade the foster care system. Help came in 2000 when Tennessee was sued by a group called Children’s Rights which alleged, among other things, that the state placed far too many children in institutional care. (Many states are today operating under court oversight because their child welfare systems fail to provide safety and permanency for children.) Tennessee settled the lawsuit and from 2000 to 2009, the number of children in out-of-home care in Tennessee dropped from 10,144 to 6,702. It’s vital to note that incidences of “maltreatment recurrence” decreased during that period, which indicated that the changes hadn’t compromised children’s safety. Tennessee also started paying providers based on their successes, not just their services."
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