OPEN MINDS, The Behavioral Health & Social Service Industry Analyst Industry Analysis It is well recognized that the child welfare system is undergoing monumental changes in how care for children is managed. "Child welfare managed care" is no longer a "notion", but a reality in many states. Multiple initiatives are underway in most states to achieve improved outcomes for children and provide a level of accountability that until recently has been lacking. The reasons for change are as diverse as the solutions that are appearing. Origins of System Change Until recently, most social services were paid for by categorical funding . . .