http://www.researchforum.org/project_general_138.html

Health Effects of Welfare Reform on Children with Chronic Illness

General Information

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Evaluator(s) Boston Medical Center, Division of General Pediatrics
Investigator(s) Paul H. Wise (Boston Medical Center, Division of General Pediatrics)
Lauren A. Smith (Boston Medical Center, Division of General Pediatrics)
 
Domain Income Security/TANF
Status Completed with continuing analysis
Duration Jun 1998 - Dec 1999
Type Research and/or Program Evaluation
Program/Policy Description Since children make up the majority of TANF recipients, we believe that it is crucial to consider how welfare reform may affect them. We are focusing on children with the chronic illnesses of asthma and sickle cell anemia since this population is potentially more vulnerable than other children. We are specifically interested in monitoring two provisions of welfare reform in Massachusetts - work requirements and the 2 year time limit - because we believe that these provisions may have a substantial impact on families. The specific objectives are: 1) description of the welfare reform experience of families with children aged 3-16 years who have asthma or sickle cell anemia; 2) assessment of children's health status in relation to welfare experience, including work requirements, and work status of their primary caretaker; and 3) assessment of children's health status before and after benefit termination.
Notes We expect to have preliminary findings from our baseline interviews by the end of December, 1998.
 
Last Updated 10/26/98
Type of Summary Unreviewed
Contact(s) Lauren A. Smith (Lauren.Smith@bmc.org)
Boston Medical Center, Division of General Pediatrics
91 E. Concord Street
Maternity Building, Rm 421
(T) (617) 414-7911
(F) (617) 414-3679
Submitter(s) Lauren A. Smith (Lauren.Smith@bmc.org)
Boston Medical Center, Division of General Pediatrics
91 E. Concord Street
Maternity Building, Rm 421
(T) (617) 414-7911
(F) (617) 414-3679

Populations Studied

Target Population Recipients/participants/clients
Former recipients ("leavers")
Low-income households
Subgroups Analyzed Single parent families
Two-parent families
Immigrants
Children 1-6
Sample Size and Unit We are interviewing families of children, aged 3-16 years, who have asthma or sickle cell anemia. Target sample size is 350 families. We are obtaining baseline information on health status, welfare experience, work experience, and family hardship. Follow-up information will be obtained in 6 and 12 months.
Execution Current status: as of October 20, we have interviewed 184 families, with a response rate of approximately 90%.

Sites Studied

Boston Medical Center, Boston, Massachusetts

Program Components, Policies, and Activities Evaluated

Employment activities

Financial disincentives/Sanctions

Time limits

Family caps

Variation in program components across sites? No

Outcomes Assessed

Health/ physical well-being (including prenatal health)

Employment

Types of Studies

Type Descriptive/Analytical Study
 
Type Impact Study (Quasi-experiment with non-equivalent control groups)
 
Type Impact Study (Quasi-experiment with pre-post time periods)
 

Data Sources

Source Interview
 
Source Survey
 
Source Administrative data
 

Findings Available

Not Yet Available

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