Effects of a trauma-informed curriculum on depression, self-efficacy, economic security, and substance use among TANF participants: Evidence from the Building Health and Wealth Network Phase II

Dugan, Jerome; Booshehri, Layla G.; Phojanakong, Pam; Patel, Falguni; Brown, Emily; Bloom, Sandra L.; Chilton, Mariana

doi:10.1016/j.socscimed.2020.113136

Cited by 9 publications

(8 citation statements)

References 56 publications

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“…All members provided written informed consent. Full methods and outcomes [41][42][43][44] of the Network can be found elsewhere [45]. The Drexel Institutional Review Board approved this study.…”

Section: Plos Onementioning

confidence: 99%

Financial health as a measurable social determinant of health

et al. 2020

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ObjectivesFinancial health, understood as one's ability to manage expenses, prepare for and recover from financial shocks, have minimal debt, and ability to build wealth, underlies all facets of daily living such as securing food and paying for housing, yet there is inconsistency in measurement and definition of this critical concept. Most social determinants research and interventions focus on siloed solutions (housing, food, utilities) rather than on a root solution such as financial health. In light of the paucity of public health research on financial health, particularly among low-income populations, this study seeks to: 1) introduce the construct of financial health into the domain of public health as a useful root term that underlies other individual measures of economic hardship and 2) demonstrate through outcomes on financial, physical and mental health among low-income caregivers of young children that the construct of financial health belongs in the canon of social determinants of health. Materials and methodsIn order to extract features of financial health relevant to overall well-being, principal components analysis were used to assess survey data on banking and personal finances among caregivers of young children who participate in public assistance. Then, a series of logistic regressions were utilized to examine the relationship between components of financial health, depression and self-rated health. ResultsComponents aligned with other measures of financial health in the literature, and there were strong associations between financial health and health outcomes. Practice implicationsFinancial health can be conceived of and measured as a key social determinant of health.

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Section: Plos Onementioning

confidence: 99%

Financial health as a measurable social determinant of health

et al. 2020

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“…Yet, we saw no evidence that they improved long-term FWB among systematically excluded groups. 22 , 35 , 41 , 44 , 56 , 66 , 70 , 73 , 78 , 101 The initiatives did not improve FWB, 22 , 70 , 73 , 78 , 101 or resulted in insignificant changes to FWB or FS. 35 , 40 , 56…”

Section: Resultsmentioning

confidence: 90%

“…We found that initiatives that restricted access to social welfare exacerbated FS and negatively impacted equity. These included: increased pension age 32 ; work for welfare programs 34 , 73 , 75 - 77 ; tax-exemption-based benefits that prioritize two-parent families 68 ; and, breadwinner-based family and labour policies that incentivize ‘traditional’ gender roles and women’s dependence (eg, household taxation, preferential training and employment for men). 82 Mandatory attendance at job seeking meetings and complex and repetitive administrative requirements with the punitive consequence also failed to improve FWB or reduce FS.…”

Section: Resultsmentioning

confidence: 99%

“…2 , 37 , 43 , 98 Eligibility requirements for social welfare policies that did not consider people’s complex social locations constrained people’s possibilities to achieve FWB or reduce FS. Among the social locations were noted were Indigenous peoples 34 – particularly Indigenous peoples living in rural and remote locations, 98 asylum seekers, 6 , 52 people who experience homelessness, 53 undocumented immigrants, 103 caregivers, 45 , 72 and mothers, 73 , 79 , 82 including single mothers. 43 , 68 …”

Section: Resultsmentioning

confidence: 99%

“…32 , 35 A lack of public or affordable childcare, among other barriers, excluded people, primarily women, from entering or returning to the labour market, limited their access to stable and sufficient employment, and/or rendered them ineligible for related benefits, such as paid parental leave. 73 , 76 , 85 , 95 The lack of access to, or high cost of, childcare was also cited as contributing to elevated FS. Among families experiencing homelessness a lack of affordable or accessible childcare impeded people’s ability to pursue higher education to improve employment prospects and sustain housing stability.…”

Section: Resultsmentioning

confidence: 99%

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The Generative Mechanisms of Financial Strain and Financial Well-Being: A Critical Realist Analysis of Ideology and Difference

Glenn

Yashadhana

Jaques

et al. 2022

Int J Health Policy Manag

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Background: Rapid, strategic action is required to mitigate the negative and unequal impact of the COVID-19 pandemic on the financial well-being (FWB) of global populations. Personal financial strain (FS) worsened most significantly among systematically excluded groups. Targeted government- and community-led initiatives are needed to address these inequities. The purpose of this applied research was to identify what works for whom, under what conditions, and why in relation to community and government initiatives that promote personal and household FWB and/or address FS in high income economies. Methods: We employed a critical realist analysis to literature that reported on FWB/FS initiatives in high income countries. This included initiatives introduced in response to the pandemic as well as those that began prior to the pandemic. We included sources based on a rapid review. We coded academic, published literature (n=39) and practice-based (n=36) reports abductively to uncover generative mechanisms – i.e., underlying, foundational factors related to community or government initiatives that either constrained and/or enabled FWB and FS. Results: We identified two generative mechanisms: 1. neoliberal ideology; and, 2. social equity ideology. A third mechanism, social location (e.g., characteristics of identity, location of residence), cut across the two ideologies and demonstrated for whom the initiatives worked (or did not) in what circumstances. Neoliberal ideology (i.e., individual responsibility) dominated initiative designs, which limited the positive impact on FS. This was particularly true for people who occupied systematically excluded social locations (e.g., low-income young mothers). Social equity-based initiatives were less common within the literature, yet mostly had a positive impact on FWB and produced equitable outcomes. Conclusion: Equity-centric initiatives are required to improve FWB and reduce FS among systemically excluded and marginalized groups. These findings are of relevance now as nations strive for financial recovery in the face of the ongoing global pandemic.

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