TANF Over Time

Hildebrandt, Eugenie; Kelber, Sheryl T.

doi:10.1177/1527154412456433

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…Once people are terminated from TANF cash support, they must seek other means of survival. Without a public safety net, they often turn to family and friends or other private sources for help, which often are temporary and unreliable and do not lift them out of poverty (Farrell et al, 2008;Hildebrandt & Kelber, 2012;Kalil & Ryan, 2010).…”

Section: Work and Povertymentioning

confidence: 99%

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Understanding the Lives and Challenges of Women in Poverty after TANF

Hildebrandt

2016

Policy, Politics, & Nursing Practice

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Welfare Reform has caused a dramatic change in the lives and health of single mothers living in poverty. This qualitative study explored the health and socioeconomic lives of 22 community-dwelling women in poverty in the years after they were terminated from the current work-based welfare program intended to move women from welfare to work and independence. The instruments were a semistructured interview guide, the HANES General Well-Being Schedule, and a demographic data form. Data were analyzed using multistage narrative analysis and descriptive statistics. These primary source data showed participants had multiple barriers that precede or follow poverty. Their voices of how they survive are a rich source of data to assist providers and policy makers in devising evidence-based solutions for reducing poverty in America.

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Section: Work and Povertymentioning

confidence: 99%

“…The paper also depicts how welfare policy, itself, was a significant barrier to self-sustaining success. The findings provided an additional year of data to an earlier 1-year longitudinal study that explored the women's efforts to be self-sustaining without a cash welfare safety net (Hildebrandt, 2006;Hildebrandt & Kelber, 2012).…”

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confidence: 99%

Understanding the Lives and Challenges of Women in Poverty after TANF

Hildebrandt

2016

Policy, Politics, & Nursing Practice

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“…In the USA, Temporary Assistance for Needy Families (TANF) was introduced as an effort to reform Aid for Families with Dependent Children (AFDC), a public assistance programme that has been operating since 1996, to enhance the incentive to work and reduce welfare dependence. 5 The new programme encourages beneficiaries of public assistance to become self-sufficient by offering incentives for working and imposing sanctions and time limits. Indeed, the primary goal of these welfare reforms is to help people escape from public assistance.…”

Section: Introductionmentioning

confidence: 99%

“…Although there has been considerable discussion about reforming social assistance policies, 5 few studies related to effect of duration of continuous receipt of Medical Aid on healthcare utilisation have been conducted.…”

Section: Introductionmentioning

confidence: 99%

Impact of continuous Medical Aid utilisation on healthcare utilisation: unique insight using the 2008–2012 Korean Welfare Panel Study (KOWEPS)

Kim

Park

et al. 2016

BMJ Open

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ObjectivesAlthough there has been considerable discussion about the social safety net, few studies related to effect of duration of continuous receipt of Medical Aid on healthcare utilisation have been conducted. Therefore, we investigate whether the duration of receiving Medical Aid affected medical care utilisation.SettingData were collected from the Korean Welfare Panel Study conducted from 2008 to 2012.ParticipantsWe included 11 783 samples.InterventionsEstimating changes in their healthcare utilisation during specific time intervals (1, 2 and ≥3 years) after they switched from National Health Insurance to Medical Aid.Primary and secondary outcome measuresNumber of outpatient visits.ResultsThe number of outpatient visits per year was 0.0.051-fold higher (p value: 0.434) among those who were Medical Aid beneficiaries for a continuous period of 1 year, 0.0.267-fold higher (p value: 0.000) among those who were beneficiaries for a continuous period of 2 years, and 0.0.562-fold higher (p value:<0.0001) among those who were beneficiaries for a continuous period of 3 years than it was among those who were beneficiaries of National Health Insurance.ConclusionsOur results reflect an association between the number of consecutive years of receiving Medical Aid and number of outpatient visits. Since duration of dependence is correlated with reduced exit rates, limits on length of benefits should be considered to strengthen the incentive to return to work.

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Trauma-informed Temporary Assistance for Needy Families (TANF): A Randomized Controlled Trial with a Two-Generation Impact

et al. 2018

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Temporary Assistance for Needy Families (TANF) has limited success in building self-sufficiency, and rarely addresses exposure to trauma as a barrier to employment. The objective of the Building Wealth and Health Network randomized controlled trial was to test effectiveness of financial empowerment combined with trauma-informed peer support against standard TANF programming. Through the method of single-blind randomization we assigned 103 caregivers of children under age six into three groups: control (standard TANF programming), partial (28-weeks financial education), and full (same as partial with simultaneous 28-weeks of trauma-informed peer support). Participants completed baseline and follow-up surveys every 3 months over 15 months. Group response rates were equivalent throughout. With mixed effects analysis we compared post-program outcomes at months 9, 12, and 15 to baseline. We modeled the impact of amount of participation in group classes on participant outcomes. Despite high exposure to trauma and adversity results demonstrate that, compared to the other groups, caregivers in the full intervention reported improved self-efficacy and depressive symptoms, and reduced economic hardship. Unlike the intervention groups, the control group reported increased developmental risk among their children. Although the control group showed higher levels of employment, the full intervention group reported greater earnings. The partial intervention group showed little to no differences compared with the control group. We conclude that financial empowerment education with trauma-informed peer support is more effective than standard TANF programming at improving behavioral health, reducing hardship, and increasing income. Policymakers may consider adapting TANF to include trauma-informed programming.

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TANF Over Time

Cited by 4 publications

References 19 publications

Understanding the Lives and Challenges of Women in Poverty after TANF

Understanding the Lives and Challenges of Women in Poverty after TANF

Impact of continuous Medical Aid utilisation on healthcare utilisation: unique insight using the 2008–2012 Korean Welfare Panel Study (KOWEPS)

Trauma-informed Temporary Assistance for Needy Families (TANF): A Randomized Controlled Trial with a Two-Generation Impact

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