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The SSRC Library allows visitors to access materials related to self-sufficiency programs, practice and research. Visitors can view common search terms, conduct a keyword search or create a custom search using any combination of the filters at the left side of this page. To conduct a keyword search, type a term or combination of terms into the search box below, select whether you want to search the exact phrase or the words in any order, and click on the blue button to the right of the search box to view relevant results.

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The SSRC Library includes resources which may be available only via journal subscription. The SSRC may be able to provide users without subscription access to a particular journal with a single use copy of the full text.  Please email the SSRC with your request.

The SSRC Library collection is constantly growing and new research is added regularly. We welcome our users to submit a library item to help us grow our collection in response to your needs.


  • Individual Author: Zogg, Cheryl K.; Scott, John W.; Metcalfe, David; Gluck, Abbe R.; Curfman, Gregory D.; Davis, Kimberly A.; Dimick, Justin B.; Haider, Adil H.
    Reference Type: Journal Article
    Year: 2019

    Importance Trauma is a leading cause of death and disability for patients of all ages, many of whom are also among the most likely to be uninsured. Passage of the Patient Protection and Affordable Care Act was intended to improve access to care through improvements in insurance. However, despite nationally reported changes in the payer mix of patients, the extent of the law’s impact on insurance coverage among trauma patients is unknown, as is its success in improving trauma outcomes and promoting increased access to rehabilitation.

    Objective To use rigorous quasi-experimental regression techniques to assess the extent of changes in insurance coverage, outcomes, and discharge to rehabilitation among adult trauma patients before and after Medicaid expansion and implementation of the remainder of the Patient Protection and Affordable Care Act.

    Design, Setting, and Participants Quasi-experimental, difference-in-difference analysis assessed adult trauma in patients aged 19 to 64 years in 5 Medicaid expansion (Colorado,...

    Importance Trauma is a leading cause of death and disability for patients of all ages, many of whom are also among the most likely to be uninsured. Passage of the Patient Protection and Affordable Care Act was intended to improve access to care through improvements in insurance. However, despite nationally reported changes in the payer mix of patients, the extent of the law’s impact on insurance coverage among trauma patients is unknown, as is its success in improving trauma outcomes and promoting increased access to rehabilitation.

    Objective To use rigorous quasi-experimental regression techniques to assess the extent of changes in insurance coverage, outcomes, and discharge to rehabilitation among adult trauma patients before and after Medicaid expansion and implementation of the remainder of the Patient Protection and Affordable Care Act.

    Design, Setting, and Participants Quasi-experimental, difference-in-difference analysis assessed adult trauma in patients aged 19 to 64 years in 5 Medicaid expansion (Colorado, Illinois, Minnesota, New Jersey, and New Mexico) and 4 nonexpansion (Florida, Nebraska, North Carolina, and Texas) states.

    Interventions/Exposure Policy implementation in January 2014.

    Main Outcomes and Measures Changes in insurance coverage, outcomes (mortality, morbidity, failure to rescue, and length of stay), and discharge to rehabilitation.

    Results A total of 283 878 patients from Medicaid expansion states and 285 851 patients from nonexpansion states were included (mean age [SD], 41.9 [14.1] years; 206 698 [36.3%] women). Adults with injuries in expansion states experienced a 13.7 percentage point increase in discharge to rehabilitation (95% CI, 7.0-7.8; baseline: 14.7%) that persisted across inpatient rehabilitation facilities (4.5 percentage points), home health agencies (2.9 percentage points), and skilled nursing facilities (1.0 percentage points). There was also a 2.6 percentage point drop in failure to rescue and a 0.84-day increase in length of stay. Rehabilitation changes were most pronounced among patients eligible for rehabilitation coverage under the 2-midnight (8.4 percentage points) and 60% (10.2 percentage points) Medicaid payment rules. Medicaid expansion increased rehabilitation access for patients with the most severe injuries and conditions requiring postdischarge care (eg, pelvic fracture). It mitigated race/ethnicity-, age-, and sex-based disparities in which patients use rehabilitation.

    Conclusions and relevance This multistate assessment demonstrated significant changes in insurance coverage and discharge to rehabilitation among adult trauma patients that were greater in Medicaid expansion than nonexpansion states. By targeting subgroups of the trauma population most likely to be uninsured, rehabilitation gains associated with Medicaid have the potential to improve survival and functional outcomes for more than 60 000 additional adult trauma patients nationally in expansion states. (Author abstract)

  • Individual Author: Radel, Laura; Baldwin, Melinda; Crouse, Gilbert; Ghertner, Robin; Waters, Annette
    Reference Type: Report
    Year: 2018

    This study examined the relationship between parental substance misuse and child welfare caseloads, which began rising in 2012 after more than a decade of decline. We examined county level variation in both phenomena and qualitative interviews documented the perspectives and experiences of local professionals in the child welfare agency, substance use disorder treatment programs, family courts, and other community partners in 11 communities across the country. Results describe how the child welfare system interacts with community partners to serve an increasing population of parents whose substance use has impaired their parenting and placed their children at risk. (Author abstract) 

    This study examined the relationship between parental substance misuse and child welfare caseloads, which began rising in 2012 after more than a decade of decline. We examined county level variation in both phenomena and qualitative interviews documented the perspectives and experiences of local professionals in the child welfare agency, substance use disorder treatment programs, family courts, and other community partners in 11 communities across the country. Results describe how the child welfare system interacts with community partners to serve an increasing population of parents whose substance use has impaired their parenting and placed their children at risk. (Author abstract) 

  • Individual Author: Fontaine, Jocelyn ; Kurs, Emma
    Reference Type: Report
    Year: 2017

    With funding from the Office of Family Assistance (OFA), the Office of Planning, Research and Evaluation contracted with the Urban Institute to conduct an implementation evaluation of OFA’s Community-Centered Responsible Fatherhood Ex-Prisoner Reentry Pilot Projects (“Fatherhood Reentry”). Six organizations were funded to implement a range of activities intended to help stabilize fathers and their families, help move fathers toward economic self sufficiency, and reduce recidivism. This brief, one of three in a series, focuses on the economic stability activities implemented by the projects. Economic stability was a core focus of the Fatherhood Reentry projects based on the extant literature highlighting formerly incarcerated people’s needs for assistance in achieving self-sufficiency to reach their reentry and family reunification goals. Incarceration is a risk factor for unemployment, and formerly incarcerated people have difficulty achieving economic stability for various reasons that encompass both personal challenges and systemic barriers. This brief provides a short overview...

    With funding from the Office of Family Assistance (OFA), the Office of Planning, Research and Evaluation contracted with the Urban Institute to conduct an implementation evaluation of OFA’s Community-Centered Responsible Fatherhood Ex-Prisoner Reentry Pilot Projects (“Fatherhood Reentry”). Six organizations were funded to implement a range of activities intended to help stabilize fathers and their families, help move fathers toward economic self sufficiency, and reduce recidivism. This brief, one of three in a series, focuses on the economic stability activities implemented by the projects. Economic stability was a core focus of the Fatherhood Reentry projects based on the extant literature highlighting formerly incarcerated people’s needs for assistance in achieving self-sufficiency to reach their reentry and family reunification goals. Incarceration is a risk factor for unemployment, and formerly incarcerated people have difficulty achieving economic stability for various reasons that encompass both personal challenges and systemic barriers. This brief provides a short overview of this literature, highlighting the importance of economic stability activities for fathers who are incarcerated or were formerly incarcerated, the barriers people face upon their return to the community, and how employment is associated with better outcomes among returning people, their families, and the community. We then include descriptions of the activities the Fatherhood Reentry projects used to foster economic stability for participating fathers and their families. We conclude with recommendations, based on the experiences of the Fatherhood Reentry projects, for practitioners implementing economic stability activities for the reentry population. (Author introduction) 

  • Individual Author: Hahn, Heather; Isaacs, Julia; Wagner, Jennifer; Forster, Hilary
    Reference Type: Conference Paper
    Year: 2016

    This video from the 2016 Research and Evaluation Conference on Self-Sufficiency (RECS) describes the Work Support Strategies (WSS) initiative and reviews outcomes and implementation experiences from the multistate evaluation. WSS is designed to streamline the delivery of work supports to eligible families.

    This video from the 2016 Research and Evaluation Conference on Self-Sufficiency (RECS) describes the Work Support Strategies (WSS) initiative and reviews outcomes and implementation experiences from the multistate evaluation. WSS is designed to streamline the delivery of work supports to eligible families.

  • Individual Author: Sama-Miller, Emily; Makowsky, Libby; Rowe, Gretchen; Brown, Elizabeth; Clary, Elizabeth; Castner, Laura; Satake, Miki
    Reference Type: Report
    Year: 2014

    This study reports on a project launched in 2010 to pilot and evaluate innovative strategies to reduce SNAP participation barriers for low-income elderly by leveraging new data-sharing requirements related to Medicare assistance programs that help pay for prescription drugs or Medicare premiums. SNAP accesses the medical assistance program data and contacts those individuals that appear SNAP eligible. Grants were awarded to New Mexico, Pennsylvania, and Washington. (author abstract)

    This study reports on a project launched in 2010 to pilot and evaluate innovative strategies to reduce SNAP participation barriers for low-income elderly by leveraging new data-sharing requirements related to Medicare assistance programs that help pay for prescription drugs or Medicare premiums. SNAP accesses the medical assistance program data and contacts those individuals that appear SNAP eligible. Grants were awarded to New Mexico, Pennsylvania, and Washington. (author abstract)

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