This report assesses the implementation and early impacts of Year Up, a national sectoral training program for young adults aged 18-24. Year Up aims to help low-income, low-skilled adults access and complete training leading to employment in high-demand, well-paying occupations.
Objectives. This study described a medical home model for adolescent mothers and their children, and their 1- and 2-year preventive care, repeat pregnancy, and psychosocial outcomes.
Methods. In this prospective, single cohort demonstration project, adolescent mothers (14–18 years old) and their children received care in a medical home. Demographic, medical and social processes, and outcomes data were collected at enrollment through 24 months. Change over time and predictors of repeat pregnancy were analyzed.
This report is the first systematic description of the Pregnancy Assistance Fund (PAF) grant program’s efforts to support expectant and parenting youth. It examines early grant implementation among the 17 states and Indian tribes awarded PAF grants in 2013. The study team gathered and analyzed data from two sources: (1) a standardized review of grant applications, and (2) telephone interviews with administrators representing the 17 grantees.
This series of research briefs explores issues of family homelessness that are especially relevant to HHS, to state and local decision makers, and for programs. The Child Separation among Families Experiencing Homelessness brief explores child separations among families experiencing homelessness.
Evaluate homelessness during pregnancy as a unique, time-dependent risk factor for adverse birth outcomes. 9,995 mothers of children <48 months old surveyed at emergency departments and primary care clinics in five US cities. Mothers were classified as either homeless during pregnancy with the index child, homeless only after the index child’s birth, or consistently housed. Outcomes included birth weight as a continuous variable, as well as categorical outcomes of low birth weight (LBW; <2,500 g) and preterm delivery (<37 weeks).
The Cities of Service Love Your Block (LYB) program connects mayor’s offices with community residents to revitalize their neighborhoods one block at a time. Cities of Service commissioned this study to better understand how the LYB program affects the social connectedness of the residents and communities involved in LYB mini-grant projects, as well as how social connectedness outcomes might relate to impact outcomes, such as public safety.
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.
OBJECTIVE: To test, with a sample of adolescent mothers (16–20 at childbirth) and their first-born infants/toddlers (average age 1 year), whether the impact of a home visiting (HV) child maltreatment prevention program was moderated by maternal depression. METHODS: The study design was a randomized controlled trial of Healthy Families Massachusetts, a statewide child maltreatment prevention program. A total of 707 first-time mothers were randomly assigned to the HV or control group. The HV group received visits from paraprofessional home visitors.
This article reports on three demonstration projects involving efforts to address the needs of public assistance applicants/recipients who are domestic violence victims while also developing effective methods to improve cooperation with child support agencies.
We model the labor market impact of the key provisions of the national and Massachusetts "mandate-based" health reforms: individual mandates, employer mandates, and subsidies. We characterize the compensating differential for employer-sponsored health insurance (ESHI) and the welfare impact of reform in terms of "sufficient statistics." We compare welfare under mandate-based reform to welfare in a counterfactual world where individuals do not value ESHI.