Previous literature documents a strong relationship between food insecurity and mental health, and also examines the impact of safety net programs on food insecurity. However, little is known about the intersection between mental health, safety net participation, and food insecurity. In this research, we use a multi-program safety net calculator…

Each year, effective federal programs give parents the power to provide their children with affordable healthcare, nutritious food, stable housing, and early childhood education. These programs lift millions of children out of poverty, but also have long-term benefits--children in families who accessed these programs have higher educational…

In 2010, Congress authorized the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program by enacting section 511 of the Social Security Act, 42 U.S.C. § 711, which also appropriated funding for fiscal years 2010 through 2014. Subsequently enacted laws extended funding for the program through fiscal year 2022. The program is…

Purpose: Families of dementia patients receiving skilled homecare do not receive supportive services. We evaluated whether a proven intervention, Environmental Skill-building Program (ESP), which reduces caregiver burden and enhances skills managing patient functioning, can be integrated into homecare practices of occupational therapists (OTs) and…

Enacted in 1997, the State Children's Health Insurance Program (SCHIP) represented the largest expansion of U.S. public health care coverage since the passage of Medicare and Medicaid 32 years earlier. Although the program has recently been reauthorized, there remains a considerable lack of thorough and well-designed evaluations of the program. In…

Purpose: To examine the impact of an experimental consumer-choice voucher benefit on the selection of independent and agency personal assistance services (PAS) providers among rural and urban Medicare beneficiaries with disabilities. Methods: The Medicare Primary and Consumer-Directed Care Demonstration enrolled 1,605 Medicare beneficiaries in 19…

Context: While the Medicare Critical Access Hospital (CAH) program has improved the financial viability of small rural hospitals and enhanced access to care in rural communities, the program puts beneficiaries at risk for paying a larger share of the cost of services covered under the Medicare part B benefit. Purpose: This paper examines the…

Head Start is a federally funded preschool program for poor children designed to help close the gap between those children and their more advantaged peers before they begin public schooling. Given that Head Start appears to have positive long-run impacts on its recipients, a natural and important next question to ask is: What are the channels…

This paper critically reviews the federally funded Early and Periodic Screening, Diagnosis and Testing (EPSDT) program, and highlights problems in its design and functioning. A prime example of a preventive health program that is commendable in intent but ineffective in actual practice, the EPSDT program's failure was prompted by factors which…

As states face increasing fiscal pressures, many are considering proposals to cut eligibility levels, eliminate outreach, and retract simplified enrollment procedures for children and families eligible for Medicaid and the State Children's Health Insurance Program (SCHIP). This paper presents evidence on the importance of maintaining gains made in…

Research suggests that investing in young children can help build a strong future workforce, improve children's educational success and health, and potentially reduce some of the social ills that drain the nation's resources and will. To have an informed conversation about future investments, it is important to start from an understanding of the…

Federal funding for children's health insurance may significantly reduce the problem of uninsured children in New York and subsequently improve child outcomes. This study evaluated the effectiveness of two program models in educating parents about available sources of health insurance and in increasing enrollment of uninsured children into…

Four state-of-the-art reports were prepared and disseminated in both printed and audio cassette forms to summarize the available knowledge in four areas of concern in the field of rehabilitation. Based on the recommendations of a consumer panel composed mainly of representatives from the intended audience, the topics of the reports and the authors…

These case studies and analytic essays are intended to give the reader a richer understanding of when and how top managers succeed or fail in their efforts to use performance management (PM) systems to improve the functioning of federal, state, and local government in the United States (U.S.). The question mark in the title is intended to remind…