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SSRC Library

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 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: Avellar, Sarah ; Covington, Reginald; Moore, Quinn; Patnaik, Ankita; Wu, April
    Reference Type: Report
    Year: 2019

    Children who are supported emotionally and financially by their fathers fare better, on average, than those without such support. Despite wanting to be strong parents, providers, and partners, many low-income fathers struggle to fulfill these roles. Recognizing both the importance of fathers and the challenges that they might face, Congress has authorized and funded grants for Responsible Fatherhood (RF) programs for more than a decade. The Office of Family Assistance (OFA), in the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services awards and oversees these grants. The grants aim to help fathers be effective and nurturing parents, engage in healthy relationships and family formation, and improve economic outcomes for themselves and their families. OFA funded and ACF’s Office of Planning, Research, and Evaluation oversaw a contract with Mathematica Policy Research to conduct the Parents and Children Together (PACT) evaluation. The PACT RF impact study was a large-scale, random assignment examination of four federally funded RF...

    Children who are supported emotionally and financially by their fathers fare better, on average, than those without such support. Despite wanting to be strong parents, providers, and partners, many low-income fathers struggle to fulfill these roles. Recognizing both the importance of fathers and the challenges that they might face, Congress has authorized and funded grants for Responsible Fatherhood (RF) programs for more than a decade. The Office of Family Assistance (OFA), in the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services awards and oversees these grants. The grants aim to help fathers be effective and nurturing parents, engage in healthy relationships and family formation, and improve economic outcomes for themselves and their families. OFA funded and ACF’s Office of Planning, Research, and Evaluation oversaw a contract with Mathematica Policy Research to conduct the Parents and Children Together (PACT) evaluation. The PACT RF impact study was a large-scale, random assignment examination of four federally funded RF programs that received grants in 2011. This brief presents the impacts of those programs on fathers’ parenting, relationships, economic stability, and well-being about one year after the fathers enrolled. (Excerpt from introduction)

  • Individual Author: Coffey, Amelia; Hahn, Heather ; Park, Yuju
    Reference Type: Report
    Year: 2019

    This is a qualitative study of low-wage workers in two Minnesota communities who recently experienced either voluntary or involuntary job separation. The study confronts a false dichotomy that people are either working or on public assistance. The study analyzes workers’ experiences in low-wage, unstable jobs, reasons for separating from jobs, and the roles public assistance and other supports play in their lives. The study offers key insights from workers themselves on how jobs and assistance programs may be improved to help them achieve greater stability and economic security. (Author abstract)

     

    This is a qualitative study of low-wage workers in two Minnesota communities who recently experienced either voluntary or involuntary job separation. The study confronts a false dichotomy that people are either working or on public assistance. The study analyzes workers’ experiences in low-wage, unstable jobs, reasons for separating from jobs, and the roles public assistance and other supports play in their lives. The study offers key insights from workers themselves on how jobs and assistance programs may be improved to help them achieve greater stability and economic security. (Author abstract)

     

  • Individual Author: Hendriks, Henriët; Durbahn, Leigh
    Reference Type: Conference Paper
    Year: 2019

    This presentation was given at the 57th National Association for Welfare Research and Statistics (NAWRS) Workshop in 2019. It highlights the need for and implementation of the Pathways to Prosperity and Wellbeing pilot program, a two-generational pilot program aimed at young families with children.
    See more at: https://www.opressrc.org/content/children-affected-trauma-selected-states-report-various-approaches-and-challenges-supporting

    This presentation was given at the 57th National Association for Welfare Research and Statistics (NAWRS) Workshop in 2019. It highlights the need for and implementation of the Pathways to Prosperity and Wellbeing pilot program, a two-generational pilot program aimed at young families with children.
    See more at: https://www.opressrc.org/content/children-affected-trauma-selected-states-report-various-approaches-and-challenges-supporting

  • Individual Author: Gruber, Tracy S.; Muñoz, Henrietta ; Fagundes, Kate Probert
    Reference Type: Conference Paper
    Year: 2019

    This presentation is from the 57th National Association for Welfare Research and Statistics (NAWRS) Workshop. it presentation provides an overview of the impact of poverty, low education, and employment opportunities across generations in perpetuating poverty. The presentation presents the effect of whole family programs that could help to mitigate poverty across generations. 

    This presentation is from the 57th National Association for Welfare Research and Statistics (NAWRS) Workshop. it presentation provides an overview of the impact of poverty, low education, and employment opportunities across generations in perpetuating poverty. The presentation presents the effect of whole family programs that could help to mitigate poverty across generations. 

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