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.
Far less is known about predictors of quality for family child care homes than for child care centers. The current study of 120 randomly-selected family child care providers in four Midwestern states examined distal, state policy-level variables (family child care regulations and the concentration of children cared for who received public child care subsidies, referred to as subsidy density), and proximal, provider-level variables (providers’ level of education and reported annual training hours) as influences on global quality and caregiver sensitivity.
Since 1975, the United States has resettled more than three million refugees whose diversity of skills, education, and culture requires that public and private organizations assisting them be able to provide a wide range of services. Upon arrival in the United States, two federally funded cash assistance programs help low-income refugees on their path to self-sufficiency: Temporary Assistance for Needy Families (TANF) for those with dependent minor children and Refugee Cash Assistance (RCA) for those who do not qualify for TANF.
This report examines the current federal definition of poverty and the poverty gap - the difference between household income and the poverty line. The authors next compare national poverty rates and those in the state of Nebraska. The report also examines how poverty impacts vulnerable Nebraskans - specifically children, minorities, and the elderly.
This PowerPoint presentation from the 2017 NAWRS workshop discusses the likelihood of low-income children who received federal Child Care and Development Fund (CCDF) - subsidized care in early childhood - being held back in school, from kindergarten onward. Additionally, this presentation explores whether this association is particularly pronounced for low-income Black and Hispanic children relative to low-income children from other race/ethnic groups.
The Promoting Child Well-Being & Family Self-Sufficiency Fact Sheet Series discusses how and why the child support program provides innovative services to families across six interrelated areas to assure that parents have the tools and resources they need to support their children and be positively involved in raising them. This fact sheet explains how family-centered strategies must not put women and children at greater risk of violence.
Observed child care quality and parent perceptions of child care quality received by children in poor (below Federal Poverty Line, FPL), low-income (between FPL and 200% of FPL), and non-low-income families were examined. Observations were completed in 359 center- and home-based child care programs in four Midwestern states and surveys were received from 1313 parents whose children were enrolled in these programs.
The aim is to describe the burden of chronic disease and related risk factors among low-income women of reproductive age. We analyzed population-based data from the 2005-2006 Pregnancy Risk Assessment Monitoring System (PRAMS) for 14,990 women with a live birth in 7 states.
Research Findings: This study investigated parents’ experiences using Child Care and Development Fund and other state-dispersed child care subsidies, reasons for choosing their current child care program, and perceptions of the quality of child care received from their current program.
Quality of family child care in four Midwestern states was examined using four measures designed to assess structural and/or process quality to determine if dimensions converge or vary across types of family child care (licensed and license-exempt/registered) and subsidy receipt (programs serving children whose care is paid by subsidies and programs not serving subsidized children).