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America's child care deserts in 2018

Individual Author: 
Malik, Rasheed
Hamm, Katie
Schochet, Leila
Novoa, Cristina
Workman, Simon
Jessen-Howard, Steven

For this report, the Center for American Progress collected and analyzed data on the location and capacity of licensed or registered child care providers in every state and Washington, D.C. These data were synthesized with estimates of the population, family income, and labor force participation rates in every one of the country’s 73,057 census tracts. This original and comprehensive analysis of child care supply at the census tract level finds that 51 percent of Americans live in child care deserts.

Integration of the Safe Environment for Every Kid (SEEK) model across primary care settings

Individual Author: 
Eismann, Emily A.
Theuerling, Jack
Maguire, Sabine
Hente, Elizabeth A.
Shapiro, Robert A.

This project sought to assess the generalizability, barriers, and facilitators of implementing the Safe Environment for Every Kid (SEEK) model for addressing psychosocial risk factors for maltreatment across multiple primary care settings, including a pediatric practice, federally qualified health center, and family medicine practice. The SEEK model includes screening caregivers for psychosocial risk factors at well-child visits age 0 to 5 years, brief intervention incorporating principles of motivational interviewing to engage caregivers, and referral to treatment.

Economic change and the social safety net: Are rural Americans still behind?

Individual Author: 
Ziliak, James P.

This aim of this paper is to assess the economic status of rural people five decades after publication of President Johnson's National Commission on Rural Poverty report The People Left Behind. Using data from the Annual Social and Economic Supplement of the CPS, along with county data from the Regional Economic Information System, I focus on how changes in employment, wages, and the social safety net have influenced the evolution of poverty and inequality in rural and urban places.

Mobile coaching: Innovation and small-scale experimentation to better engage program participants in rural Colorado

Individual Author: 
McCay, Jonathan
France, Marcia
Lujan, Loretta
Maestas, Vicki
Whittaker, Alix

Access to reliable transportation is a common challenge in rural communities across the country, especially for low-income families who may have few public transit options, if any. Human services providers, such as Temporary Assistance for Needy Families (TANF) programs, regularly encounter this issue with the families they serve. The La Plata County (Colorado) Department of Human Services designed an innovative strategy to address this challenge and coach parents on planning and achieving their goals at the same time.

Child poverty in rural America

Individual Author: 
Rothwell, David
Thiede, Brian C.

More than one in four rural children live in a family with income below the official poverty line in 2013, compared to one in five in 1999. Possible reasons for this rise in rural poverty include changes in family composition, educational attainment, labor markets, and changes to social welfare policies. The social welfare system in the United States, comprising the full array of income transfers, tax credits, and other benefits available to those in need, was designed to offset economic hardship.

Association of childhood trauma exposure with adult psychiatric disorders and functional outcomes

Individual Author: 
Copeland, William E.
Shanahan, Lilly
Hinesley, Jennifer
Chan, Robin F.
Aberg, Karolina A.
Fairbank, John A.
van den Oord, Edwin J. C. G.
Costello, E. Jane

IMPORTANCE Being exposed to trauma is a common childhood experience associated with symptoms and impairments in childhood.

OBJECTIVE To assess the association between cumulative childhood trauma exposure and adult psychiatric and functional outcomes.

How far Americans live from the closest hospital differs by community type

Individual Author: 
Lam, Onyi
Broderick, Brian
Toor, Skye

Rural Americans are more likely than people in urban and suburban areas to say access to good doctors and hospitals is a major problem in their community. Nearly a quarter (23%) of Americans in rural areas say this, compared with 18% of urbanites and 9% of suburbanites, according to a Pew Research Center survey conducted earlier this year. (Edited author introduction)

Access in Brief: Rural and Urban Health Care

Individual Author: 
Medicaid and CHIP Payment and Access Commission

Using data combined from the 2013–2015 National Health Interview Surveys, this brief examines characteristics of individuals with Medicaid coverage—children and adults—in rural areas, as well as their access to care and use of services, comparing their experience to their privately insured and uninsured counterparts. We also compare access and use between Medicaid beneficiaries in urban and rural areas, and by disability. (Edited author introduction)


An institutional analysis of American Job Centers: AJC service delivery in rural areas

Individual Author: 
Betesh, Hannah

To systematically document key characteristics and features of American Job Centers (AJCs), Mathematica and its partners—Social Policy Research Associates, The George Washington University, and Capital Research Corporation—conducted the Institutional Analysis of AJCs for the U.S. Department of Labor. This paper discusses key features and experiences of 12 AJCs that are located in rural areas. The research focuses on AJCs as the unit of service delivery, which is a narrower focus than prior studies of the rural workforce system as a whole.