Research action briefs provide a brief summary of the Center's research. Briefs include summaries of our peer reviewed publications and those created to support the Center's Building Wealth and Health Network.
Economic security is strongly associated with physical and mental health and well-being. Programs such as Medicaid which focus on health and Temporary Assistance for Needy Families (TANF) which aims to improve employment and financial well-being should be better coordinated to provide more effective services. Programs which integrate physical and mental health services reduce costs. Findings from the Building Wealth and Health Network demonstrate the effectiveness of integrating behavioral health components into financial programming on improving physical, mental, emotional and financial outcomes.
The Temporary Assistance for Needy Families (TANF) program has limited success in building self-sufficiency, and it rarely addresses exposure to trauma as a barrier to employment. Many TANF recipients have a work-limiting health condition, and high rates of exposure to violence and adversity in their families and communities. These hardships are closely linked to depression, cardiovascular disease, poor cognitive functioning, and food insecurity, which in turn hinder work prospects and stable income. This research brief describes how the Building Wealth and Health Network (The Network) addresses this through combining financial empowerment, trauma-informed peer support, and matched savings to more effectively support TANF participants and their families.
By focusing strictly on job search and work participation, the Temporary Assistance for Needy Families (TANF) program creates barriers that limit participants’ ability to find and keep a job. TANF will not be successful without proper attention to adversity and poor health experienced by TANF participants. TANF outcomes could improve if programing included comprehensive approaches to promote social support and build resilience, which have been shown to limit the negative effects of exposure to violence and adversity.
Post-program outcomes indicate positive impacts on food security, self-rated health, depression, employment, and savings account participation.
If mothers experienced adversity in their childhoods, their young children are more likely to experience risks to their physical, social, and cognitive development. Mothers’ physical and mental health may help to explain the relationship between their own childhood adversity and their children’s development.
Research from Children’s HealthWatch-Philadelphia shows that food insecurity, or lack of access to enough food for an active and healthy life, is increasing at the household and child level for families of children under age 4. In families with a caregiver working at least 20 hours per week, food insecurity is rising even faster.
Families with children under age six participating in Temporary Assistance for Needy Families (TANF) must participate in education & training or other work-related activities for 20 hours per week. However, with high rates of financial hardship, poor health, and exposure to violence and adversity, families may have difficulty reaching self-sufficiency.
Female caregivers exposed to Adverse Childhood Experiences (ACEs), including abuse, neglect, and household instability in childhood, are more likely to report food insecurity as adults and among their own children, particularly if they also experience depressive symptoms. This research & policy brief describes results from a study of 1255 female caregivers of children under age 4 in Philadelphia and offers policy recommendations to address the intergenerational transmission of hardship.
A summary of the research article "The Relationship between Childhood Adversity and Food Insecurity: 'It's like a bird nesting in your head'" published in Public Health Nutrition. The article discusses an investigation between Adverse Childhood Experiences (ACEs), including abuse, neglect, and household instability - and current household food insecurity among thirty-one female caregivers who reported household food insecurity.
Sanctions are federally mandated penalties imposed on TANF recipients who do not comply with work requirements. Individual states have autonomy to decide what form sanctions will take; sanctions may be individual or full family, partial or full reduction in cash benefits, and temporary or permanent. The logic behind the imposition of sanctions is that the penalties serve as a motivator to comply with federally-mandated work rules, and will be a negative consequence for non-compliance – a “carrot and stick” approach. This research brief focuses on who tends to be sanctioned, the outcomes of sanctions, and the wellbeing of those who have been sanctioned.
Focus groups are a fast and effective way to elicit information and perspectives from a variety of key informants simultaneously. In public health, it is often a standard research methodology that is used to gauge health beliefs, perform needs assessments, and evaluate programs. Focus groups are an important tool in program development and evaluation, as they provide the contextual information necessary for a program that meets the needs of the population in focus. This research brief describes focus groups and the settings in which they are used, their use in program development and evaluation, and some considerations for conducting effective focus group research.