The Impact of Integrating Behavioral Health with Temporary Assistance for Needy Families to Build a Culture of Health across Two-Generations

The Impact of Integrating Behavioral Health with Temporary Assistance for Needy Families to Build a Culture of Health across Two-Generations

Project Summary

The prolonged activation of stress response systems among children responding to adversity such as homelessness, hunger, or neglect, is a predictor of poor health and continued poverty among low-income families. To study the health and economic impacts and systems implications of integrated services provided by the Pennsylvania Department of Human Services and Drexel University’s Center for Hunger-Free Communities, the principal investigators are evaluating the Building Wealth and Health Network (The Network) intervention, designed to reduce health inequities by aligning Medicaid coverage for behavioral health services and Temporary Assistance for Needy Families (TANF) education and training services. This evaluation will:

  • assess the effects of trauma-informed peer support built into education and training on health and economic security for participants in the Network;
  • identify cost savings to both TANF and Medicaid to build a case for linking these service systems; and
  • engage low-income caregivers, state human services officials, and key decision-makers in identifying ways to improve support systems to promote a Culture of Health within anti-poverty programming.

Principal Investigators

  • Mariana Chilton, PhD, MPH, Professor, Health Management and Policy, Center for Hunger -Free Communities, Drexel University
  • Sandra Bloom, MD, Associate Professor, Health Management and Policy, Center for Nonviolence and Social Justice, Drexel University

Methodology

Using a propensity score-matched difference-in-difference research design with longitudinally-linked service records and client-reported survey data, the research team is assessing the Network’s impacts and identifying ways to improve support systems within anti-poverty programming.

Project Details

Year: 
2016
Status: 
Active
Primary Investigator: 
Mariana Chilton

Related Content

Title Date Typesort ascending
Research Brief: Building Wealth and Health Network Preliminary Outcomes
11/01/2017
Reports
Research Brief: Trauma-Informed TANF: A Randomized Controlled Trial with Two-Generation Impact
01/01/2018
Reports
Policy Brief: Aligning Systems to Build a Culture of Health: Integrating TANF and Medicaid to Achieve Wealth and Health
07/01/2018
Reports
Aligning Medicaid and TANF for A Two-Generation Impact on Behavioral Health and Economic Security (AcademyHealth 2017)
06/26/2017
Presentation
Webinar: Integrating Behavioral Health with TANF to Build a Culture of Health (Research-in-Progress Series)
03/27/2019
Presentation
Addressing Behavioral Health in TANF to Improve Health Equity Among Low-Income Caregivers (Dissemination and Implementation Conference 2017)
12/05/2017
Presentation
Trauma-Informed Financial Empowerment Program Improves Wesalth and health for Families in Temporary Assistance for Needy Families (TANF) (NAWRS 2018)
08/02/2017
Presentation
Webinar: Impact of Integrating Behavioral Health with TANF to Build a Culture of Health (Research-in-Progress Series)
09/21/2016
Presentation
Webinar: Integrating Behavioral Health with TANF to Build a Culture of Health (Research-in-Progress Series)
12/20/2017
Presentation
Addressing Barriers: Innovative TANF and Behavioral Health Partnerships in Research and Practice (2017 TANF State Directors Meeting)
08/15/2017
Presentation

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