Sample records for state welfare reform

  1. State Flexibility: The Minimum Wage and Welfare Reform.

    ERIC Educational Resources Information Center

    Employment Policies Inst., Washington, DC.

    In 1999, Congress for the first time, is debating a federal minimum wage hike that will affect low-skilled people who have dramatically fewer options if they cannot find work. This public policy debate has been occasioned by the new state focus on welfare reform that, to some, suggests that a state flexibility approach be applied to the minimum…

  2. Welfare Reform. At Issue, An Opposing Viewpoints Series.

    ERIC Educational Resources Information Center

    Cozic, Charles P., Ed.

    Efforts to reform the welfare system in the United States have been gaining momentum since the late 1980s. Critics have been arguing that states should receive federal waivers to create their own programs to encourage welfare recipients to find work. The thrust of the 1996 welfare reform act transfers control over welfare spending to the states.…

  3. 45 CFR 261.80 - How do existing welfare reform waivers affect a State's penalty liability under this part?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES ENSURING THAT RECIPIENTS WORK How Do Welfare Reform Waivers Affect State Penalties? § 261.80 How do existing welfare reform waivers affect a State's penalty... 45 Public Welfare 2 2010-10-01 2010-10-01 false How do existing welfare reform waivers affect a...

  4. Rural Dimensions of Welfare Reform.

    ERIC Educational Resources Information Center

    Weber, Bruce A., Ed.; Duncan, Greg J., Ed.; Whitener, Leslie A., Ed.

    The 16 chapters in this five-part book, each by different authors, trace the effects of welfare reform (mandated by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996), upon poor people in rural areas of the United States. The book begins with an introduction called "As the Dust Settles: Welfare Reform and Rural…

  5. The Role of the Community College in Welfare Reform since Passage of the Welfare Reform Act of 1996.

    ERIC Educational Resources Information Center

    Delmonico, Matt

    The paper addresses the impact of welfare reform on the community college and discusses how community colleges are responding to this important social and economic issue. One of the main tenants of the 1996 Welfare Reform Bill is to shift the responsibility for welfare to the states, requiring that half of all able-bodied recipients find work by…

  6. Effects of Welfare Reform on Vocational Education and Training

    ERIC Educational Resources Information Center

    Dave, Dhaval M.; Reichman, Nancy E.; Corman, Hope; Das, Dhiman

    2011-01-01

    Exploiting variation in welfare reform across states and over time and using relevant comparison groups, this study estimates the effects of welfare reform on an important source of human capital acquisition among women at risk for relying on welfare: vocational education and training. The results suggest that welfare reform reduced enrollment in…

  7. Effects of Welfare Reform on Vocational Education and Training

    PubMed Central

    Dave, Dhaval M.; Reichman, Nancy E.; Corman, Hope; Das, Dhiman

    2011-01-01

    Exploiting variation in welfare reform across states and over time and using relevant comparison groups, this study estimates the effects of welfare reform on an important source of human capital acquisition among women at risk for relying on welfare: vocational education and training. The results suggest that welfare reform reduced enrollment in full-time vocational education and had no significant effects on part-time vocational education or participation in other types of work-related courses, though there appears to be considerable heterogeneity across states with respect to the strictness of educational policy and the strength of work incentives under welfare reform. In addition, we find evidence of heterogeneous effects by prior educational attainment. We find no evidence that the previously-observed negative effects of welfare reform on formal education (including college enrollment), which we replicated in this study, have been offset by increases in vocational education and training. PMID:22125356

  8. 45 CFR 261.36 - Do welfare reform waivers affect the calculation of a State's participation rates?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES ENSURING THAT RECIPIENTS WORK What Are the Work Activities and How Do They Count? § 261.36 Do welfare reform waivers affect the calculation of a State's participation rates... 45 Public Welfare 2 2010-10-01 2010-10-01 false Do welfare reform waivers affect the calculation...

  9. State welfare reform policies and maternal and child health services: a national study.

    PubMed

    Romero, D; Chavkin, W; Wise, P H; Hess, C A; VanLandeghem, K

    2001-09-01

    Welfare reform (Personal Responsibility and Work Opportunity Reconciliation Act of 1996) resulted in dramatic policy changes, including health-related requirements and the administrative separation of cash assistance from Medicaid. We were interested in determining if changes in welfare and health policies had had an impact on state MCH services and programs. We conducted a survey in fall 1999 of state MCH Title V directors. Trained interviewers administered the telephone survey over a 3-month period. MCH directors from all 50 states, Washington, DC, and Puerto Rico participated (n = 52; response rate = 100%). Among the most noteworthy findings is that similar proportions of respondents reported that welfare policy changes had either helped (46%) or hindered (42%) the agency's work, with most of the positive impact attributed to increased funding. MCH data linkages with welfare and other social programs were low. Despite welfare reform's emphasis on work, limited services and exemptions were available for mothers with CSHCN. Almost no efforts have been undertaken to specifically address the needs of substance abusers in the context of new welfare policies. Few MCH agencies have developed programs to address the special needs of women receiving TANF who either have health problems themselves or have children with health problems. Recommendations including increased MCH and family planning funding and improved coordination between TANF and MCH to facilitate linkages and services are put forth in light of reauthorization of PRWORA.

  10. Welfare Reform and Child Well-Being. JCPR Working Paper.

    ERIC Educational Resources Information Center

    Duncan, Greg J.; Chase-Lansdale, P. Lindsay

    This paper examines conflicting evidence regarding the impacts of welfare reform on children's wellbeing. Research shows that poverty rates, teen crime and fertility, and child maltreatment are down. Lack of appropriate state-level data on indicators of child wellbeing precludes serious analysis of the role of welfare reform for most indicators.…

  11. Welfare Reform and Health

    ERIC Educational Resources Information Center

    Bitler, Marianne P.; Gelback, Jonah B.; Hoynes, Hilary W.

    2005-01-01

    A study of the effect of state and federal welfare reforms over the period 1990-2000 on health insurance coverage and healthcare utilization by single women aged between 20-45 is presented. It is observed that Personal Responsibility and Work Opportunity Act of 1996 which replaced the Aid to Families with Dependent Children program of 1990s with…

  12. Child Welfare Privatization: Reform Efforts in the States. Briefing.

    ERIC Educational Resources Information Center

    Sells, Julia K.

    The number of children in foster care has nearly doubled in recent years. Despite reform efforts, the U.S. child welfare system is not increasing the number of children who get adopted. The federal government spends over $12 billion annually on child welfare programs, but the growing government bureaucracy has allowed the problems to worsen. The…

  13. Effects of Welfare Reform on Vocational Education and Training. NBER Working Paper No. 16659

    ERIC Educational Resources Information Center

    Dave, Dhaval M.; Reichman, Nancy E.; Corman, Hope; Das, Dhiman

    2011-01-01

    Exploiting variation in welfare reform across states and over time and using relevant comparison groups, this study estimates the effects of welfare reform on an important source of human capital acquisition among women at risk for relying on welfare: vocational education and training. The results indicate that welfare reform reduced enrollment in…

  14. Implementing the Abstinence Education Provision of the Welfare Reform Legislation.

    ERIC Educational Resources Information Center

    Haskins, Ron; Bevan, Carol Statuto

    As part of its 1996 welfare reform bill, the U.S. Congress enacted a $50 million per year program to fund abstinence education. The welfare reform law addresses the problem of births to single adolescents by enforcing child support payments, giving states financial incentives to reduce nonmarital births, and creating the abstinence education…

  15. Welfare reform, employment, and drug and alcohol use among low-income women.

    PubMed

    Meara, Ellen

    2006-01-01

    In 1996 welfare reform legislation transformed income assistance for needy families by imposing work requirements, time-limited benefits, and explicit provisions allowing states to sanction recipients who fail to meet program requirements. Though they represent a minority of the welfare population, women with substance use disorders (SUDs) experience multiple, and more severe, employment barriers than other Temporary Assistance to Needy Families (TANF) recipients. This review of welfare reform, substance abuse, and employment documents the evidence to date regarding the employment patterns of women with SUDs before and after welfare reform, and proposes several topics for further research. Based on higher rates of unemployment, less work experience, and lower earnings when working, women with SUDs have worse employment records than other TANF recipients. Despite elevated employment barriers, women with SUDs left TANF after 1996 as fast as, or faster than, other women. Since the 1996 welfare reform, women with SUDs have increased their employment and earnings, but by less than similar women without SUDs. Future research should describe how specific state welfare policies relate to employment of low-income women with SUDs, how the well-being of these women and their children changes with employment, and how welfare and employment interact to affect access to health insurance among this population.

  16. Finding Jobs: Work and Welfare Reform.

    ERIC Educational Resources Information Center

    Card, David E., Ed.; Blank, Rebecca M., Ed.

    This book contains 13 papers on labor market and welfare reform, with special emphasis on the demand for low-wage workers, wages and job characteristics in the less skilled labor market, public politics to increase employment and earnings of less skilled workers, and the impact of welfare reform. The following papers are included: "The Labor…

  17. Teenagers and Welfare Reform.

    ERIC Educational Resources Information Center

    Offner, Paul

    This report examines the extent to which welfare reform is changing adolescent behaviors that lead to welfare dependency. It begins by discussing the provisions in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 that require teenagers to stay in school and live with a parent, concluding that relatively little can be…

  18. Nobody Asked Us: The WV Welfare Reform Listening Project.

    ERIC Educational Resources Information Center

    Wilson, Rick

    West Virginia's state welfare reform plan was in effect by the end of 1997. In 1999, over 175 interviews were conducted with past and present welfare recipients to bring their experiences and concerns to the attention of the public and policymakers. Nearly all interviewees were women and were taking part in work activities. In general, welfare…

  19. 45 CFR 260.73 - How do existing welfare reform waivers affect the participation rates and work rules?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... existing welfare reform waivers affect the participation rates and work rules? (a) If a State is... 45 Public Welfare 2 2010-10-01 2010-10-01 false How do existing welfare reform waivers affect the participation rates and work rules? 260.73 Section 260.73 Public Welfare Regulations Relating to Public Welfare...

  20. Welfare recipients’ involvement with child protective services after welfare reform

    PubMed Central

    Nam, Yunju; Meezan, William; Danziger, Sandra K.

    2007-01-01

    Objective This study identifies factors associated with child protective services (CPS) involvement among current and former welfare recipients after welfare reform legislation was passed in the US in 1996. Method Data come from the Women’s Employment Study, a longitudinal study of randomly selected welfare recipients living in a Michigan city in 1997 (N = 541). In order to identify risk factors for CPS involvement among current and former welfare recipients, multinomial logit analyses with 29 independent variables were employed on a trichotomous dependent variable: no CPS involvement, investigation only, and supervision by CPS after investigation. Results The relationship between work and involvement with CPS differs by work experience prior to welfare reform. As the percentage of months working after welfare reform increased, the risk of being investigated by CPS declined among those with prior work experience but the risk increased among those without prior work experience. However, work variables were not significant predictors of supervision by CPS after an initial investigation. Further, race, cohabitation, childhood welfare receipt, having a learning disability, having a large number of children, being newly divorced, living in a high problem neighborhood, and being convicted of a crime were associated with one’s probability of being either investigated or supervised by CPS. Conclusions These findings suggest that employment could have increased the stress levels of current or former welfare recipients without prior work experience to the point where they were prone to minor child rearing mistakes that resulted in a CPS investigation, but were not severe enough to warrant opening the case for supervision. Supports should be provided to welfare mothers who are prone to involvement with CPS; expansions in the childcare subsidy and a reduction or delay in work requirements might also help these families. PMID:17116329

  1. Welfare recipients' involvement with child protective services after welfare reform.

    PubMed

    Nam, Yunju; Meezan, William; Danziger, Sandra K

    2006-11-01

    This study identifies factors associated with child protective services (CPS) involvement among current and former welfare recipients after welfare reform legislation was passed in the US in 1996. Data come from the Women's Employment Study, a longitudinal study of randomly selected welfare recipients living in a Michigan city in 1997 (N=541). In order to identify risk factors for CPS involvement among current and former welfare recipients, multinomial logit analyses with 29 independent variables were employed on a trichotomous dependent variable: no CPS involvement, investigation only, and supervision by CPS after investigation. The relationship between work and involvement with CPS differs by work experience prior to welfare reform. As the percentage of months working after welfare reform increased, the risk of being investigated by CPS declined among those with prior work experience but the risk increased among those without prior work experience. However, work variables were not significant predictors of supervision by CPS after an initial investigation. Further, race, cohabitation, childhood welfare receipt, having a learning disability, having a large number of children, being newly divorced, living in a high problem neighborhood, and being convicted of a crime were associated with one's probability of being either investigated or supervised by CPS. These findings suggest that employment could have increased the stress levels of current or former welfare recipients without prior work experience to the point where they were prone to minor child rearing mistakes that resulted in a CPS investigation, but were not severe enough to warrant opening the case for supervision. Supports should be provided to welfare mothers who are prone to involvement with CPS; expansions in the childcare subsidy and a reduction or delay in work requirements might also help these families.

  2. Welfare reform: advocacy and intervention in the health care setting.

    PubMed Central

    Lawton, E; Leiter, K; Todd, J; Smith, L

    1999-01-01

    Welfare reform has drastically altered the lives of poor families in the US. In its wake, many former recipients are not receiving whatever transitional benefits and other safeguards to which they remain entitled under federal and state laws. Families are losing access to Medicaid and are not receiving the child care assistance or Food Stamps for which they continue to be eligible. Ill-served by stringent time limits and work requirements, lack of child care assistance, and lack of training and educational opportunities for the development of skills that will lead to better jobs, families need help to navigate the complexities of the new welfare system. Boston Medical Center's Department of Pediatrics has instituted a welfare screening project to educate families about their rights under welfare reform and assist them in advocating for themselves and their children. PMID:10670622

  3. Welfare Reform and Labor Force Exit by Young, Low-Skilled Single Males.

    PubMed

    Groves, Lincoln H

    2016-04-01

    While the labor market woes of low-skilled male workers in the United States over the past several decades have been well documented, the academic literature identifying causal factors leading to declines in labor force participation (LFP) by young, low-skilled males remains scant. To address this gap, I use the timing and characteristics of welfare-reform policies implemented during the 1990s and fixed-effects, instrumental variable regression modeling to show that policies seeking to increase LFP rates for low-skilled single mothers inadvertently led to labor force exit by young, low-skilled single males. Using data from the Current Population Survey and a bundle of work inducements enacted by states throughout the 1990s as exogenous variation in a quasi-experimental design, I find that the roughly 10 percentage point increase in LFP for low-skilled single mothers facilitated by welfare reform resulted in a statistically significant 2.8 percentage point decline in LFP for young, low-skilled single males. After conducting a series of robustness checks, I conclude that this result is driven entirely by white males, who responded to welfare-reform policies with a 3.7 percentage point decline in labor supply. Young black males, as well as other groups of potentially affected workers, appear to be uninfluenced by the labor supply response of less-educated single mothers to welfare reform. Impacts on young, single white males are large and economically significant, suggesting that nearly 150,000 males departed the formal labor market in response to directed welfare-reform policies.

  4. Welfare reform and health insurance: consequences for parents.

    PubMed

    Holl, Jane L; Slack, Kristen Shook; Stevens, Amy Bush

    2005-02-01

    We assessed the relation between the work promotion, welfare reduction, and marriage goals of welfare reform and the stability of health insurance of parents in transition from welfare to work. We analyzed a panel survey (1999-2002) of a stratified random sample of Illinois families receiving welfare in 1998 (n=1363). Medicaid remains the foremost source of health insurance despite a significant decline in the proportion of parents with Medicaid. Regardless of work/welfare status in year 1, transitioning to work only or no work/no welfare increased the likelihood of having unstable health insurance in years 2 and 3 compared with those who remained on welfare only. Parents who meet the welfare reform goals of work promotion and reduction of welfare dependence experience significant loss and instability of health insurance.

  5. Welfare Reform and Health Insurance: Consequences for Parents

    PubMed Central

    Holl, Jane L.; Slack, Kristen Shook; Stevens, Amy Bush

    2005-01-01

    Objectives. We assessed the relation between the work promotion, welfare reduction, and marriage goals of welfare reform and the stability of health insurance of parents in transition from welfare to work. Methods. We analyzed a panel survey (1999–2002) of a stratified random sample of Illinois families receiving welfare in 1998 (n=1363). Results. Medicaid remains the foremost source of health insurance despite a significant decline in the proportion of parents with Medicaid. Regardless of work/welfare status in year 1, transitioning to work only or no work/no welfare increased the likelihood of having unstable health insurance in years 2 and 3 compared with those who remained on welfare only. Conclusions. Parents who meet the welfare reform goals of work promotion and reduction of welfare dependence experience significant loss and instability of health insurance. PMID:15671465

  6. A "Third Way" in Welfare Reform? Evidence from the United Kingdom

    ERIC Educational Resources Information Center

    Hills, John; Waldfogel, Jane

    2004-01-01

    U.S. welfare reforms, whether promoting work first or human capital development, have had in common an emphasis on employment as the key to improving the life chances of children living in single-mother families. We describe in this article a different type of reform--a "third way" in welfare reform. The welfare reforms carried out in…

  7. Welfare dynamics, support services, mothers' earnings, and child cognitive development: implications for contemporary welfare reform.

    PubMed

    Yoshikawa, H

    1999-01-01

    This prospective longitudinal study, using data from the National Longitudinal Survey of Youth (NLSY; N = 614), addresses the gap in the research literature regarding the effects of welfare reform on children. Key questions addressed include whether welfare dynamics and support services relevant to welfare reform, both measured across the first 5 years of life, are associated with mothers' earnings in the 6th year and three child cognitive outcomes in the 7th and 8th years: Peabody Individual Achievement Test (PIAT) math and reading scores, and the Peabody Picture Vocabulary Test (PPVT). Welfare dynamics are represented by total time on welfare, degree of cycling on and off welfare, and degree to which welfare and work are combined. Support services measured include three forms of child care (relative, babysitter, and center-based), as well as three forms of human capital supports (child support, job training, and education). Controlling for a range of background factors and for different patterns of welfare use across the first 5 years, small positive associations with mother's earnings were found for child support, education, and job training. Small positive associations also were found between child support and both math and reading scores. Finally positive associations of medium effect size were found between center care and both mothers' earnings and child PPVT scores. Although effect sizes are generally small, the results suggest the potential value of welfare reform approaches that emphasize long-term human capital development. Interactions between welfare dynamics and support services suggest subgroup differences. Specifically, positive effects of support services on earnings are strongest among mothers with higher levels of human capital (higher levels of work while on welfare, lower total time on welfare). Babysitter care appears to have negative effects on both reading and math scores of children whose mothers report low levels of work while on welfare

  8. Coverage gaps for Medicaid-eligible children in the wake of federal welfare reform.

    PubMed

    Haley, Jennifer; Kenney, Genevieve

    2003-01-01

    Using data from the National Survey of America's Families, this paper examines insurance coverage changes for Medicaid-eligible citizen children between 1997 and 1999, early in the implementation of federal welfare reform. More than 20 million children qualified for Medicaid, but many were uninsured. Insurance coverage deteriorated for eligible children between 1997 and 1999, particularly for those who also qualified for cash assistance; this deterioration in coverage was largely due to dramatic declines in cash assistance participation. This paper shows that following federal welfare reform, states have faced new challenges reaching and enrolling the growing numbers of eligible children who are not connected with the welfare system.

  9. The Unfinished Business of Welfare Reform: Improving Prospects for Poor Children and Youth. Perspectives from Research. A Special Child Trends Report.

    ERIC Educational Resources Information Center

    Scarupa, Harriet J., Ed.

    As federal and state officials consider the reauthorization of the block grants at the center of the 1996 federal welfare reform law, it is critical that they use findings from research regarding the impact of welfare reform to guide their decisions. This special report examines the impact of welfare reform on children and youth, drawing on…

  10. Welfare Reform: States Provide TANF-Funded Work Support Services to Many Low-Income Families Who Do Not Receive Cash Assistance. Testimony [before the] Committee on Finance, U.S. Senate.

    ERIC Educational Resources Information Center

    Fagnoni, Cynthia M.

    Information was collected on three issues related to the extent to which states use welfare dollars to provide work support and other services to welfare recipients and other low-income families. They were: extent of caseload decline since welfare reform was implemented and status of families who have left welfare; extent to which states spend…

  11. Learning from Leaders: Welfare Reform Politics and Policy in Five Midwestern States.

    ERIC Educational Resources Information Center

    Weissert, Carol S., Ed.

    This book examines welfare reform, occasioned by the federal Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA), which abolished Aid to Families with Dependent Children (AFDC) and replaced it with Temporary Assistance for Needy Families (TANF). It is based on research in Ohio, Kansas, Wisconsin, Minnesota, and Michigan that…

  12. The moral economy of austerity: analysing UK welfare reform.

    PubMed

    Morris, Lydia

    2016-03-01

    This paper notes the contemporary emergence of 'morality' in both sociological argument and political rhetoric, and analyses its significance in relation to ongoing UK welfare reforms. It revisits the idea of 'moral economy' and identifies two strands in its contemporary application; that all economies depend on an internal moral schema, and that some external moral evaluation is desirable. UK welfare reform is analysed as an example of the former, with reference to three distinct orientations advanced in the work of Freeden (1996), Laclau (2014), and Lockwood (1996). In this light, the paper then considers challenges to the reform agenda, drawn from third sector and other public sources. It outlines the forms of argument present in these challenges, based respectively on rationality, legality, and morality, which together provide a basis for evaluation of the welfare reforms and for an alternative 'moral economy'. © London School of Economics and Political Science 2016.

  13. Welfare Reform's Impact on Adolescents: Early Warning Signs. Child Trends Research Brief.

    ERIC Educational Resources Information Center

    Brooks, Jennifer L.; Hair, Elizabeth C.; Zaslow, Martha J.

    With the passage of the 1996 welfare reform law, numerous commentators expressed concern about the impact of welfare reform on young children of welfare recipients, while few expressed concern about adolescents. However, recent evidence suggests that adolescents are affected negatively when their parents participate in welfare-to-work programs.…

  14. Welfare reform, labor supply, and health insurance in the immigrant population.

    PubMed

    Borjas, George J

    2003-11-01

    Although the 1996 welfare reform legislation limited the eligibility of immigrant households to receive assistance, many states chose to protect their immigrant populations by offering state-funded aid to these groups. I exploit these changes in eligibility rules to examine the link between the welfare cutbacks and health insurance coverage in the immigrant population. The data reveal that the cutbacks in the Medicaid program did not reduce health insurance coverage rates among targeted immigrants. The immigrants responded by increasing their labor supply, thereby raising the probability of being covered by employer-sponsored health insurance.

  15. Children and Welfare Reform: Highlights from Recent Research.

    ERIC Educational Resources Information Center

    Collins, Ann; Jones, Stephanie; Bloom, Heather

    Noting that the mid-1990s are an era of experimentation in welfare initiatives, this publication summarizes 34 research studies on children and welfare reform. Articles include studies of children and parents in poverty, studies of program models likely to have direct implications for children, and outcome evaluations of welfare-to-work programs…

  16. Health, welfare reform, and narratives of uncertainty among Cambodian refugees.

    PubMed

    Becker, G; Beyene, Y; Ken, P

    2000-06-01

    Massive disruptions to a way of life, such as those brought on by widespread violence, terror, and genocide, disorder the body as well as the social order. When they flee their homelands, refugees bring their experiences of violence and terror with them. Drawing on an ethnographic study of 40 Cambodian refugees between the ages of 50 and 79 who suffered from one or more chronic illnesses, we explore how refugees who live with chronic illnesses and are dependent on government support were affected by the threat of welfare reform. When welfare reform threatened to cut Cambodian refugees' income, it posed a new crisis for those who were chronically in limbo and placed further constraints on their lives. Through their narratives, Cambodian refugees enacted their bodily distress and resisted the threat of welfare reform. The story of threatened welfare reform in the U.S. and its possible consequences for refugees is a story of quixotic U.S. politics, policies and antidotes for refugeeism gone awry.

  17. Welfare Reform: Serving America's Children.

    ERIC Educational Resources Information Center

    Moynihan, Daniel Patrick

    1989-01-01

    The poorest group in our population is children. This article discusses past and present public assistance programs that affect children and the disproportionate number of minority group children and children in single-parent homes who live in poverty. The need for welfare reform is discussed also. (IAH)

  18. Ten Things Everyone Should Know about Welfare Reform. New Federalism: Issues and Options for States, Series A, No. A-52. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies.

    ERIC Educational Resources Information Center

    Weil, Alan

    This brief presents 10 key findings about welfare reform, using research from the Urban Institute's Assessing the New Federalism project. Welfare reform has taken hold, and, in the immediate aftermath of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA), states have made major changes to their welfare systems that…

  19. A synthesis of welfare reform policy and its impact on substance users.

    PubMed

    Montoya, Isaac D; Atkinson, John S

    2002-01-01

    The purpose of this study was to provide an overview of welfare reform and its impact on the substance-abusing recipient. The data for this paper were derived from sources including the US Department of Health and Human Services and the National Institute on Drug Abuse. The number of individuals on public assistance has decreased in the years following implementation of welfare reform legislation. Factors relevant to transitioning welfare recipients into the workplace, such as transportation and childcare, have special ramifications for the drug-using population. Additionally, these individuals require treatment for their addictions in order to become employable. The issue of concern is that recipients may be deterred from seeking benefits by various provisions of welfare reform legislation and turn instead to other sources (including illicit activities) for sustenance. Welfare caseloads have been dropping over the past two years. However, the number of substance abusers continues to rise. It is not known in what ways welfare reform will affect substance abusers who are welfare recipients. Important policy issues arise from this nexus; it is argued that these issues will require careful investigation.

  20. Healthcare inequality issues among immigrant elders after neoliberal welfare reform: empirical findings from the United States.

    PubMed

    Yeo, Younsook

    2017-06-01

    Even with the increasing importance being placed on research into immigrant elders' healthcare use as countries change their policies to reflect their increasing immigrant and aging populations, little research has examined changes in healthcare use disparities between immigrant and native elders in relation to these policy changes. To fill this gap in the literature, this study examined healthcare disparities in relation to the welfare reform that the US implemented in 1996 and then compared significant indicators of immigrants' healthcare use during the pre- and post-reform periods. The difference-in-difference (DD) analyses and post hoc probing of the DD analyses were used in multivariate logistic regression of the National Health Information Survey data that were pooled for the pre- and post-reform periods. The results revealed that while inequalities in healthcare existed before the reform, they significantly increased after the reform. A further test showed that the changes in the inequalities were significant among relatively long-stay immigrants, but not significant among immigrants who entered the US before the reform and thus were exempted from the reform restrictions. During the pre-reform period, insurance, employment, sex, and race/ethnicity were related to healthcare use; however, the enabling factors (i.e., insurance, income, and education) and social structural factors (i.e., marital status, family structure, length of US residency, race/ethnicity, and geographical region) explained the post-reform immigrants' healthcare use, while controlling for healthcare needs factors. These findings suggest that welfare reform may be the driving force of inequalities in healthcare.

  1. Welfare policymaking and intersections of race, ethnicity, and gender in U.S. state legislatures.

    PubMed

    Reingold, Beth; Smith, Adrienne R

    2012-01-01

    Welfare policy in the American states has been shaped profoundly by race, ethnicity, and representation. Does gender matter as well? Focusing on state welfare reform in the mid-1990s, we test hypotheses derived from two alternative approaches to incorporating gender into the study of representation and welfare policymaking. An additive approach, which assumes gender and race/ethnicity are distinct and independent, suggests that female state legislators—regardless of race/ethnicity—will mitigate the more restrictive and punitive aspects of welfare reform, much like their African American and Latino counterparts do. In contrast, an intersectional approach, which highlights the overlapping and interdependent nature of gender and race/ethnicity, suggests that legislative women of color will have the strongest countervailing effect on state welfare reform—stronger than that of other women or men of color. Our empirical analyses suggest an intersectional approach yields a more accurate understanding of gender, race/ethnicity, and welfare politics in the states.

  2. For Love or Money? Welfare Reform and Immigrant Naturalization

    ERIC Educational Resources Information Center

    Van Hook, Jennifer; Brown, Susan K.; Bean, Frank D.

    2006-01-01

    The Welfare Reform Act of 1996 generally restricted immigrants' eligibility for welfare to those who had naturalized. By increasing the salience of naturalization, the law provides a unique opportunity to examine how social and economic contexts of reception influence immigrants' pursuit of citizenship. This paper summarizes instrumental-legal…

  3. Welfare reform and elderly immigrants' health insurance coverage: the roles of federal and state medicaid eligibility rules.

    PubMed

    Nam, Yunju

    2011-11-01

    Immigrants' access to federally-funded Medicaid became limited after welfare reform imposed restrictive noncitizen eligibility rules. This study used a representative sample from the Current Population Survey (N = 105,873) and state-level data to examine the effects of these policy changes on elderly immigrants. Triple difference-in-differences analyses show that federal restriction of eligibility had a significantly negative association with elderly immigrants' Medicaid coverage, and generous state eligibility had significantly positive relationships with Medicaid and any health insurance coverage. Findings indicate the important role of eligibility on elderly immigrants' health insurance coverage. Results call for social workers' actions to expand elderly immigrants' Medicaid eligibility.

  4. Videoconferencing as a Tool for Welfare and Workforce Reform.

    ERIC Educational Resources Information Center

    Kaplan, April; Van Lare, Barry

    2000-01-01

    This document explains how agencies serving recipients of Temporary Assistance for Needy Families (TANF) can use videoconferencing as a tool for welfare and work force reform. The document begins with a brief overview of how videoconferencing and other communications technologies can be used in designing and delivering welfare and work force…

  5. Jobs First: Final Report on Connecticut's Welfare Reform Initiative.

    ERIC Educational Resources Information Center

    Bloom, Dan; Scrivener, Susan; Michalopoulos, Charles; Morris, Pamela; Hendra, Richard; Adams-Ciardullo, Diana; Walter, Johanna

    An evaluation of Jobs First (JF) compared the experiences of JF participants who were subject to welfare reform policies with those of Aid to Families with Dependent Children (AFDC) participants who were subject to prior welfare rules. It collected information for four years about JF's impacts on participants' children and analyzed its financial…

  6. The Ideology of Welfare Reform: Deconstructing Stigma.

    ERIC Educational Resources Information Center

    Mills, Frederick B.

    1996-01-01

    Critiques recent welfare reform proposals and recommends social work practices that humanize Aid to Families with Dependent Children (AFDC). The critique deconstructs the labels "dependent,""addict," and "illegitimate" as they are applied to AFDC mothers and explores the reproduction of stigma through social work…

  7. Welfare reform and women's health: review of the literature and implications for state policy.

    PubMed

    O'Campo, P; Rojas-Smith, L

    1998-01-01

    In August 1996, the Personal Responsibility Work Opportunity Reconciliation Act (P.L. 104-193) was signed into law, ending a 60-year federal entitlement guaranteeing families some basic level of assistance during periods of economic hardship. Several components of this new legislation have the potential to impact upon the health and well-being of women and children. We summarize studies examining the relationship between welfare participation and physical and mental well-being of women and what is known about the effects of poverty on health; the patterns of employment among welfare participants and the health consequences of low-wage work on women; domestic violence among welfare recipients; the potential health consequences of the provisions of the new Temporary Assistance to Needy Families (TANF) program for women's and adolescent health; and the consequences of the new TANF provisions for the health and well-being of immigrant women. We discuss the implications for policy makers in monitoring and minimizing the negative impact of welfare reforms on women's health and well-being.

  8. Welfare Reform. Hearing before the Committee on Finance. United States Senate, One Hundredth Congress, First Session (April 9, 1987). Part 1 of 3.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Finance.

    This hearing, the first of three on welfare reform, focuses on "how we can reform welfare programs to conserve the best of the past and give us new latitude to deal with the emerging problems of the future," according to Senator Lloyd Bentsen, the Chairman of the Committee. The following individuals were witnesses: (1) Richard E. Lyng,…

  9. Income Maintenance and Welfare Reform: Papers and Comments. Discussion Paper No. 202-74.

    ERIC Educational Resources Information Center

    Lampman, Robert J.; And Others

    The papers and discussions which follow were presented at the December 1973 meetings of the Allied Social Science Associations in New York City. They provide a stimulating review and perspective on the state of policy and reform possibilities in income maintenance and the welfare system. In his paper, "The Role of Income-Conditioning in the…

  10. For Better and for Worse: Welfare Reform and the Well-Being of Children and Families.

    ERIC Educational Resources Information Center

    Duncan, Greg J., Ed.; Chase-Lansdale, P. Lindsay, Ed.

    Although the 1996 welfare reform bill reduced welfare rolls, falling caseloads do not necessarily mean a better standard of living for families. This book examines the evidence and evaluates whether welfare reform has met one of its chief goals--improving the well-being of the nation's poor children. The chapters of the book are as follows: (1)…

  11. Reforming a Breadwinner Welfare State: Gender, Race, Class, and Social Security Reform

    ERIC Educational Resources Information Center

    Herd, Pamela

    2005-01-01

    A key challenge facing western welfare states is that they offset income risks faced by those in breadwinner families. Social Security is an excellent example. It best protects individuals with lengthy work histories or individuals who get married, stay married, and are never employed. Most women fit neither model. Thus, I analyze…

  12. Managing Welfare Reform in Five States: The Challenge of Devolution.

    ERIC Educational Resources Information Center

    Liebschutz, Sarah F., Ed.

    This book analyzes the responses of five states (Florida, Mississippi, New York, Washington, and Wisconsin) to challenges posed by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 to alter state welfare programs and management systems. Using case studies, the book highlights similarities and differences in the states'…

  13. Poor relief, taxes and the first Universal Pension Reform: the origin of the Swedish welfare state reconsidered.

    PubMed

    Edebalk, Per Gunnar; Olsson, Mats

    2010-01-01

    In the year 1900, Sweden probably had the oldest population in the contemporary world. It was also the first nation to implement a universal pension system in 1913. The universal character in early social legislation has certainly been decisive for the development of the Swedish welfare state. This alternative has not been self-evident. Why did the reforms turn universal, when the continental model, the Bismarck social security system, was exclusively directed at industrial workers? Research has concentrated on demographic factors and growing demands for social security, or on the fact that Sweden was still a predominantly rural society with about 2,400 local authorities. This article examines the development of social legislation in the light of local government expenditures and incomes, and suggests an overlooked possibility: the formulation of the first universal national social security reform was a redistributional response to uneven distribution of incomes and general expenditures among the rural districts in Sweden.

  14. 45 CFR 260.74 - How do existing welfare reform waivers affect the application of the Federal time-limit provisions?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... application of the Federal time-limit provisions? 260.74 Section 260.74 Public Welfare Regulations Relating to....74 How do existing welfare reform waivers affect the application of the Federal time-limit provisions? (a)(1) If a State is implementing a time-limit component under a waiver, in accordance with this...

  15. Mothers' Work: Single Mothers' Employment, Earnings, and Poverty in the Age of Welfare Reform.

    ERIC Educational Resources Information Center

    Levitan, Mark; Gluck, Robin

    Employment, earnings, and poverty among single mothers in New York City and across the United States in the age of welfare reform were examined to identify goals and recommendations for reauthorization of legislation regulating Temporary Assistance for Needy Families (TANF). The study indicated that although job holding by single mothers has risen…

  16. The Public Mind: Views of Pennsylvania Citizens. Smoking, Education, Tax Reform, Crime Control, Welfare Reform, Health Care Reform. Report No. 6.

    ERIC Educational Resources Information Center

    Mansfield Univ., PA. Rural Services Inst.

    The sixth annual survey conducted by the Rural Services Institute examined the opinions of Pennsylvania residents on crime control, welfare reform, smoking, and education reform proposals. Sixty percent of respondents believed that the most urgent issue facing Pennsylvania was violent crime and strongly supported measures to reduce the…

  17. The Lazy Revolutionary's Guide to the Prospects for Reforming Child Welfare.

    ERIC Educational Resources Information Center

    Finkelhor, David

    1991-01-01

    Efforts to revolutionize the child welfare system must consider social trends and forces. Encouraging trends that child welfare reformers might be able to harness include biotechnology, availability of medical care, gender equality, awareness of parenting skills, and service sector growth. Discouraging trends include increasing rate of divorce and…

  18. Price and welfare effects of a pharmaceutical substitution reform.

    PubMed

    Granlund, David

    2010-12-01

    The price effects of the Swedish pharmaceutical substitution reform are analyzed using data for a panel of all pharmaceutical product sold in Sweden in 1997-2007. The price reduction due to the reform was estimated to average 10% and was found to be significantly larger for brand-name pharmaceuticals than for generics. The results also imply that the reform amplified the effect that generic entry has on brand-name prices by a factor of 10. Results of a demand estimation imply that the price reductions increased total pharmaceutical consumption by 8% and consumer welfare by SEK 2.7 billion annually. Copyright © 2010 Elsevier B.V. All rights reserved.

  19. Whose Job Is It? Employers' Views on Welfare Reform. JCPR Working Paper.

    ERIC Educational Resources Information Center

    Owen, Greg; Shelton, Ellen; Stevens, Amy Bush; Nelson-Christinedaughter, Justine; Roy, Corinna; Heineman, June

    A total of 130 Minnesota employers who had participated in local welfare-to-work partnerships with social service agencies and other community members were interviewed by telephone for their views on welfare reform. (This nonrandom sample was selected by partnership staff.) Differences among rural and urban/suburban employers were examined, and…

  20. Economic Conditions and Welfare Reform.

    ERIC Educational Resources Information Center

    Danziger, Sheldon H., Ed.

    This book contains 10 papers on three key questions regarding the effects of the 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA), which ended the Aid to Families with Dependent Children (AFDC) program: why welfare caseloads are falling; how welfare recipients are faring; and how the states are responding to changing…

  1. The Impact of Welfare Reform on Adult Literacy Education: Conference Papers and Themes from Small Group Sessions.

    ERIC Educational Resources Information Center

    National Center for the Study of Adult Learning and Literacy, Boston, MA.

    This document contains three commissioned papers and other materials from a 2-day conference. "Politics, Policy, Practice and Personal Responsibility: Adult Education in an Era of Welfare Reform" (Deborah D'Amico) examines the relationship between literacy, poverty, and welfare reform and the implications of those relationships for…

  2. Welfare state regimes and population health: integrating the East Asian welfare states.

    PubMed

    Abdul Karim, Syahirah; Eikemo, Terje A; Bambra, Clare

    2010-01-01

    Epidemiological studies have consistently shown that population health varies significantly by welfare state regime. However, these studies have focused exclusively on the welfare states of Europe, North America and Australasia. This focus ignores the existence of welfare states in other parts of the world, specifically in East Asia. This study therefore investigates whether the association between population health (Infant Mortality Rates and Life Expectancy at birth) and welfare state regimes is still valid when the welfare states of East Asia are added into the analysis. It also examines whether population health is worse in the East Asian welfare states. Infant Mortality Rates and Life Expectancy at birth as well as GDP per capita and social and health expenditures as a percentage of GDP were examined in 30 welfare states, categorised into six different regimes (Scandinavian, Anglo-Saxon, Bismarckian, Southern, Eastern European and East Asian). ANOVA analysis showed significant differences by welfare state regime in the magnitude of IMR, LE, SE, HE and GDP per capita. However, when controlling for GDP per capita in the ANCOVA analyses, only Life Expectancy (R(2)=0.58, adjusted R(2)=0.47, p<0.05) and Social Expenditure (R(2)=0.70, adjusted R(2)=0.61, p<0.05) differed significantly by welfare state regime. 47% of the variation in Life Expectancy was explained by welfare state regime type. Further, the East Asian welfare states did not have the worst health outcomes. The study concludes by highlighting the need to expand comparative health analysis both in terms of the range of countries examined and also in terms of incorporating other societal and public health factors-towards a 'public health regime' analysis.

  3. SWEDEN--RECENT CHANGES IN WELFARE STATE ARRANGEMENTS.

    PubMed

    Burström, Bo

    2015-01-01

    The Swedish welfare state, once developed to create a new society based on social equality and universal rights, has taken on a partly new direction. Extensive choice reforms have been implemented in social services and an increasing proportion of tax-funded social services, including child day care, primary and secondary schools, health care, and care of the elderly, is provided by private entrepreneurs, although funded by taxes. Private equity firms have gained considerable profits from the welfare services. The changes have taken place over a 20-year period, but at an accelerated pace in the last decade. Sweden previously had very generous sickness and unemployment insurance, in terms of both duration and benefit levels, but is falling behind in terms of generosity, as indicated by increasing levels of relative poverty among those who depend on benefits and transfers. Increasing income inequality over the past 20 years further adds to increasing the gaps between population groups. In some respects, Sweden is becoming similar to other Organisation for Economic Co-operation and Development countries. The article describes some of the changes that have occurred. However, there is still widespread popular support for the publicly provided welfare state services.

  4. Welfare Reform: States' Efforts To Expand Child Care Programs. United States General Accounting Office Report to the Ranking Minority Member, Subcommittee on Children and Families, Committee on Labor and Human Resources, U.S. Senate.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. Health, Education, and Human Services Div.

    The sweeping changes of welfare reform embodied in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, and which created the Child Care and Development Block Grant, raise many questions about how states will implement subsidy programs to help an increasing number of low-income families meet their child care needs. At the…

  5. FYI: Reforming Social Welfare Policy...Indiana's Children...Lead Poisoning Prevention.

    ERIC Educational Resources Information Center

    Children Today, 1989

    1989-01-01

    Summarizes results of reports and resources concerning the reform of social welfare policy. Focuses on a profile of Indiana children, hospital policies and programs designed to meet the psychosocial needs of hospitalized children and their families, a senior center/latchkey program, and lead poisoning prevention. (BB)

  6. Instrumental Variable Estimates of the Labor Market Spillover Effects of Welfare Reform. Upjohn Institute Staff Working Paper.

    ERIC Educational Resources Information Center

    Bartik, Timothy J.

    The labor market spillover effects of welfare reform were estimated by using models that pool time-series and cross-section data from the Current Population Survey on the state-year cell means of wages, employment, and other labor market outcomes for various demographic groups. The labor market outcomes in question are dependent variables that are…

  7. Feminist Perspectives on TANF Reauthorization: An Introduction to Key Issues for the Future of Welfare Reform. Briefing Paper.

    ERIC Educational Resources Information Center

    Peterson, Janice

    Current debates about welfare reform center on the upcoming reauthorization of the Temporary Assistance for Needy Families (TANF) legislation. The provisions of TANF include the elimination of the entitlement to cash assistance, block grant funding to the states, mandatory work requirements, sanctions, a 5-year limit on cash assistance, and…

  8. Influencing Welfare and Child Care Reform: Strategies from Colorado and Washington. Child Care Action Campaign Issue Brief #4.

    ERIC Educational Resources Information Center

    Dronkers, Lance

    State strategies used to build constituencies and expand the resource base of the child care systems they are developing will be an important contribution to the success of welfare reform. This report, from a 1996 Child Care Action Campaign national audioconference, describes the innovative strategies used to strengthen leadership, expand…

  9. Welfare reforms and the cognitive development of young children.

    PubMed

    Williamson, Deanna L; Salkie, Fiona J; Letourneau, Nicole

    2005-01-01

    To investigate whether the cognitive development of young children in poverty is affected by activities of their primary caregiver and by household income source, which are two components of family poverty experience that have been affected by recent welfare reforms. Bivariate and multivariate analyses were used to examine the relationships that caregiver activity, household income source, and family characteristics (family income adequacy, caregiver depressive symptoms, caregiver education) have with the cognitive development of 59 impoverished children less than three years old. Of the three poverty experience variables included in the multivariate analysis, only employment as the exclusive source of household income had an independent relationship (positive) with children's cognitive development. Two of the family characteristics, income adequacy and caregiver education, also were associated with the children's cognitive score, and they were both better relative predictors than the employment-only income source variable. Income adequacy was positively associated and caregiver education was negatively associated with children's cognitive development. Although recent welfare reforms, in combination with economic growth and declining unemployment, have changed the poverty experience of young families by increasing the proportion that secure at least part of their income from employment, our study provides preliminary evidence that these reforms have made little difference for most young impoverished children. Instead, our findings suggest that the cognitive development of young children is influenced as much by the actual amount of household income as by their parents' activity and source of income.

  10. New Lives for Poor Families? Mothers and Young Children Move through Welfare Reform. The Growing Up in Poverty Wave 2 Findings: California, Connecticut, and Florida. Technical Report.

    ERIC Educational Resources Information Center

    Fuller, Bruce; Kagan, Sharon Lynn; Loeb, Susanna

    This report examines how state welfare-to-work programs have affected young children since the 1996 welfare reform act, which moved millions of women into low-wage jobs. Researchers followed a sample of 948 mothers and young children for 2-4 years after the women entered new welfare programs in California, Connecticut, and Florida. After…

  11. 45 CFR 260.73 - How do existing welfare reform waivers affect the participation rates and work rules?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 2 2013-10-01 2012-10-01 true How do existing welfare reform waivers affect the participation rates and work rules? 260.73 Section 260.73 Public Welfare Regulations Relating to Public Welfare..., experimental and control cases not otherwise exempted, in calculating the rate; (ii) Defining work activities...

  12. 45 CFR 260.73 - How do existing welfare reform waivers affect the participation rates and work rules?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 2 2014-10-01 2012-10-01 true How do existing welfare reform waivers affect the participation rates and work rules? 260.73 Section 260.73 Public Welfare Regulations Relating to Public Welfare..., experimental and control cases not otherwise exempted, in calculating the rate; (ii) Defining work activities...

  13. How Are Immigrants Faring after Welfare Reform? Preliminary Evidence from Los Angeles and New York City. Final Report.

    ERIC Educational Resources Information Center

    Capps, Randy; Ku, Leighton; Fix, Michael; Furgiuele, Chris; Passel, Jeff; Ramchand, Rajeev; McNiven, Scott; Perez-Lopez, Dan; Fielder, Eve; Greenwell, Michael; Hays, Tonya

    In 1999 and 2000, immigrants in Los Angeles, California, and New York, New York were aurveyed about their status in the context of welfare reform, examining the living conditions of 3,447 immigrant families roughly 3 years after welfare reform was implemented and several months before the federal government issued guidance about the public charge…

  14. Exclusive purpose: abstinence-only proponents create federal entitlement in welfare reform.

    PubMed

    Daley, D

    1997-01-01

    Since 1981, the US government has funded a program promoting sexual abstinence among young people through its Office of Population's Adolescent Family Life Demonstration Grants program (AFLA). A 1983 court challenge which held that AFLA violated the separation of church and state by endorsing a particular religious viewpoint was settled out of court in 1993 with stipulations that AFLA-funded sexuality education must not include religious references, must be medically accurate, must respect the principle of self-determination of teenagers regarding contraceptive referrals, and must not be implemented on church property. Critics continue to charge that AFLA's abstinence-only programs have failed to receive proper evaluation. While AFLA has no broad-based support, it is backed by the same small group of Congressional proponents who are attempting to promote broad-scale, federally-funded abstinence-only programs. Thus, the August 1996 welfare reform legislation represents the broadest attack on the provision of comprehensive sexuality education in the US. While opponents of sexuality education could not restrict the content of education programs, they could restrict programs through health policy and funding mechanisms. Congress, thus, mandated $50 million a year for 1998-2002 to a matching grant with entitlement status, which was tagged on to final versions of the larger welfare reform bill. The intent of this action was to use federal law to change the social norm of premarital sexual activity. Funds will not go to programs which discuss contraception. Additional problems with the statute include misinformation, ambiguity, and a lack of evaluation requirements. It remains for states to decide whether to accept the restricted funds and for parties on both sides of the issue to continue to lobby for their positions.

  15. Five years later: poor women's health care coverage after welfare reform.

    PubMed

    Mann, Cindy; Hudman, Julie; Salganicoff, Alina; Folsom, Amanda

    2002-01-01

    The 1996 welfare reform law aims to increase poor women's participation in the work force and encourage their financial independence. Because women's ability to obtain and retain employment is affected by their health status, welfare reform's success is fundamentally tied to poor women's access to health care and to health insurance. Despite this, the rate of uninsurance among poor women with children has grown by half in recent years, leaving 37% of poor mothers uninsured in 2000. Coverage through employer-sponsored insurance has increased only slightly, and Medicaid participation has dropped. Although many factors contributed to this, welfare policies and procedures and low Medicaid eligibility levels had unintended yet significant negative effects on women's health care coverage. The sharp decline in poor women's health care coverage is likely to be one of several health-related issues that Congress will consider as it debates the reauthorization of the welfare law in 2002. Both public and private efforts will be necessary to improve coverage for poor women with children. Much progress has been made during the past 5 years in covering poor and near-poor children, but their parents have been left behind. The same efforts that proved successful for children, including broadening eligibility for coverage and simplifying the application process, can be used to improve the health and well-being of parents and to strengthen their ability to care for and support their families.

  16. "The Single-Parent Family" and Welfare Reform: Is Marriage the Solution?

    ERIC Educational Resources Information Center

    Fitchen, Janet M.

    1995-01-01

    Many proposals for welfare reform center on the issue of marriage-based families versus single-parent families and oversimplify the relationship between single-parenting and poverty. Research done in upstate rural New York among low-income families showed that personal and economic characteristics of married and single mothers were similar as to…

  17. THREE CITIES STUDY OF WELFARE REFORM AND THE WELL-BEING OF CHILDREN

    EPA Science Inventory

    Studies the effects of the 1996 Welfare Reform Bill on children in three Northeastern, Southwestern and Midwestern cities, Boston, San Antonio, and Chicago, over a four-year period. The project also addresses the broader issue of the effects of parental time and money resources o...

  18. Methodology and estimation of the welfare impact of energy reforms on households in Azerbaijan

    NASA Astrophysics Data System (ADS)

    Klytchnikova, Irina

    This dissertation develops a new approach that enables policy-makers to analyze welfare gains from improvements in the quality of infrastructure services in developing countries where data are limited and supply is subject to interruptions. An application of the proposed model in the former Soviet Republic of Azerbaijan demonstrates how this approach can be used in welfare assessment of energy sector reforms. The planned reforms in Azerbaijan include a set of measures that will result in a significant improvement in supply reliability, accompanied by a significant increase in the prices of energy services so that they reach the cost recovery level. Currently, households in rural areas receive electricity and gas for only a few hours a day because of a severe deterioration of the energy infrastructure following the collapse of the Soviet Union. The reforms that have recently been initiated will have far-reaching poverty and distributional consequences for the country as they result in an improvement in supply reliability and an increase in energy prices. The new model of intermittent supply developed in this dissertation is based on the household production function approach and draws on previous research in the energy reliability literature. Since modern energy sources (network gas and electricity) in Azerbaijan are cleaner and cheaper than the traditional fuels (fuel wood, etc.), households choose modern fuels whenever they are available. During outages, they rely on traditional fuels. Theoretical welfare measures are derived from a system of fuel demands that takes into account the intermittent availability of energy sources. The model is estimated with the data from the Azerbaijan Household Energy Survey, implemented by the World Bank in December 2003/January 2004. This survey includes an innovative contingent behavior module in which the respondents were asked about their energy consumption patterns in specified reform scenarios. Estimation results strongly

  19. Not just maternalism: marriage and fatherhood in American welfare policy.

    PubMed

    Geva, Dorit

    2011-01-01

    The United States' 1996 welfare reforms are often interpreted as a historical break in transitioning from supporting motherhood to commodifiying women's labor. However, this cannot account for welfare reform's emphasis upon heterosexual marriage and fatherhood promotion. The paper traces continuities and shifts in over a century of familial regulation through American welfare policy, specifying the place of marriage promotion within welfare policy. Up until 1996, families were key sites of intervention through which the American welfare state was erected, especially through single women as mothers - not wives. However, as of the 1960s, concern with African American men's "failed" familial commitments turned policymakers toward concern over marriage promotion for women and men. While marriage "disincentives" for aid recipients were lifted in the 1960s, the 1996 reforms structured a new form of nuclear family governance actively promoting marriage rooted in, but distinct from, the previous. Given the historical absence of welfare policies available to poor men, Temporary Assistance for Needy Families' (TANF) marriage promotion policies have positioned poor women as nodes connecting the state to poor men, simultaneously structuring poor women as breadwinners, mothers, and wives. Recent welfare reform has also started to target poor men directly, especially in fatherhood and marriage promotion initiatives. The article highlights how, in addition to workfare policies, marriage promotion is a neoliberal policy shifting risk to the shoulders of the poor, aiming to produce "strong families" for the purposes of social security.

  20. Welfare reform and access to family-supportive benefits in the workplace.

    PubMed

    Piotrkowski, C S; Kessler-Sklar, S

    1996-10-01

    Welfare reform has focused on the deficits of poor mothers, while ignoring inadequacies in the jobs and workplaces they will enter. This study of 2,375 pregnant women in the labor force examines the impact of job and workplace characteristics on access to workplace benefits that are important to families, while controlling statistically for women's education, marital status, and ethnicity.

  1. Los Angeles in an Era of Welfare Reform: Implications for Poor People and Community Well-being.

    ERIC Educational Resources Information Center

    Wolch, Jennifer; Sommer, Heidi

    This report, framed by the region's foremost experts on poverty, is the first comprehensive and scientifically rigorous analysis of the implications of welfare reform for the people and communities of Los Angeles (California). Direct and indirect impacts are considered. It is concluded that the number of welfare recipients in Los Angeles likely to…

  2. Corporate Welfare: The Third Stage of Welfare in the United States.

    ERIC Educational Resources Information Center

    Stoesz, David

    1986-01-01

    Corporate involvement in social welfare represents a third stage in the evolution of welfare institutions in the United States, following the voluntary sector and the welfare state. Examining health and welfare corporations reveals rapid growth and consolidation in nursing homes, hospital management, health maintenance organizations, child care,…

  3. 45 CFR 260.74 - How do existing welfare reform waivers affect the application of the Federal time-limit provisions?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 2 2014-10-01 2012-10-01 true How do existing welfare reform waivers affect the application of the Federal time-limit provisions? 260.74 Section 260.74 Public Welfare Regulations Relating to... assistance to adults; and (ii) If applicable, experimental and control group cases not otherwise exempted...

  4. 45 CFR 260.74 - How do existing welfare reform waivers affect the application of the Federal time-limit provisions?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 2 2013-10-01 2012-10-01 true How do existing welfare reform waivers affect the application of the Federal time-limit provisions? 260.74 Section 260.74 Public Welfare Regulations Relating to... assistance to adults; and (ii) If applicable, experimental and control group cases not otherwise exempted...

  5. Work and the journey to recovery: exploring the implications of welfare reform for methadone maintenance clients.

    PubMed

    Monaghan, Mark; Wincup, Emma

    2013-11-01

    An emphasis on welfare reform has been a shared concern of recent UK governments, with the project of transforming the provision of welfare gathering pace over the past six years. Replicating active labour market policies pursued across the globe, successive governments have used welfare-to-work programmes as mechanisms to address worklessness. Since 2008, problem drug users (PDUs) have been added to a list of groups for whom intervention is deemed necessary to encourage, enable, and sometimes coerce them into paid employment. This approach is underpinned by three beliefs relating to paid work: it sustains recovery, has a transformative potential and should be the primary duty of the responsible citizen. Using policy developments in the UK as a case study, the article explores the implications for methadone maintenance clients of connecting drug policy (premised on the belief that work is central to recovery) with welfare policy (which at present is preoccupied with reducing worklessness). A critical analysis of policy documents, including drug strategies, Green and White papers and welfare reform legislation, alongside a review of relevant academic literature. The 'work first' approach which underpins current labour market activation policies in the UK and elsewhere is insufficiently flexible to accommodate the diverse needs of PDUs in recovery, and is particularly particular problematic when combined with a 'social deficit' model which concentrates on individual rather than structural barriers to employability. The use of payment-by-results mechanisms to provide employment services, coupled with the use of sanctions for those who do not engage, is likely to be particularly problematic for methadone maintenance clients. Welfare reform in the UK is likely to undermine the recovery of methadone maintenance clients. Further research is urgently needed to explore its impact on this sub-group of PDUs, alongside comparative studies to determine best practice in

  6. [Proposals for health reform and equity in Uruguay: a redefinition of the Welfare State?].

    PubMed

    Mitjavila, Myriam; Fernandez, José; Moreira, Constanza

    2002-01-01

    This article reviews and analyzes health sector reform proposals in Uruguay and the possible effects of such reforms in terms of equity, the health sector's institutional structure, and the power relationship between the various actors in the process. The authors contend that a highly structured yet simultaneously fragmented system has conspired against any attempt to introduce major reforms into the system. Thus the only possibility for reform resides neither in the consolidation of the so-called Institutions for Collective Medical Care (IAMCs) nor in the move towards a residual model. Rather, Uruguay is witnessing the system's passive restructuring (i.e., reform by default). In this context and given the system's built-in inequities, the current trend is towards an even more regressive distribution of goods and services. The authors use qualitative and quantitative techniques to show that inequities in expenditure, access, and quality have resulted from long-term developments and adaptive movements of an IAMC system in fiscal stress and the public system's declining quality. Thus, in the absence of changes in state policy that redefine the actors' power or in the absence of system collapse, the country should expect this same regressive trend to deepen.

  7. Employment and Welfare Reform in the National Survey of America's Families. Discussion Papers. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies.

    ERIC Educational Resources Information Center

    Loprest, Pamela; Wissoker, Douglas

    Data from the National Survey of America's Families (NSAF) in 13 states for 1997 and 1999 was used to study how welfare reform policies, mandated by the 1996 passage of the Personal Responsibility and Work Opportunity Reconciliation Act, affected employment of single mothers with children. The states were Alabama, California, Colorado, Florida,…

  8. Welfare Time Limits: An Update on State Policies, Implementation, and Effects on Families

    ERIC Educational Resources Information Center

    Farrell, Mary; Rich, Sarah; Turner, Lesley; Seith, David; Bloom, Dan

    2008-01-01

    Time limits on benefit receipt became a central feature of federal welfare policy in the 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA). Proponents of welfare reform argued that the time limits in the Temporary Assistance for Needy Families (TANF) program, would send a firm message to recipients that welfare is…

  9. Creating New Hope: Implementation of a Program To Reduce Poverty and Reform Welfare.

    ERIC Educational Resources Information Center

    Brock, Thomas; Doolittle, Fred; Fellerath, Veronica; Greenberg, David H.; Hollister, Robinson G., Jr.; Wiseman, Michael

    The New Hope Project in Milwaukee, Wisconsin, was developed to reduce poverty and reform welfare by providing adults who are willing to work least 30 hours per week with the following: help obtaining a job, including time-limited, minimum wage community service jobs (CSJ) if full-time employment was not otherwise available; a monthly earnings…

  10. Big Cities and Welfare Reform: Early Implementation and Ethnographic Findings from the Project on Devolution and Urban Change.

    ERIC Educational Resources Information Center

    Quint, Janet; Edin, Kathryn; Buck, Maria L.; Fink, Barbara; Padilla, Yolanda C.; Simmons-Hewitt, Olis; Valmont, Mary Eustace

    This is the first report on the Project on Devolution and Urban Change, a multidisciplinary 5-year study of welfare reform in 4 large urban counties and their major cities (Cleveland, Los Angeles, Miami, and Philadelphia). It uses data from interviews and focus groups conducted with welfare agency officials and line staff, observations of…

  11. The Child Care Guarantee in Welfare Reform.

    ERIC Educational Resources Information Center

    Dixon-Jones, Lorraine A.

    This report covers the major issues that states will face during the implementation of the Family Support Act (FSA) and outlines the relevant FSA provisions. Additionally, the experiences of states that have implemented work-welfare programs with child care provisions are discussed. A general introduction and an overview of the FSA precede the…

  12. The Impact of Welfare Reform on Academic Outcomes: Does Parental Work Boost Grades? Institute for Policy Research Working Paper.

    ERIC Educational Resources Information Center

    Pareja, Amber Stitziel, Lewis, Dan A.

    The 1996 welfare reform act forced many poor parents into the labor market, with little understanding of how the parents' workforce participation would affect family life in general and their children in particular. In this paper, researchers examine the relationship between parental workforce participation, welfare receipt, and children's…

  13. Welfare reform : transportation's role in moving from welfare to work

    DOT National Transportation Integrated Search

    1998-05-01

    Transportation and welfare studies show that without adequate : transportation, welfare recipients face significant barriers in trying to move from welfare to work. These challenges are particularly acute for urban mothers receiving welfare who do no...

  14. Long-Term Implications of Welfare Reform for the Development of Adolescents and Young Adults

    PubMed Central

    Chase-Lansdale, P. Lindsay; Cherlin, Andrew J.; Guttmannova, Katarina; Fomby, Paula; Ribar, David C.; Coley, Rebekah Levine

    2011-01-01

    We draw upon the 3-wave longitudinal dataset called Welfare Children and Families: A Three-City Study to examine the long-term implications for adolescents and young adults (N=783) of mothers’ welfare receipt and labor force participation from 1999 to 2005. In general, changes in mothers’ work and welfare patterns were not associated with deterioration or improvement in youth development (ages 16 to 20 years at wave 3). The few significant associations suggested that youth whose mothers increased employment (net of welfare participation) were more likely to show declines in serious behavior problems and delinquency compared to youth whose mothers were unemployed or employed part-time during the study period. Welfare roll exits (controlling for employment experiences) were unrelated to adolescent and young adult outcomes. Mothers’ employment transitions were linked to improvements in household income and mothers’ self esteem in addition to reductions in financial strain and their own illegal activities. However, these associations did not explain the relation between maternal employment and youths’ improved behavior. These results do not support the predictions of either the supporters or the opponents of welfare reform, an outcome we discuss. PMID:21966077

  15. Images of welfare in law and society: the British welfare state in comparative perspective.

    PubMed

    Wincott, Daniel

    2011-01-01

    Designed by Beveridge and built by Attlee's post-war Labour government, the welfare state was created during the 1940s. Britain has been seen – in domestic debates and internationally – as a world first: the place where both the idea and the practice of the welfare state were invented. I draw together comparative welfare state analysis with law and society scholarship (previously largely developed in isolation from one another) – as well as using British political cartoons as a source – to develop a revisionist historical critique of this conventional wisdom. First, the British welfare state has always been comparatively parsimonious. Second, the idea of the welfare state seems to have its origins outside the United Kingdom and this terminology was adopted relatively late and with some ambivalence in public debate and scholarly analysis. Third, a large body of socio-legal scholarship shows that robust ‘welfare rights’ were never embedded in the British ‘welfare state’.

  16. Rethinking the western construction of the welfare state.

    PubMed

    Walker, A; Wong, C K

    1996-01-01

    This article employs case studies of China and Hong Kong to question the western ethnocentric construction of the welfare state that predominates in comparative social policy research. The authors argue that welfare regimes, and particularly the "welfare state," have been constructed as capitalist-democratic projects and that this has the damaging effect of excluding from analyses not only several advanced capitalist societies in the Asian-Pacific area but also the world's most populous country. If welfare state regimes can only coexist with western political democracies, then China and Hong Kong are excluded automatically. A similar result occurs if the traditional social administration approach is adopted whereby a "welfare state" is defined in terms only of direct state provision. The authors argue that such assumptions are untenable if state welfare is to be analyzed as a universal phenomenon. Instead of being trapped within an ethnocentric welfare statism, what social policy requires is a global political economy perspective that facilitates comparisons of the meaning of welfare and the state's role in producing it north, south, east and west.

  17. How Welfare Reform Can Help or Hurt Children. Children and Welfare Reform Issue Brief 1.

    ERIC Educational Resources Information Center

    Collins, Ann; Aber, J. Lawrence

    The issue brief describes the research base for the National Center for Children in Poverty's (NCCP's) framework to assess welfare changes from a children's perspective and points to lessons from current and past welfare-to-work evaluations. Many changes are now implemented in welfare policies due to new legislation titled the Personal…

  18. Welfare: Issues to Consider in Assessing Proposals for Reform. Briefing Report to the Honorable William V. Roth, Jr., United States Senate.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. Div. of Human Resources.

    This report provides an overview of research findings on major Federal welfare system design issues. The report is based on: a review of 100 major welfare studies completed since 1975; interviews with Federal, State, and local welfare officials; the results of the General Accounting Office's (GAO) welfare work; and an analysis of the Census…

  19. Marriage, Family Structure and Economic Well-Being: The Second Round of Welfare Reform. Family Review.

    ERIC Educational Resources Information Center

    Lindjord, Denise

    2002-01-01

    Notes that many from across the ideological spectrum suggest that welfare reform address policies that promote marriage and two-parent families. Discusses marriage, family structure and economic well-being, the benefits of marriage for adults and children, and low-income unwed mothers and marriage. Suggests that marriage and two-parent families…

  20. Access to jobs : a guide to innovative practices in welfare to work transportation

    DOT National Transportation Integrated Search

    1998-07-01

    This report summarizes those welfare reform transportation challenges and looks at the welfare-to-work transportation activities of several states, metropolitan planning organizations and transit agencies. In addition, it details the most pertinent r...

  1. Child Care: Current System Could Undermine Goals of Welfare Reform. United States General Accounting Office Testimony before the Subcommittee on Human Resources, Committee on Education and Labor, and Congressional Caucus for Women's Issues. House of Representatives.

    ERIC Educational Resources Information Center

    Ross, Jane L.

    This statement by the associate director of Income Security Issues of the Department of Health, Education and Human Services Division addresses the Congressional welfare reform goal of self-sufficiency for welfare mothers through employment. It analyzes the problems of the current welfare subsidy system by examining the effect of child care…

  2. Welfare reform and the health of young children: a sentinel survey in 6 US cities.

    PubMed

    Cook, John T; Frank, Deborah A; Berkowitz, Carol; Black, Maureen M; Casey, Patrick H; Cutts, Diana B; Meyers, Alan F; Zaldivar, Nieves; Skalicky, Anne; Levenson, Suzette; Heeren, Tim

    2002-07-01

    Welfare reform under the 1996 Personal Responsibility and Work Opportunity Reconciliation Act replaced entitlement to cash assistance for low-income families with Temporary Assistance to Needy Families, thereby terminating or decreasing cash support for many participants. Proponents anticipated that continued receipt of food stamps would offset the effects of cash benefit losses, although access to food stamps was also restricted. To examine associations of loss or reduction of welfare with food security and health outcomes among children aged 36 months or younger at 6 urban hospitals and clinics. A multisite retrospective cohort study with cross-sectional surveys at urban medical centers in 5 states and Washington, DC, from August 1998 through December 2000. The caregivers of 2718 children aged 36 months or younger whose households received welfare or had lost welfare through sanctions were interviewed at hospital clinics and emergency departments. Household food security status, history of hospitalization, and, for a subsample interviewed in emergency departments, whether the child was admitted to the hospital the day of the visit. After controlling for potential confounding factors, children in families whose welfare was terminated or reduced by sanctions had greater odds of being food insecure (adjusted odds ratio [AOR], 1.5; 95% confidence interval [CI], 1.1-1.9), of having been hospitalized since birth (AOR, 1.3; 95% CI, 1.0-1.7) and, for the emergency department subsample, of being admitted the day of an emergency department visit (AOR, 1.9; 95% CI, 1.2-3.0) compared with those without decreased benefits. Children in families whose welfare benefits were decreased administratively because of changes in income or expenses had greater odds of being food insecure (AOR, 1.5; 95% CI, 1.1-2.2) and of being admitted the day of an emergency department visit (AOR, 2.8; 95% CI, 1.4-5.6). Receiving food stamps does not mitigate the effects of the loss or reduction of

  3. Mandates for Collaboration: Health Care and Child Welfare Policy and Practice Reforms Create the Platform for Improved Health for Children in Foster Care.

    PubMed

    Zlotnik, Sarah; Wilson, Leigh; Scribano, Philip; Wood, Joanne N; Noonan, Kathleen

    2015-10-01

    Improving the health of children in foster care requires close collaboration between pediatrics and the child welfare system. Propelled by recent health care and child welfare policy reforms, there is a strong foundation for more accountable, collaborative models of care. Over the last 2 decades health care reforms have driven greater accountability in outcomes, access to care, and integrated services for children in foster care. Concurrently, changes in child welfare legislation have expanded the responsibility of child welfare agencies in ensuring child health. Bolstered by federal legislation, numerous jurisdictions are developing innovative cross-system workforce and payment strategies to improve health care delivery and health care outcomes for children in foster care, including: (1) hiring child welfare medical directors, (2) embedding nurses in child welfare agencies, (3) establishing specialized health care clinics, and (4) developing tailored child welfare managed care organizations. As pediatricians engage in cross-system efforts, they should keep in mind the following common elements to enhance their impact: embed staff with health expertise within child welfare settings, identify long-term sustainable funding mechanisms, and implement models for effective information sharing. Now is an opportune time for pediatricians to help strengthen health care provision for children involved with child welfare. Copyright © 2015. Published by Elsevier Inc.

  4. Mandate-Based Health Reform and the Labor Market: Evidence from the Massachusetts Reform*

    PubMed Central

    Kolstad, Jonathan T.; Kowalski, Amanda E.

    2016-01-01

    We model the labor market impact of the key provisions of the national and Massachusetts “mandate-based” health reforms: individual mandates, employer mandates, and subsidies. We characterize the compensating differential for employer-sponsored health insurance (ESHI) and the welfare impact of reform in terms of “sufficient statistics.” We compare welfare under mandate-based reform to welfare in a counterfactual world where individuals do not value ESHI. Relying on the Massachusetts reform, we find that jobs with ESHI pay $2,812 less annually, somewhat less than the cost of ESHI to employers. Accordingly, the deadweight loss of mandate-based health reform was approximately 8 percent of its potential size. PMID:27037897

  5. Do Social Policy Reforms Have Different Impacts on Employment and Welfare Use as Economic Conditions Change?

    ERIC Educational Resources Information Center

    Herbst, Chris M.

    2008-01-01

    This paper uses March Current Population Survey data from 1985 to 2004 to explore whether social policy reforms implemented throughout the 1990s have different impacts on employment and welfare use depending on economic conditions, a topic with important policy implications but which has received little attention from researchers. I find evidence…

  6. The Challenge of Compliance: Food Security in Rural Households Affected by Welfare Reform. Food Assistance Needs of the South's Vulnerable Population.

    ERIC Educational Resources Information Center

    Monroe, Pamela A.; O'Neil, Carol; Tiller, Vicky V.; Smith, Jennifer

    A study examined welfare reform and food security issues. Interviews were conducted with 32 rural Louisiana women in 1997-98 when they were receiving welfare payments, in 1998-99 when they were in transition, and in 2000-01 when none received Temporary Assistance for Needy Families (TANF). Most women were African-American; about half had not…

  7. Is Welfare Reform Responsible for Low Skilled Women's Declining Health Insurance Coverage in the 1990s?

    ERIC Educational Resources Information Center

    DeLeire, Thomas; Levine, Judith A.; Levy, Helen

    2006-01-01

    We use data from the 1989-2001 March Supplements to the Current Population Survey to determine whether welfare reform contributed to declines in health insurance coverage experienced by low-skilled women. Between 1988 and 2000, women with less than a high school education experienced an 8.0 percentage point decline in the probability of having…

  8. Fragile Families in the American Welfare State

    PubMed Central

    Garfinkel, Irwin; Zilanawala, Afshin

    2016-01-01

    The proportion of children born out of wedlock is now over 40 percent. At birth, about half of these parents are co-habiting. This paper examines data from the Fragile Families and Child Wellbeing study (N = 4,271) to describe for the first time the role of welfare state benefits in the economic lives of married, cohabiting, and single parent families with young children. Surprisingly, total welfare state benefits received by the three family types are relatively similar. Nearly half of the full incomes of fragile families come from welfare state transfers. For single parent families the proportion is slightly more than two thirds. Though aggregate welfare state transfers are approximately equal across family type and thus change very little as marital status changes, these transfers and the taxes required to finance them cushion family status changes and substantially narrow the gap in full income between married and fragile families. PMID:27114616

  9. Steps to Success: Helping Women with Alcohol and Drug Problems Move from Welfare to Work.

    ERIC Educational Resources Information Center

    Rubinstein, Gwen

    This report helps state and local decision makers understand the range of services ordinarily needed and provided in alcohol and drug treatment programs serving women and families receiving welfare and how those services support the goals of welfare reform. The model programs profiled here tend to the needs of women on welfare and their families…

  10. Longitudinal Effects of Domestic Violence on Employment and Welfare Outcomes

    ERIC Educational Resources Information Center

    Lindhorst, Taryn; Oxford, Monica; Gillmore, Mary Rogers

    2007-01-01

    This study uses longitudinal data spanning 13 years from a study of 234 adolescent mothers to evaluate the effects of cumulative domestic violence on employment and welfare use before and after welfare reform. Domestic violence increased the odds of unemployment after welfare reform, but not before; domestic violence had no effect on welfare use…

  11. The Fostering Connections to Success and Increasing Adoptions Act: Implementation Issues and a Look Ahead at Additional Child Welfare Reforms. Working Paper

    ERIC Educational Resources Information Center

    Geen, Rob

    2009-01-01

    The passage of the Fostering Connections to Success and Increasing Adoptions Act (P.L. 110-351) represents the most significant federal child welfare reform in more than a decade. While the scope and nature of the federal reforms are far reaching, the actual impact of the legislation on children will depend largely upon how it is implemented.…

  12. A Shifting Landscape: Contracting for Welfare Services in New Jersey. Rockefeller Reports.

    ERIC Educational Resources Information Center

    Roper, Richard W.

    This report explains how welfare reform in New Jersey has served as an occasion for attempts to restructure the relations between public agencies and private service providers, and that these attempts raise important questions about who will and ought to play a part in the state's welfare programs. The historical context for privatization has…

  13. Child Welfare in 25 States: An Overview.

    ERIC Educational Resources Information Center

    National Center for Child Advocacy (DHEW/OHD), Washington, DC.

    This overview presents a summary of the major findings of a 25-state survey of child welfare service delivery systems, as studied by Peat, Marwick, Mitchell & Co. in association with the Child Welfare League of America (CWLA) during the period of November 1975 through February 1976. The initial products of the survey were 25 state profiles; these…

  14. Variation in teenage mothers' experiences of child care and other components of welfare reform: selection processes and developmental consequences.

    PubMed

    Yoshikawa, H; Rosman, E A; Hsueh, J

    2001-01-01

    Developmental evaluations of the current wave of welfare reform programs present challenges with regard to (1) assessing child outcomes; (2) accounting for heterogeneity among low-income families in both baseline characteristics and involvement in self-sufficiency activities and supports, and (3) development of alternatives to experimental approaches to causal inference. This study (N = 1,079) addresses these challenges by examining effects on 4- to 6-year-old children of different patterns of child care, self-sufficiency activities, and other service utilization indicators among experimental-group mothers in a 16-site welfare reform program. Outcomes in areas of cognitive ability and behavior problems were investigated. The study identified seven subgroups of participants engaging in different patterns of service utilization and activity involvement. A two-stage simultaneous equation methodology was used to account for selection, and effects on child cognitive ability of participation in specific patterns of services and activities were found. For example, children of mothers characterized by high levels of involvement in center-based child care, education, and job training showed higher levels of cognitive ability than children of mothers in groups characterized by high involvement in center-based care and education, or center-based care and job training. In addition, children of mothers in groups with high levels of involvement in any of these activities showed higher levels of cognitive ability than those with low levels of involvement. The bulk of selection effects occurred through site-level differences, rather than family-level socio-economic status or maternal depression indicators. Implications for welfare reform program and policy concerns are discussed.

  15. The Mid-1990s Earned Income Tax Credit Expansion: EITC and Welfare Caseloads

    ERIC Educational Resources Information Center

    Lim, Younghee

    2008-01-01

    Research and policy scholars have suggested that recent welfare caseload reductions have coincided with welfare reform efforts; however, few studies have incorporated the impacts of the Earned Income Tax Credit (EITC) expansions in the 1990s. Using annual state-level administrative data, the author estimated the effects of the fully phased-in…

  16. The Welfare Reform Debate: Implications for Child Care.

    ERIC Educational Resources Information Center

    Blank, Helen

    Shifts in child care policies are on the horizon. Congress has passed landmark changes in federal welfare programs that will have a major impact on the demand for child care and require states to re-examine many of their current child care policies. This paper by the Children's Defense Fund is intended to help child care advocates understand the…

  17. Children in Single-Parent Families Living in Poverty Have Fewer Supports after Welfare Reform. IWPR Research in Brief.

    ERIC Educational Resources Information Center

    Lyter, Deanna M.; Sills, Melissa; Oh, Gi-Taik

    Since the 1996 passage of the Personal Responsibility and Work Opportunity Act (welfare reform), impoverished children in single-parent families receive less aid than under the previous system, and the most disadvantaged of these children have slipped deeper into poverty. This research brief summarizes a study that explored the economic well-being…

  18. Social Service Organizations and Welfare Reform.

    ERIC Educational Resources Information Center

    Fink, Barbara; Widom, Rebecca

    The Project on Devolution and Urban Change conducted a study to learn how new welfare policies and funding mechanisms, especially devolution and Temporary Assistance for Needy Families block grants, affect human service agencies in neighborhoods with high concentrations of welfare recipients and people living in poverty. Key personnel at 106…

  19. Measuring Performance in Child Welfare: Secondary Effects of Success.

    ERIC Educational Resources Information Center

    Usher, Charles L.; Gibbs, Deborah A.; Wildfire, Judith B.

    1999-01-01

    Draws on findings from evaluations of recent reform initiatives in Alabama, North Carolina, and Ohio to suggest that performance-measurement systems for state child-welfare programs must adapt to changing circumstances, especially when improvements in one area can influence standards and expectations in others. (Author/KB)

  20. Toward State Tax Reform: Lessons from State Tax Studies.

    ERIC Educational Resources Information Center

    McGuire, Therese J.; Rio, Jessica E.

    This paper reviews recent state tax-commission recommendations in selected states and identifies critical factors for the success of state tax-reform commissions. The paper focuses on factors linked to the process of forming a commission and generating the necessary consensus to enact tough reforms. It describes and compares comprehensive studies…

  1. Sponsored Privatization of Schooling in a Welfare State.

    ERIC Educational Resources Information Center

    Chen, Michael

    This paper examines the emergence of privatization in Israel's educational system. The first part provides an overview of the provision of educational services in a welfare state. The second part describes educational privatization in a welfare state, and the third part presents examples of two forms of privatization that have emerged in the…

  2. A perfect storm? Welfare, care, gender and generations in Uruguay.

    PubMed

    Filgueira, Fernando; Gutiérrez, Magdalena; Papadópulos, Jorge

    2011-01-01

    This article claims that welfare states modelled on a contributory basis and with a system of entitlements that assumes stable two-parent families, a traditional breadwinner model, full formal employment and a relatively young age structure are profoundly flawed in the context of present-day challenges. While this is true for affluent countries modelled on the Bismarckian type of welfare system, the costs of the status quo are even more devastating in middle-income economies with high levels of inequality. A gendered approach to welfare reform that introduces the political economy and the economy of care and unpaid work is becoming critical to confront what may very well become a perfect storm for the welfare of these nations and their peoples. Through an in-depth study of the Uruguayan case, the authors show how the decoupling of risk and protection has torn asunder the efficacy of welfare devices in the country. An ageing society that has seen a radical transformation of its family and labour market landscapes, Uruguay maintained during the 1980s and 1990s a welfare state that was essentially contributory, elderly and male-oriented, and centred on cash entitlements. This contributed to the infantilization of poverty, increased the vulnerability of women and exacerbated fiscal stress for the system as a whole. Furthermore, because of high levels of income and asset inequality, the redistribution of risk between upper- and lower-income groups presented a deeply regressive pattern. The political economy of care and welfare has begun to change in the last decade or so, bringing about mild reforms in the right direction; but these might prove to be too little and too late.

  3. The Choice Before Congress on Welfare Reauthorization: Real Jobs or Make Work? Position Paper.

    ERIC Educational Resources Information Center

    Campbell, David; Rankin, Nancy; Levitan, Mark; Waller, Margy

    Work requirements in welfare reform proposed by the George W. Bush administration would impose much tougher work requirements on welfare recipients. Seventy percent of all adults would be required to work 40 hours per week, versus the 50 percent who are required to work 30 hours per week currently. In addition, states would be given little leeway…

  4. "They Get You out of Courage:" Persistent Deep Poverty among Former Welfare-Reliant Women

    ERIC Educational Resources Information Center

    Blalock, Lydia L.; Tiller, Vicky R.; Monroe, Pamel A.

    2004-01-01

    We looked closely at families who remain in persistent deep poverty in the remote rural areas of one state, using welfare reform as the contextual backdrop. We examined the lives of 10 women who have participated in this qualitative research for over 6 years. The woman heading each family was a welfare program participant; she engaged (more or…

  5. A Review of the Major Issues and Problems of Welfare Reform; A Background Paper Developed for the Community Services Administration.

    ERIC Educational Resources Information Center

    Technical Assistance Research Programs, Inc., Washington, DC.

    This background paper was developed for the Community Services Administration (CSA) in order to provide background information concerning welfare reform. It examines possible public assistance strategies, such as the following: (1) broad-based cash transfer (negative income tax, wage rate subsidies, demogrants, and family allowances), (2)…

  6. Positive animal welfare states and reference standards for welfare assessment.

    PubMed

    Mellor, D J

    2015-01-01

    Developments in affective neuroscience and behavioural science during the last 10-15 years have together made it increasingly apparent that sentient animals are potentially much more sensitive to their environmental and social circumstances than was previously thought to be the case. It therefore seems likely that both the range and magnitude of welfare trade-offs that occur when animals are managed for human purposes have been underestimated even when minimalistic but arguably well-intentioned attempts have been made to maintain high levels of welfare. In light of these neuroscience-supported behaviour-based insights, the present review considers the extent to which the use of currently available reference standards might draw attention to these previously neglected areas of concern. It is concluded that the natural living orientation cannot provide an all-embracing or definitive welfare benchmark because of its primary focus on behavioural freedom. However assessments of this type, supported by neuroscience insights into behavioural motivation, may now carry greater weight when used to identify management practices that should be avoided, discontinued or substantially modified. Using currently accepted baseline standards as welfare reference points may result in small changes being accorded greater significance than would be the case if they were compared with higher standards, and this could slow the progress towards better levels of welfare. On the other hand, using "what animals want" as a reference standard has the appeal of focusing on the specific resources or conditions the animals would choose themselves and can potentially improve their welfare more quickly than the approach of making small increments above baseline standards. It is concluded that the cautious use of these approaches in different combinations could lead to recommendations that would more effectively promote positive welfare states in hitherto neglected areas of concern.

  7. Beyond welfare reform: reframing undocumented immigrants' entitlement to health care in the United States, a critical review.

    PubMed

    Viladrich, Anahí

    2012-03-01

    This article addresses the main scholarly frames that supported the deservingness of unauthorized immigrants to health benefits in the United States (U.S.) following the passage of the Personal Responsibility Work Opportunity Reconciliation Act (PRWORA), known as the Welfare Reform bill, in 1996. Based on a critical literature review, conducted between January 1997 and March 2011, this article begins with an analysis of the public health rhetorics that endorsed immigrants' inclusion into the U.S. health safety net. In this vein, the "cost-saving" and "the effortful immigrant" frames underscore immigrants' contributions to society vis-à-vis their low utilization of health services. These are complemented by a "surveillance" account that claims to protect the American public from communicable diseases. A "maternalistic" frame is also discussed as a tool to safeguard families, and particularly immigrant mothers, in their roles as bearers and caretakers of their American-born children. The analyses of the "chilling" and the "injustice" frames are then introduced to underscore major anthropological contributions to the formulation of counter-mainstream discourses on immigrants' selective inclusion into the U.S. health care system. First, the "chilling effect," defined as the voluntary withdrawal from health benefits, is examined in light of unauthorized immigrants' internalized feelings of undeservingness. Second, an "injustice" narrative highlights both the contributions and the limitations of a social justice paradigm, which advocated for the restoration of government benefits to elderly immigrants and refugees after the passage of PRWORA. By analyzing the contradictions among all these diverse frames, this paper finally reflects on the conceptual challenges faced by medical anthropology, and the social sciences at large, in advancing health equity and human rights paradigms. Copyright © 2011 Elsevier Ltd. All rights reserved.

  8. Deterioration of Child Welfare Families under Conditions of Welfare Reform. JCPR Working Paper.

    ERIC Educational Resources Information Center

    Wells, Kathleen; Guo, Shenyang; Shafran, Robert D.; Pearlmutter, Susan

    At the time the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (P. L. 104-193) was being debated, some child welfare advocates raised the concern that its effect on families at high risk of involvement in the child welfare system or on families already involved in the child welfare system would be negative. As the debate…

  9. Welfare: Reform or Replacement? (Child Support Enforcement---II). Hearing before the Subcommittee on Social Security and Family Policy of the Committee on Finance. United States Senate, One Hundredth Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Finance.

    This transcript is from the third in a series of hearings before the Senate Subcommittee on Social Security and Family Policy focusing on whether the present welfare system should be reformed or replaced. A series of public officials, child and family advocates, and other interested parties testified on the issue of enforcement of child support…

  10. Young physicians and the Finnish welfare state.

    PubMed

    Saarinen, Arttu

    2009-01-01

    This article aims to focus on how young physicians in general and different subpopulations, in particular, see the role of the welfare state. The author seeks to compare young physicians' opinions with those of older physicians, a similar age group in the general population and all physicians. A random sample was picked from the Finnish Medical Association register (n = 1,092). Data were analysed using descriptive statistics and multinomial logistic regression analysis. Results show that young physicians--when compared with an overall population of the same age, with physicians overall, or with older physicians--are more critical of the degree of social security currently offered. Young physicians also want to give more responsibility to the private sector than do older physicians. On the other hand, young physicians are not very critical of healthcare system functionality. All in all, young physicians' opinions about the welfare state are not particularly radical. Results indicate that physicians' opinions about the welfare state will not change dramatically in the near future. Views on social security, healthcare system functionality and the role of the private sector correlate best with political orientation. There are some studies about physicians' attitudes towards the welfare state, but the opinions of young physicians have not been studied in countries with large social security systems. The paper addresses this gap because it is important to study young physicians' opinions because future services will be structured on them.

  11. Welfare Reform and Community Colleges: A Policy and Research Context. MDRC Working Paper.

    ERIC Educational Resources Information Center

    Brock, Thomas; Matus-Grossman, Lisa; Hamilton, Gayle

    This paper reports on the state of welfare after the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) passed by Congress in 1996. The National Evaluation of Welfare-to-Work Strategies (NEWWS) is a federally initiated study that explores the questions of what works best and for whom. NEWWS evaluated seven areas across the…

  12. Welfare Reform when Recipients Are Forward-Looking

    ERIC Educational Resources Information Center

    Swann, Christopher A.

    2005-01-01

    By studying recipients of aid under the Temporary Assistance for Needy Families (TANF) welfare scheme, the effect of time limits of welfare schemes on forward looking recipients is assessed using a discrete-choice dynamic programming framework model. The policy simulations for the preferred specification of utility reveal that two year time limits…

  13. Animal emotions, behaviour and the promotion of positive welfare states.

    PubMed

    Mellor, D J

    2012-01-01

    This paper presents a rationale that may significantly boost the drive to promote positive welfare states in animals. The rationale is based largely, but not exclusively, on an experimentally supported neuropsychological understanding of relationships between emotions and behaviour, an understanding that has not yet been incorporated into animal welfare science thinking. Reference is made to major elements of the neural/cognitive foundations of motivational drives that energise and direct particular behaviours and their related subjective or emotional experiences. These experiences are generated in part by sensory inputs that reflect the animal's internal functional state and by neural processing linked to the animal's perception of its external circumstances. The integrated subjective or emotional outcome of these inputs corresponds to the animal's welfare status. The internally generated subjective experiences represent motivational urges or drives that are predominantly negative and include breathlessness, thirst, hunger and pain. They are generated by, and elicit specific behaviours designed to correct, imbalances in the animal's internal functional state. Externally generated subjective experiences are said to be integral to the operation of interacting 'action-orientated systems' that give rise to particular behaviours and their negative or positive emotional contents. These action-orientated systems, described in neuropsychological terms, give rise to negative emotions that include fear, anger and panic, and positive emotions that include comfort, vitality, euphoria and playfulness. It is argued that early thinking about animal welfare management focused mainly on minimising disturbances to the internal functional states that generate associated unpleasant motivational urges or drives. This strategy produced animal welfare benefits, but at best it could only lift a poor net welfare status to a neutral one. In contrast, strategies designed to manipulate the

  14. Women's Political Representation and Welfare State Spending in 12 Capitalist Democracies

    ERIC Educational Resources Information Center

    Bolzendahl, Catherine; Brooks, Clem

    2007-01-01

    One of the sharpest criticisms of welfare state research is insufficient attention to factors relating to gender relations and inequalities. Recent scholarship has begun to address welfare state effects on gender-related outcomes, but the evaluation of theories of welfare development with respect to gender factors is somewhat less developed,…

  15. Welfare Reform. Hearings on S. 869, S. 1001, S. 1511, before the Committee on Finance. United States Senate, One Hundredth Congress, First Session (October 14 and 28, 1987). Part 2 of 3.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Finance.

    This series of hearings, the second of three on welfare reform, focuses on the following legislation: (1) the Family Security Act (S. 1511); (2) child support enforcement bills (S. 1001 and S. 869); and (3) the Aid to Families with Dependent Children Employment and Training Reorganization Act. Among the speakers and witnesses were the following:…

  16. Reforming the reform: the Greek National Health System in transition.

    PubMed

    Tountas, Yannis; Karnaki, Panagiota; Pavi, Elpida

    2002-10-01

    The National Health System (ESY) in Greece, which was established in 1983, is in a state of continuous crisis. This situation is caused mainly by the system's problematic administration, low productivity and inadequate Primary Health Care. These have led the re-elected PASOK government to introduce by the end of 2000 a radical reform of the health system. The 200 reform measures announced by the new Minister of Health and Welfare include changes aiming at: the decentralization of the ESY, the creation of a unified financing system for the social insurance funds, a new management structure in public hospitals, the organization of a Primary Health System in urban areas, and the strengthening of Public Health and Health Promotion. These changes are presented and discussed in this paper.

  17. School Inequality and the Welfare State.

    ERIC Educational Resources Information Center

    Owen, John D.

    This book begins with an examination of school inequality in the United States. The discussion focuses successively on the issues of: the paradox of unequal schools in a welfare state, the distribution of educational resources in American cities: some new empirical evidence, inequalities in the allocation of educational resources among cities and…

  18. Recent State Education Reform in the United States: Looking Backward and Forward.

    ERIC Educational Resources Information Center

    Kirst, Michael W.

    1988-01-01

    Reviews the past progress and outcomes of the educational reform movement at the state level and outlines strategies for the second wave of reform. Contends that the future of education reform depends primarily on the growth of the American economy and how this growth is distributed among the states. (TE)

  19. Is globalization undermining the welfare state? The evolution of the welfare state in developed capitalist countries during the 1990s.

    PubMed

    Navarro, Vicente; Schmitt, John; Astudillo, Javier

    2004-01-01

    The authors analyze the evolution of macro-indicators of social and economic well-being during the 1990s in the majority of developed capitalist countries, grouped according to their dominant political traditions since the end of World War II. Their analysis shows that, despite the economic globalization of commerce and finance, "politics still matters" in explaining the evolution of the welfare states and labor markets in these countries; the impact of the globalization of financial capital in forcing reductions in the financial resources available for welfare state purposes has been exaggerated.

  20. Experiences with Health Insurance and Health Care in the Context of Welfare Reform.

    PubMed

    Narain, Kimberly Danae; Katz, Marian Lisa

    2016-11-20

    Studies have shown that in the wake of welfare reform there has been a drop in the health insurance coverage and health care utilization of low-income mothers. Using data from 20 telephone interviews, this study explored the health insurance and health care experiences of current and former welfare participants living in Los Angeles County. This study found that half of these women had been uninsured at some point. Many of these lapses in health insurance coverage were linked to employment transitions and lack of knowledge regarding eligibility for different safety net programs. This study also found that satisfaction with access to health care was high among the insured respondents; however, barriers to care remained for many individuals, including appointment scheduling issues, limited scope of health insurance coverage, narrow provider networks, lack of care continuity, and perceived low quality of care. Better linkages between social programs assisting with health insurance coverage and improved knowledge among program clients may reduce health insurance cycling in this group. New rules for Medicaid managed care, currently being considered by the Centers for Medicare and Medicaid Services, have the potential to improve access to health care and the quality of care for these individuals. © 2016 National Association of Social Workers.

  1. Across the Great Divide. From a Welfare State to a New Market State: The Case of VET

    ERIC Educational Resources Information Center

    Ainley, Patrick

    2007-01-01

    This paper revisits the crucial period following the Arab oil boycott of 1973, when the welfare state in the UK finally collapsed along with the heavy industrial base upon which it rested. Unlike the post-war welfare-state "settlement", the new post-welfare market state was imposed by Margaret Thatcher's governments. It was marked for…

  2. 76 FR 9788 - Notice of Allotment Percentages to States for Child Welfare Services State Grants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... Allotment Percentages to States for Child Welfare Services State Grants AGENCY: Administration on Children... subpart 1, Child Welfare Services State Grants Program (CFDA No. 93.645). Originally published on November... 423(c) of the Social Security Act (42 U.S.C. 623(c)), the Department is publishing the allotment...

  3. Child Welfare: Most States Are Developing Statewide Information Systems, but Reliability of Child Welfare Data Could Be Improved.

    ERIC Educational Resources Information Center

    Pietrowiak, Diana; Schibanoff, Sara L.

    To better monitor children and families served by state child welfare agencies, Congress authorized matching funds for the development of statewide automatic child welfare information systems (SACWIS) and required that U.S. Department of Health and Human Services (HHS) compile information on children served by state agencies. This report to…

  4. 75 FR 71710 - Notice of Allotment Percentages to States for Child Welfare Services State Grants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-24

    ... Allotment Percentages to States for Child Welfare Services State Grants AGENCY: Administration on Children... Welfare Services State Grants Program (CFDA No. 93.645). SUMMARY: As required by section 423(c) of the Social Security Act (42 U.S.C. 623(c)), the Department is publishing the allotment percentage for each...

  5. 77 FR 69629 - Notice of Allotment Percentages to States for Child Welfare Services State Grants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-20

    ... Allotment Percentages to States for Child Welfare Services State Grants AGENCY: Administration on Children... Welfare Services State Grants Program (CFDA No. 93.645). SUMMARY: As required by section 423(c) of the Social Security Act (42 U.S.C. 623(c)), the Department is publishing the allotment percentage for each...

  6. Improving Child Welfare Agency Performance through Fiscal Reforms: An Assessment of Recent Proposals. JCPR Working Paper.

    ERIC Educational Resources Information Center

    Geen, Rob

    In state fiscal year (SFY) 2000, states expended at least $20 billion on child welfare services, 20 percent more than in SFY 1998. This increase occurred despite the fact that the number of children reported as abused and neglected and the number of children in foster care declined. This suggests that not only are child welfare agencies spending…

  7. Family Policy: Recommendations for State Action.

    ERIC Educational Resources Information Center

    Romig, Candace L., Ed.

    This publication on family policy reviews federal and state policies and offers recommendations for state action. Initial discussion covers changes in the American family, demographics, and the economy. Issues of family maintenance considered include: family welfare policy and welfare reform; child abuse and neglect; alternatives to out-of-home…

  8. 45 CFR 147.103 - State reporting.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false State reporting. 147.103 Section 147.103 Public Welfare Department of Health and Human Services REQUIREMENTS RELATING TO HEALTH CARE ACCESS HEALTH INSURANCE REFORM REQUIREMENTS FOR THE GROUP AND INDIVIDUAL HEALTH INSURANCE MARKETS § 147.103 State...

  9. 45 CFR 147.103 - State reporting.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false State reporting. 147.103 Section 147.103 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS HEALTH INSURANCE REFORM REQUIREMENTS FOR THE GROUP AND INDIVIDUAL HEALTH INSURANCE MARKETS § 147.103 State...

  10. Care work in changing welfare states: Nordic care workers' experiences.

    PubMed

    Trydegård, Gun-Britt

    2012-06-01

    This article focuses on Nordic eldercare workers and their experiences of working conditions in times of change and reorganisation. In recent years New Public Management-inspired ideas have been introduced to increase efficiency and productivity in welfare services. These reforms have also had an impact on day-to-day care work, which has become increasingly standardized and set out in detailed contracts, leading to time-pressure and an undermining of care workers' professional discretion and autonomy. The empirical data comes from a survey of unionised eldercare workers in home care and residential care in Denmark, Finland, Norway and Sweden ( N  = 2583) and was analysed by bi- and multi-variate methods. The care workers reported that they found their working conditions physically and mentally arduous. They had to a great extent experienced changes for the worse in terms of working conditions and in their opportunity to provide good quality care. In addition, the majority felt they did not receive support from their managers. An alarming finding was that one out of three care workers declared that they had seriously considered quitting their jobs. Care workers with multiple problems at work were much more likely to consider quitting, and the likelihood was increasing with the number of problems reported. Furthermore, care workers lacking support from their managers had double odds of wanting to quit. The Nordic welfare states with growing older populations are facing challenges in retaining care staff in the eldercare services and ensuring they have good working conditions and support in their demanding work.

  11. Depression and Welfare Reform: From Barriers to Inclusion

    ERIC Educational Resources Information Center

    Lewis, Dan A.; Lee, Bong Joo; Altenbernd, Lisa M.

    2006-01-01

    The authors identify ways to facilitate work among current and recent welfare recipients with mental illness. Their analysis assesses the relationship between a particular mental illness, depression, and labor force involvement in a statewide sample of welfare recipients, identifies the factors that promote work for those with depression, and…

  12. Challenging the neoliberal trend: the Venezuelan health care reform alternative.

    PubMed

    Muntaner, Carles; Salazar, René M Guerra; Rueda, Sergio; Armada, Francisco

    2006-01-01

    Throughout the 1990s, all Latin American countries but Cuba implemented to varying degrees health care sector reforms underpinned by a neoliberal paradigm that redefined health care as less of a social right and more of a market commodity. These health care sector reforms were couched in the broader structural adjustment of Latin American welfare states prescribed consistently by international financial institutions since the mid-1980s. However, since 2003, Venezuela has been developing an alternative to this neoliberal trend through its health care reform program called Misión Barrio Adentro (Inside the Neighbourhood). In this article, we introduce Misión Barrio Adentro in its historical, political, and economic contexts. We begin by analyzing Latin American neoliberal health sector reforms in their political economic context, with a focus on Venezuela. The analysis reveals that the major beneficiaries of both broader structural adjustment of Latin American welfare states and neoliberal health reforms have been transnational capital interests and domestic Latin American elites. We then provide a detailed description of Misión Barrio Adentro as a challenge to neoliberalism in health care in its political economic context, noting the role played in its development by popular resistance to neoliberalism and the unique international cooperation model upon which it is based. Finally, we suggest that the Venezuelan experience may offer valuable lessons not only to other low- to middle-income countries, but also to countries such as Canada.

  13. [Welfare State and public health: a relationship that needs to be updated].

    PubMed

    Benavides, Fernando G; Delclós, Jordi; Serra, Consol

    Human health has improved throughout the 20th century, at the same time that the Welfare State was consolidated. This paper explores the current relationship between the welfare state and public health. The essential functions of public health are exercised as part of the State, and currently the main challenge is to ensure that health is protected and promoted through different public policies, including employment. Studies assessing the health effect of different types of welfare state are contradictory, but when the impact of specific policies, such as unemployment benefits, is considered, the results are positive and consistent. However, the current crisis of the Welfare State hampers its continuity, largely due to changes in the labour market, with more flexible and insecure jobs. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  14. Cruise ships and kayaks: welfare and rehabilitation approaches for women with disabilities in poverty.

    PubMed

    Foley, Susan M; Marrone, Joseph; Simon, Mia

    2002-01-01

    Women with disabilities have low employment rates and about one-third live in poverty. They represent half of the population using either services of the vocational rehabilitation (VR) system or the welfare system, and many use both. Although both systems have made gains in improving their employment status, neither comprehensively addresses the needs of this population. Welfare policy has encouraged state level innovation and moved large numbers of people into employment in as little as five years. State welfare agencies offer a range of services specifically addressing the needs of families with children. VR agencies have decades of specific experience assisting people with disabilities gain employment. Welfare reform has been the cruise ship moving large numbers of people across an ocean. VR agencies have been the kayak builders designing specialized small craft to move specific people along tributaries. What can they learn from each other? Copyright 2002 John Wiley & Sons, Ltd.

  15. Enhancing and Well-Being of Young Children and Families in the Context of Welfare Reform: Lessons from Early Childhood, TANF, and Family Support Programs.

    ERIC Educational Resources Information Center

    Knitzer, Jane; Cauthen, Nancy K.

    This report presents findings about emerging approaches to enhance the well-being of young children and families in the context of welfare reform. Information on programs and initiatives was obtained from nomination forms sent to over 300 key informants, including child care officials, Head Start collaboration directors, governors' early childhood…

  16. From Welfare to Work: The Transition of an Illiterate Population.

    ERIC Educational Resources Information Center

    Employment Policies Inst., Washington, DC.

    With welfare reform now a reality, policy makers and employers must grapple with the employment impediments that keep much of the welfare population out of the work force. The foremost problem is illiteracy. One-third of welfare recipients are functionally illiterate; another third possesses only marginally better reading skills, still unable to…

  17. Challenges to promoting health in the modern welfare state: the case of the Nordic nations.

    PubMed

    Raphael, Dennis

    2014-02-01

    Finland, Norway, and Sweden are leaders in promoting health through public policy action. Much of this has to do with the close correspondence between key health promotion concepts and elements of the Nordic welfare state that promote equity through universalist strategies and programs that provide citizens with economic and social security. The purpose of this article is to identify the threats to the Nordic welfare states related to immigration, economic globalization, and welfare state fatigue. Through a critical analysis of relevant literature and data this article provides evidence of the state of the Nordic welfare state and some of these challenges to the Nordic welfare state and its health promotion efforts. There is evidence of declining support for the unconditional Nordic welfare state, increases in income inequality and poverty, and a weakening of the programs and supports that have associated with the excellent health profile of the Nordic nations. This is especially the case for Sweden. It is argued that the Nordic welfare states' accomplishments must be celebrated and used as a basis for maintaining the public policies shown to be successful in promoting the health of its citizens.

  18. Expansion and retrenchment of the Swedish welfare state: a long-term approach.

    PubMed

    Buendía, Luis

    2015-01-01

    In this article, we will undertake a long-term analysis of the evolution of the Swedish welfare state, seeking to explain that evolution through the use of a systemic approach. That is, our approach will consider the interrelations between economic growth (EG), the sociopolitical institutional framework (IF), and the welfare state (WS)-understood as a set of institutions embracing the labor market and its regulation, the tax system, and the so-called social wage-in order to find the main variables that elucidate its evolution. We will show that the expansive phase of the Swedish welfare state can be explained by the symbiotic relationships developed in the WS-EG-IF interaction, whereas the period of welfare state retrenchment is one result of changes operating within the sociopolitical IF and EG bases. © The Author(s) 2015 Reprints and permissions:]br]sagepub.co.uk/journalsPermissions.nav.

  19. Employment as a "Solution" to Welfare: Challenges over the Next Ten Years.

    ERIC Educational Resources Information Center

    Bartik, Timothy J.

    2000-01-01

    Recent reforms assume that welfare recipients can achieve employment if welfare agencies just give them a "push". Over the next ten years, the "employment solution" to welfare faces the following three challenges: (1) employing all employable welfare recipients; (2) helping them get and keep good jobs; and (3) reconstructing a…

  20. State 'laboratories' test health care reform solutions.

    PubMed

    Elliott, B A

    1993-02-01

    Widely recognized by the states as a pressing policy issue, health care reform appears to have moved up on the national policy agenda as well. President Clinton has promised to address the issue during his first 100 days in office. Previously, however, the federal government has been deadlocked on health care reform, leaving the states to become the laboratories for developing and testing proposed solutions to our health care crisis. By passing MinnesotaCare in last year's legislative session, Minnesota joined the growing number of states attempting to provide access to affordable, quality health care to their citizens.

  1. Welfare Reform in a Hard Place: The West Virginia Experience. Rockefeller Report.

    ERIC Educational Resources Information Center

    Plein, L. Christopher

    Structured work and training activities for welfare recipients in West Virginia began in 1962 when the state's entire caseload of two-parent families receiving Aid to Families with Dependent Children was enrolled in mandatory work and training activities. In 1980s-1990s, the Community Work Experience Program became an important tool in…

  2. Do training programs help AFDC recipients leave the welfare rolls? An evaluation of New York City's BEGIN (Begin Employment Gain Independence Now) program.

    PubMed

    Angelo, L; March, J A

    1997-01-01

    Guided by the Federal Family Support Act of 1988 and the Job Opportunity and Basic Skills Program (JOBS), welfare reform initiatives on state and local levels were designed to foster employability among the public assistance population. Reform has focused on enhancing the supply of labor rather than the demand for labor as a route to labor force participation for the public assistance population. Program reforms assume that, by providing job training, educational services, and training-related expenses, labor market entry of the participating clientele would be facilitated while caseloads and public expenditures would decline. To date, analysis of similar programs in many states indicates that the impact of such programs in reducing public assistance caseloads is marginal. In New York City, despite the large investment of public funds in such programs, prior to this study the outcome of program implementation remained largely unknown. This study evaluates New York City's BEGIN program outcome target defined as the ability of the program to move welfare clients off public assistance and into the labor market. While the results of the study indicate that New York City's BEGIN program does not improve client's odds of leaving welfare, when compared to the odds of a non-participation client, there are several significant findings. The impact of program participation can be distinguished among distinct age groups. While older clients responded positively to BEGIN participation, access to day care was the only factor that significantly improved the probability that clients younger than 36 years of age would leave the welfare rolls within a two-year period. In response to the findings, the researchers suggest that future welfare reform efforts should grant localities broader flexibility to determine their own target population so that resources can be allocated to those groups that are most likely to benefit from specific programs.

  3. Nonmetro Labor Markets in the Era of Welfare Reform.

    ERIC Educational Resources Information Center

    Gibbs, Robert

    2001-01-01

    Rural job growth remains behind that of metro areas, hindering efforts to move welfare recipients into successful employment. Those most in need of public assistance have less education, lower earnings, and higher unemployment than average. Welfare recipients are concentrated in rural areas marked by chronic economic distress and low-skilled,…

  4. Welfare Reform. Hearing before the Subcommittee on Human Resources of the Committee on Ways and Means. House of Representatives, One Hundred Seventh Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Ways and Means.

    This report presents the testimony and submissions presented at one of a series of hearings on welfare reform and reauthorization of the Temporary Assistance for Needy Families (TANF) program. The statement by Cynthia M. Fagnoni, managing director of education, workforce, and income security issues at the U.S. General Accounting Office, assesses…

  5. The Role of European Welfare States in Explaining Resources Deprivation

    ERIC Educational Resources Information Center

    Muffels, Ruud; Fouarge, Didier

    2004-01-01

    In a previous paper in this journal (Headey et al., 2000) a comparison was made between three so-called 'best cases' of welfare regime types, the 'Liberal' US, 'the 'Corporatist' Germany and the 'Social-Democratic' Netherlands. The main conclusion was that the Social-Democratic welfare state performed best on nearly all social and economic…

  6. The Welfare State and Relative Poverty in Rich Western Democracies, 1967-1997

    ERIC Educational Resources Information Center

    Brady, David

    2005-01-01

    This study investigates the relationship between the welfare state and poverty with multiple measures of the welfare state and poverty in an unbalanced panel of 18 Western nations from 1967 to 1997. While addressing the limitations of past research, the analysis shows that social security transfers and public health spending significantly reduce…

  7. The Impact of State Tort Reforms on Imaging Utilization.

    PubMed

    Li, Suhui; Dor, Avi; Deyo, Darwyyn; Hughes, Danny R

    2017-02-01

    Defensive medicine, broadly defined as medical practices that protect physicians from malpractice lawsuits without providing benefits to patients, can lead to wasteful use of health care resources and higher cost. Although physicians cite malpractice liability as an important factor driving their decisions to order imaging tests, little research has been done to examine the systematic impact of liability pressure on overall imaging. The authors examined the extent to which radiography use is influenced by malpractice liability pressure among office-based physicians. Using National Ambulatory Medical Care Survey data from 1999 to 2010, the authors used multivariate difference-in-difference logistic regression to examine the effects of different types of state tort reforms on the probability of radiography orders by primary care physicians (PCPs) and specialists. The probability that a PCP ordered radiography decreased when states enacted permanent caps on noneconomic damages (-1.0%, P < .01), periodic payment reforms (-1.6%, P < .05), and the total number of tort reforms (-0.5%, P < .05). Specialist physicians were responsive to two reforms: caps on punitive damages (-6.1%, P < .01) and the total number of medical tort laws (-1.2%, P < .01). The passage of new indirect reforms was found to reduce radiography orders for PCPs (-1.8%, P < .05), and the repeal of indirect reforms was found to increase radiography orders for specialists (+3.4%, P < .01). State tort reform seems to reduce physicians' ordering of radiography. This analysis also suggests that reforms that make it harder to sue physicians have a stronger impact than reforms that directly reduce physicians' malpractice claim payments. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  8. The Impact of Cuban Economic Reform on Older Persons.

    PubMed

    Strug, David L

    2017-03-01

    This paper discusses the economic reforms initiated by Cuban President Raúl Castro in 2008 and its effect on the country's fast-growing, vulnerable population of older persons 60+ years of age. Cubans are living longer and the country has a very low birthrate. These two factors combined have reduced the proportion of the population in the work force. This adversely affects the economy. Population aging is a major reason why the government has introduced structural reforms and reduced social spending, which have weakened the welfare state on which older persons depend. Many older persons have become critical of the reforms over time. Policy makers need to address the impact the reforms are having on older Cubans and consider them as active participants in economic reform. Data for this paper come from qualitative, case study research carried out in Havana between the years 2008-15 and from a review of the literature on aging and economic reforms in Cuba. Two case studies illustrate the impact of the economic reforms on older persons.

  9. Oral health and welfare state regimes: a cross-national analysis of European countries

    PubMed Central

    Guarnizo-Herreño, Carol C; Tsakos, Georgios; Sheiham, Aubrey; Watt, Richard G

    2013-01-01

    Very little is known about the potential relationship between welfare state regimes and oral health. This study assessed the oral health of adults in a range of European countries clustered by welfare regimes according to Ferrera's typology and the complementary Eastern type. We analysed data from Eurobarometer wave 72.3, a cross-sectional survey of 31 European countries carried out in 2009. We evaluated three self-reported oral health outcomes: edentulousness, no functional dentition (<20 natural teeth), and oral impacts on daily living. Age-standardized prevalence rates were estimated for each country and for each welfare state regime. The Scandinavian regime showed lower prevalence rates for all outcomes. For edentulousness and no functional dentition, there were higher prevalence rates in the Eastern regime but no significant differences between Anglo-Saxon, Bismarckian, and Southern regimes. The Southern regime presented a higher prevalence of oral impacts on daily living. Results by country indicated that Sweden had the lowest prevalences for edentulousness and no functional dentition, and Denmark had the lowest prevalence for oral impacts. The results suggest that Scandinavian welfare states, with more redistributive and universal welfare policies, had better population oral health. Future research should provide further insights about the potential mechanisms through which welfare-state regimes would influence oral health. PMID:23659239

  10. Linking Welfare Recipients to Jobs: The Role of Temporary Help Agencies.

    ERIC Educational Resources Information Center

    Bugarin, Alicia

    Successful welfare reform requires quickly moving welfare recipients into jobs. Components to this challenge include the following: a poor fit between where jobs are located and where many welfare recipients live; recipients who lack experience and skills and do not know how to seek, find, or qualify for jobs; childcare and transportation needs;…

  11. Do Family Caps on Welfare Affect Births among Welfare Recipients? Reconciling Efficacy and Effectiveness Estimates of Impact through a Blended Design Strategy

    ERIC Educational Resources Information Center

    Jagannathan, Radha; Camasso, Michael J.; Killingsworth, Mark R.

    2004-01-01

    This paper proposes a blended experimental and quasi-experimental research strategy which we believe will help improve the external validity of evaluations of welfare reform and other social policies. We draw upon data from New Jersey's imposition of a family cap, where welfare benefits instead of increasing remained the same for women who…

  12. Child Welfare Workplace: The State of the Workforce and Strategies to Improve Retention

    ERIC Educational Resources Information Center

    Scannapieco, Maria; Connell-Carrick, Kelli

    2007-01-01

    Child welfare systems throughout the United States are being closely scrutinized as sensational cases appear in the media in nearly every state. At the federal level, with the Child and Family Service Review process, the government is documenting that states across the country are not conforming to federal child welfare requirements (DHHS, 2007)…

  13. Patent reform in the United States.

    PubMed

    Mills, Ann; Tereskerz, Patti

    2010-01-01

    The recent financial meltdown has muted the patent reform debate in the United States. But given that President Obama, as well as many members of Congress, support patent reform, we expect the debate to resurface. In this essay, we look carefully at reports from three prestigious organizations which have been enormously influential in the debate. We examine the empirical basis contained in these reports upon which proposed legislative changes are based. We conclude that the empirical data being used to justify the need for reform either has serious methodological limitations or is non-existent.  Moreover, we review recent court decisions which have already altered the patent environment calling into further question whether the limited data that exists is still applicable. The effect of these recent decisions has not been adequately evaluated or assessed. Thus, we recommend other empirical studies are needed to inform public policy as to whether patent reform is necessary.

  14. Oral health and welfare state regimes: a cross-national analysis of European countries.

    PubMed

    Guarnizo-Herreño, Carol C; Tsakos, Georgios; Sheiham, Aubrey; Watt, Richard G

    2013-06-01

    Very little is known about the potential relationship between welfare state regimes and oral health. This study assessed the oral health of adults in a range of European countries clustered by welfare regimes according to Ferrera's typology and the complementary Eastern type. We analysed data from Eurobarometer wave 72.3, a cross-sectional survey of 31 European countries carried out in 2009. We evaluated three self-reported oral health outcomes: edentulousness, no functional dentition (<20 natural teeth), and oral impacts on daily living. Age-standardized prevalence rates were estimated for each country and for each welfare state regime. The Scandinavian regime showed lower prevalence rates for all outcomes. For edentulousness and no functional dentition, there were higher prevalence rates in the Eastern regime but no significant differences between Anglo-Saxon, Bismarckian, and Southern regimes. The Southern regime presented a higher prevalence of oral impacts on daily living. Results by country indicated that Sweden had the lowest prevalences for edentulousness and no functional dentition, and Denmark had the lowest prevalence for oral impacts. The results suggest that Scandinavian welfare states, with more redistributive and universal welfare policies, had better population oral health. Future research should provide further insights about the potential mechanisms through which welfare-state regimes would influence oral health. © 2013 Eur J Oral Sci.

  15. Linking Welfare and Education. A Study of New Programs in Five States. Papers for Practitioners.

    ERIC Educational Resources Information Center

    Pauly, Edward; And Others

    A study aimed to provide education and welfare officials with information on the experiences of welfare/education programs as they had been implemented in five states. The states (California, Florida, Ohio, Oklahoma, and Wisconsin) represented a range of noteworthy approaches to providing education to welfare recipients, including some dramatic…

  16. State tort reforms and hospital malpractice costs.

    PubMed

    Ellington, Charles R; Dodoo, Martey; Phillips, Robert; Szabat, Ronald; Green, Larry; Bullock, Kim

    2010-01-01

    This study explored the relation between state medical liability reform measures, hospital malpractice costs, and hospital solvency. It suggests that state malpractice caps are desirable but not essential for improved hospital financial solvency or viability.

  17. The Impact of State Medical Malpractice Reform on Individual-Level Health Care Expenditures.

    PubMed

    Yu, Hao; Greenberg, Michael; Haviland, Amelia

    2017-12-01

    Past studies of the impact of state-level medical malpractice reforms on health spending produced mixed findings. Particularly salient is the evidence gap concerning the effect of different types of malpractice reform. This study aims to fill the gap. It extends the literature by examining the general population, not a subgroup or a specific health condition, and controlling for individual-level sociodemographic and health status. We merged the Database of State Tort Law Reforms with the Medical Expenditure Panel Survey between 1996 and 2012. We took a difference-in-differences approach to specify a two-part model for analyzing individual-level health spending. We applied the recycled prediction method and the bootstrapping technique to examining the difference in health spending growth between states with and without a reform. All expenditures were converted to 2010 U.S. dollars. Only two of the 10 major state-level malpractice reforms had significant impacts on the growth of individual-level health expenditures. The average annual expenditures in states with caps on attorney contingency fees increased less than that in states without the reform (p < .05). Compared with states with traditional contributory negligence rule, the average annual expenditures increased more in both states with a pure comparative fault reform (p < .05) and states with a comparative fault reform that barred recovery if the plaintiff's fault was equal to or greater than the defendant's (p < .05). A few state-level malpractice reforms had significantly affected the growth of individual-level health spending, and the direction and magnitude of the effects differed by type of reform. © Health Research and Educational Trust.

  18. The future of the welfare state: crisis myths and crisis realities.

    PubMed

    Castles, Francis G

    2002-01-01

    Accounts of the future of the welfare state are often presented in crisis terms. Some commentators identify globalization as a force that has already led to a major retreat by the state and is likely to lead to further downsizing of the public sector. Others see the future burden of an aging population as creating huge public expenditure pressures that can be countered only by increased parsimony in most areas of spending. Although both crisis scenarios contain elements of truth, analysis of recent public expenditure trends shows that both are substantially exaggerated as general representations of likely developments over the next two or three decades. However, unnoticed by most commentators, a real, longer-term crisis is beginning to make itself felt. This crisis arises, in part, from the demographic impact of a cultural transformation in the labor market, in progress for several decades. Extreme scenarios of possible consequences over the next 50 to 100 years include population implosion, mass migration, increasingly dangerous eruptions of right-wing populism, and, possibly, territorial conflict between developed and underdeveloped nations. This is not a crisis of the welfare state but rather a crisis for which the welfare state may be an essential part of the answer. The only way Western societies can lessen the future impact of the ongoing cultural transformation of the labor market is through the redesign of welfare state institutions to confront these new challenges.

  19. Screening for domestic violence in public welfare offices: an analysis of case manager and client interactions.

    PubMed

    Lindhorst, Taryn; Meyers, Marcia; Casey, Erin

    2008-01-01

    Despite a high prevalence of domestic violence among welfare clients, most studies of the implementation of the Family Violence Option (FVO) under welfare reform find that women rarely receive domestic violence services in welfare offices. This study reviews findings from current research on the factors that improve the likelihood that women will reveal their domestic violence experiences to service personnel, and uses the guidelines drawn from this review to evaluate domestic violence screening practices in welfare offices using 782 transcribed interviews between welfare workers and clients from 11 sites in four states. The analysis found that only 9.3% of case encounters involved screening for domestic violence. Screening rates differed by state, interview type, and length of worker employment. Qualitative analysis of the interviews showed that the majority of screening by workers was routine or consisted of informing clients of the domestic violence policy without asking about abuse. Only 1.2% of the interviews incorporated at least two of the procedures that increase the likelihood of disclosure among domestic violence survivors, suggesting deeply inadequate approaches to screening for abuse within the context of welfare offices, and a need for improved training, protocol, and monitoring of FVO implementation.

  20. Commercial Sexual Exploitation of Children and State Child Welfare Systems.

    PubMed

    Bounds, Dawn; Julion, Wrenetha A; Delaney, Kathleen R

    2015-01-01

    In several states, commercial sexual exploitation of children (CSEC) is now a reportable child abuse offense. Illinois has taken the lead in tackling the issue and the Illinois experience illuminates valuable lessons. This article delineates the protection, practice, and policy implications that evolve when CSEC falls under a state child welfare system. The specific aims are to (a) discuss CSEC, its victims, risks, harms, and challenges inherent in providing effective care; (b) use Illinois as an exemplar to explicate the consequences and implementation challenges of establishing a state reporting system that frames CSEC as a child welfare issue; (c) recommend strategies for developing effective state reporting models, and (d) demonstrate how nurses are well poised to advocate for victims of human trafficking on both state and national levels. Recommendations for improving the identification of CSEC victims and overcoming challenges to state implementation are offered. © The Author(s) 2015.

  1. The welfare gain from replacing the health insurance tax exclusion with lump-sum tax credits.

    PubMed

    Liu, Liqun; Rettenmaier, Andrew J; Saving, Thomas R

    2011-06-01

    This paper analyzes the welfare gain from replacing the tax exclusion of employer-provided health insurance with a lump-sum tax credit. It differs from earlier studies in that we look at the welfare cost of health insurance tax exclusion as coming directly from excessive health insurance rather than from overconsumption of medical care and that we account for the labor market effect of the tax exclusion on welfare. Both differences work to produce a smaller tax reform welfare gain. For a set of mid-range parameter values, the welfare gain is about 21% of current health insurance tax expenditures. In addition, government tax expenditures would fall by 38%, and health insurance spending would fall by 77% after the reform.

  2. Teaching Note-CASA Volunteerism: Preparing MSW Students for Public Child Welfare Practice

    ERIC Educational Resources Information Center

    Berrick, Jill Duerr; Durst, Wendy

    2014-01-01

    In an effort to reform public child welfare systems across the nation, Title IV-E child welfare training programs were established over 2 decades ago. Participating students typically engage in a customized educational experience as part of their MSW program that prepares them to work in the field of child welfare upon graduation. This article…

  3. Making Precarious Immigrant Families and Weaving the Danish Welfare Nation-State Fabric 1970-2010

    ERIC Educational Resources Information Center

    Padovan-Özdemir, Marta; Moldenhawer, Bolette

    2017-01-01

    This article explores the making of immigrant families as precarious elements in the governing of the population's welfare within the Danish welfare nation-state since the 1970s. The emphasis is on how immigrant families became a problem of welfare governing, and what knowledge practices and welfare techniques emerged as problem-solving responses.…

  4. Play and optimal welfare: Does play indicate the presence of positive affective states?

    PubMed

    Ahloy-Dallaire, Jamie; Espinosa, Julia; Mason, Georgia

    2017-11-16

    Play is commonly used to assess affective states in both humans and non-human animals. Play appears to be most common when animals are well-fed and not under any direct threats to fitness. Could play and playfulness therefore indicate pre-existing positive emotions, and thence optimal animal welfare? We examine this question by surveying the internal and external conditions that promote or suppress play in a variety of species, starting with humans. We find that negative affective states and poor welfare usually do suppress play (although there are notable exceptions where the opposite occurs). Furthermore, research in children suggests that beyond the frequency or total duration of play, poor welfare may additionally be reflected in qualitative aspects of this heterogeneous behaviour (e.g. display of solitary over social play; and the 'fragmentation' of play bouts) that are often overlooked in animals. There are surprisingly few studies of play in subjects with pre-existing optimal welfare or in unambiguously highly positive affective states, making it currently impossible to determine whether play can distinguish optimal or good welfare from merely neutral welfare. This therefore represents an important and exciting area for future research. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Developmental logics: Brain science, child welfare, and the ethics of engagement in Japan.

    PubMed

    Goldfarb, Kathryn E

    2015-10-01

    This article explores the unintended consequences of the ways scholars and activists take up the science of child development to critique the Japanese child welfare system. Since World War II, Japan has depended on a system of child welfare institutions (baby homes and children's homes) to care for state wards. Opponents of institutional care advocate instead for family foster care and adoption, and cite international research on the developmental harms of institutionalizing newborns and young children during the "critical period" of the first few years. The "critical period" is understood as the time during which the caregiving a child receives shapes neurological development and later capacity to build interpersonal relationships. These discourses appear to press compellingly for system reform, the proof resting on seemingly objective knowledge about child development. However, scientific evidence of harm is often mobilized in tandem with arguments that the welfare system is rooted in Japanese culture, suggesting durability and resistance to change. Further, reform efforts that use universalizing child science as "proof" of the need for change are prone to slip into deterministic language that pathologizes the experiences of people who grew up in the system. This article explores the reasons why deterministic models of child development, rather than more open-ended models like neuroplasticity, dominate activist rhetorics. It proposes a concept, "ethics of engagement," to advocate for attention to multiple scales and domains through which interpersonal ties are experienced and embodied over time. Finally, it suggests the possibility of child welfare reform movements that take seriously the need for caring and transformative relationships throughout life, beyond the first "critical years," that do not require deterministic logics of permanent delay or damage. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. Moral codes of mothering and the introduction of welfare-to-work in Ontario.

    PubMed

    Gazso, Amber

    2012-02-01

    In this paper, I trace how the reform of social assistance in Ontario, especially the post-1990s enforcement of lone mothers' employability via welfare-to-work programs, parallels shifts in dominant moral codes of mothering, from "mother-carer" to "mother-worker." Additionally, I use this case as an entry point to consider the implications of public and policy allegiance to these moral codes for all mothers. The central argument I make is that the introduction of welfare-to-work programs in Ontario did not occur in a neoliberal state-sanctioned vacuum but also involved the circulation of ideas about moral mothering outside of policy into policy.

  7. Social inequalities in 'sickness': European welfare states and non-employment among the chronically ill.

    PubMed

    van der Wel, Kjetil A; Dahl, Espen; Thielen, Karsten

    2011-12-01

    The aim of this paper is to examine educational inequalities in the risk of non-employment among people with illnesses and how they vary between European countries with different welfare state characteristics. In doing so, the paper adds to the growing literature on welfare states and social inequalities in health by studying the often overlooked 'sickness'-dimension of health, namely employment behaviour among people with illnesses. We use European Union Statistics on Income and Living Conditions (EU-SILC) data from 2005 covering 26 European countries linked to country characteristics derived from Eurostat and OECD that include spending on active labour market policies, benefit generosity, income inequality, and employment protection. Using multilevel techniques we find that comprehensive welfare states have lower absolute and relative social inequalities in sickness, as well as more favourable general rates of non-employment. Hence, regarding sickness, welfare resources appear to trump welfare disincentives. Copyright © 2011 Elsevier Ltd. All rights reserved.

  8. Constraints on the retreat from a welfare-orientated approach to public health care in Malaysia.

    PubMed

    Barraclough, S

    1999-04-01

    Both in its articulation of values and through incremental changes, the Malaysian government has signalled a change in attitude towards the welfare approach which had hitherto characterized public health care policy. This change envisions an end to reliance upon the state for the provision and financing of health services and the fostering of a system of family-based welfare. In the future citizens should finance their own health care through savings, insurance or as part of their terms of employment. While the state will still accept a degree of responsibility for those unable to pay for their health care, it wishes to share this burden with the corporate sector and non-government organizations as part of a national policy of the 'Caring Society'. In this article the retreat from a commitment to a welfare model of public health care is documented and some of the serious obstacles to such a policy are discussed. It is concluded that the government's aspirations for reforming the welfare model will need to be tempered by both practical and political considerations. Moreover, the socio-economic consequences of the Asian currency crisis of 1997 are likely to increase the need for government welfare action.

  9. Welfare Reform in California: Early Results from the Impact Analysis.

    ERIC Educational Resources Information Center

    Klerman, Jacob Alex; Hotz, V. Joseph; Reardon, Elaine; Cox, Amy G.; Farley, Donna O.; Haider, Steven J.; Imbens, Guido; Schoeni, Robert

    The impact of California Work Opportunity and Responsibility to Kids (CalWORKS), which was passed to increase California welfare recipients' participation in welfare-to-work (WTW) activities, was examined. The impact study consisted of a nonexperimental program evaluation that used statistical models to estimate causal effects and a simulation…

  10. Getting welfare recipients to work : transportation and welfare reform : summary of conference proceedings

    DOT National Transportation Integrated Search

    1998-03-01

    Interest in the transportation barriers facing welfare recipients has been sparked by the : passage of the Personal Responsibility and Work Opportunities Reconciliation Act of : 1996 and the creation of Temporary Assistance to Needy Families (TANF). ...

  11. The new institutionalist approaches to health care reform: lessons from reform experiences in Central Europe.

    PubMed

    Sitek, Michał

    2010-08-01

    This article discusses the applicability of the new institutionalism to the politics of health care reform in postcommunist Central Europe. The transition to a market economy and democracy after the fall of communism has apparently strengthened the institutional approaches. The differences in performance of transition economies have been critical to the growing understanding of the importance of institutions that foster democracy, provide security of property rights, help enforce contracts, and stimulate entrepreneurship. From a theoretical perspective, however, applying the new institutionalist approaches has been problematic. The transitional health care reform exposes very well some inherent weaknesses of existing analytic frameworks for explaining the nature and mechanisms of institutional change. The postcommunist era in Central Europe has been marked by spectacular and unprecedented radical changes, in which the capitalist system was rebuilt in a short span of time and the institutions of democracy became consolidated. Broad changes to welfare state programs were instituted as well. However, the actual results of the reform processes represent a mix of change and continuity, which is a challenge for the theories of institutional change.

  12. The Public Understanding of Assessment in Educational Reform in the United States

    ERIC Educational Resources Information Center

    Brookhart, Susan M.

    2013-01-01

    The United States education system depends on legislation and funding at the federal, state and local levels. Public understanding of assessment therefore is important to educational reform in the USA. Educational reformers often invoke assessment information as a reason for reform, typically by citing unacceptable achievement on some measure or…

  13. Reforming state-level chemicals management policies in the United States: status, challenges, and opportunities.

    PubMed

    Geiser, Ken; Tickner, Joel; Torrie, Yve

    2009-01-01

    During the last several years there has been increasing public concern about chemicals in everyday products. Scientific studies are increasingly revealing the build-up of some substances in ecosystems and in our bodies and new findings are linking exposures to hazardous chemicals to a range of adverse human health effects. Despite these trends, there has been little federal initiative in the United States on reforming chemicals management policies for well over two decades, even though a variety of analyses have identified significant gaps in the regulatory structure. As has historically been the case, states are beginning to fill the holes in federal leadership. This article explores this emerging state leadership and establishes a vision for and elements of policies to reduce hazardous chemicals in the products we buy and the places we go. It examines international efforts to reform chemicals management policies, such as the European REACH legislation and corporate leadership in advancing safer products. Finally, it outlines specific challenges states face in developing integrated, comprehensive chemicals management policies. We conclude that while there are plenty of challenges to implementation of chemicals policy reforms, it is a propitious time for states to become leaders in policy innovation that can help achieve safer production systems and products for future generations. This article is part of a Lowell Center for Sustainable Production report entitled "Options for State Chemicals Policy Reform" that provides in-depth analysis of the pros and cons of policy options to address a range of aspects of state-level chemicals policy reform. The article has been edited slightly for use in New Solutions. The report has been widely distributed to policy-makers, advocates, and others across the United States.

  14. 40 CFR 300.322 - Response to substantial threats to public health or welfare of the United States.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... public health or welfare of the United States. 300.322 Section 300.322 Protection of Environment... Removal § 300.322 Response to substantial threats to public health or welfare of the United States. (a) As... in a substantial threat to public health or welfare of the United States (including, but not limited...

  15. 40 CFR 300.322 - Response to substantial threats to public health or welfare of the United States.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... public health or welfare of the United States. 300.322 Section 300.322 Protection of Environment... Removal § 300.322 Response to substantial threats to public health or welfare of the United States. (a) As... in a substantial threat to public health or welfare of the United States (including, but not limited...

  16. 40 CFR 300.322 - Response to substantial threats to public health or welfare of the United States.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... public health or welfare of the United States. 300.322 Section 300.322 Protection of Environment... Removal § 300.322 Response to substantial threats to public health or welfare of the United States. (a) As... in a substantial threat to public health or welfare of the United States (including, but not limited...

  17. 40 CFR 300.322 - Response to substantial threats to public health or welfare of the United States.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... public health or welfare of the United States. 300.322 Section 300.322 Protection of Environment... Removal § 300.322 Response to substantial threats to public health or welfare of the United States. (a) As... in a substantial threat to public health or welfare of the United States (including, but not limited...

  18. 40 CFR 300.322 - Response to substantial threats to public health or welfare of the United States.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... public health or welfare of the United States. 300.322 Section 300.322 Protection of Environment... Removal § 300.322 Response to substantial threats to public health or welfare of the United States. (a) As... in a substantial threat to public health or welfare of the United States (including, but not limited...

  19. Text, Lies, and the Welfare State: The Portrayal of Welfare Recipients in Welfare-to-Work Educational Programs.

    ERIC Educational Resources Information Center

    Sandlin, Jennifer A.

    A study analyzed the ideological messages about welfare recipients promoted in two welfare-to-work educational programs. Data were collected through interviews with students, teachers, and administrators at an adult literacy classroom serving unemployed women on welfare and an employment preparation program designed to increase job skills of women…

  20. Access to jobs : a guide to innovative practices in welfare-to-work transportation

    DOT National Transportation Integrated Search

    1998-01-01

    This series of short related articles looks at the role of transportation in supporting welfare to work reform. These articles find lack of timely affordable public transit is a major obstacle for welfare recipients attempting to find work. Strategie...

  1. Using Unspent TANF Funds to Further Self-Sufficiency among Welfare Recipients.

    ERIC Educational Resources Information Center

    Copeland, Ivory

    2000-01-01

    The issue of unspent Temporary Assistance for Needy Families (TANF) funds has become increasingly important with the progression of welfare reform. Some support reserving the funds for an eventual economic downturn, whereas others urge investing the funds in services for hard-to-serve welfare recipients and broader low-income participation. States…

  2. The relation of family violence, employment status, welfare benefits, and alcohol drinking in the United States

    PubMed Central

    Rodriguez, Eunice; Lasch, Kathryn E; Chandra, Pinky; Lee, Jennifer

    2001-01-01

    Objective To examine the contribution of employment status, welfare benefits, alcohol use, and other individual and contextual factors to physical aggression during marital conflict. Methods Logistic regression models were used to analyze panel data collected in the National Survey of Families and Households in 1987 and 1992. A total of 4,780 married or cohabiting persons reinterviewed in 1992 were included in the analysis. Domestic violence was defined as reporting that both partners were physically violent during arguments. Results Unemployed respondents are not at greater risk of family violence than employed respondents, after alcohol misuse, income, education, age, and other factors are controlled for; however, employed persons receiving welfare benefits are at significantly higher risk. Alcohol misuse, which remains a predictor of violence even after other factors are controlled for, increases the risk of family violence, and satisfaction with social support from family and friends is associated with its decrease. Conclusions Alcohol misuse has an important effect on domestic violence, and the potential impact of welfare reform on domestic violence needs to be monitored. PMID:11342506

  3. State Workforce Policy Initiative.

    ERIC Educational Resources Information Center

    Public/Private Ventures, Philadelphia, PA.

    Surging demand for workers, growing income inequality, and passage of welfare reforms have made work force development one of the United States' key national concerns. Public/Private Ventures has been working with various states to design work force development strategies that seek to address the concerns of many work force development specialists…

  4. Maternal Functioning, Time, and Money: The World of Work and Welfare.

    PubMed

    Coley, Rebekah Levine; Lohman, Brenda J; Votruba-Drzal, Elizabeth; Pittman, Laura D; Chase-Lansdale, P Lindsay

    2007-06-01

    Numerous studies have assessed families' employment and financial stability following welfare reform. Yet little research has addressed whether welfare and work transitions are linked with other changes in family functioning. Using a representative sample of approximately 2,000 low-income urban families from the Three-City Study, analyses assessed whether mothers' welfare and employment experiences over a two-year period following welfare reform were related to changes in family well-being. Lagged regression models controlling for family characteristics and earlier levels of functioning found that moving into employment and stable employment (of 30 hours or more per week) were linked to substantial increases in income and improvements in mothers' psychological well-being. Movements into employment also were associated with declines in financial strain and food insecurity. Sustained or initiated welfare receipt was related to relative declines in income, physical health, and psychological well-being, but also to improved access to medical care. In contrast, mothers' welfare and work experiences showed very limited relations to changes in the quality of parenting or of children's home environments. These patterns were similar for families with young children and those with adolescent children. Results suggest that parenting behaviors are more resistant to change than are maternal emotional and economic functioning.

  5. From welfare states to welfare sectors: Explaining sectoral differences in occupational pensions with economic and political power of employees.

    PubMed

    Wiß, Tobias

    2015-12-01

    Studies analysing welfare have previously focused on countries as units. In the course of pension cuts and the increasing importance of occupational welfare, our traditional understanding of a homogeneous welfare state is being challenged. In this article, I distinguish between both economic individual power (employee skills) and political collective power (trade unions), and their relation with different occupational pensions. A combined analysis by both factors is not common, where employee skills and power resources are traditionally treated as separate, rival explanations of public welfare. Combining the 'method of difference' with the 'method of agreement', the article first presents the within-country variety of occupational pensions in Germany, Italy, the United Kingdom and Denmark. Occupational pensions in the same economic sectors across countries are then used as the units of analysis in order to illustrate the plausible determinants of economic individual power and political collective power.

  6. From welfare states to welfare sectors: Explaining sectoral differences in occupational pensions with economic and political power of employees

    PubMed Central

    Wiß, Tobias

    2015-01-01

    Studies analysing welfare have previously focused on countries as units. In the course of pension cuts and the increasing importance of occupational welfare, our traditional understanding of a homogeneous welfare state is being challenged. In this article, I distinguish between both economic individual power (employee skills) and political collective power (trade unions), and their relation with different occupational pensions. A combined analysis by both factors is not common, where employee skills and power resources are traditionally treated as separate, rival explanations of public welfare. Combining the ‘method of difference’ with the ‘method of agreement’, the article first presents the within-country variety of occupational pensions in Germany, Italy, the United Kingdom and Denmark. Occupational pensions in the same economic sectors across countries are then used as the units of analysis in order to illustrate the plausible determinants of economic individual power and political collective power. PMID:26663983

  7. Welfare, Work and Raising Children: Conversations with Twenty-One Maine Families.

    ERIC Educational Resources Information Center

    Hastedt, Christine B.; Smith, Rebekah J.

    Five years after the massive overhaul of the nation's welfare system, 21 Maine families receiving public assistance spoke about their lives during welfare reform. The following were among the key themes that emerged throughout the conversations: (1) those leaving Temporary Assistance for Needy Families (TANF) often remain poor or very nearly poor;…

  8. Racial Insurgency, the State, and Welfare Expansion: Local and National Level Evidence from the Postwar United States.

    ERIC Educational Resources Information Center

    Isaac, Larry; Kelly, William R.

    1981-01-01

    This article addresses the relationship between insurgent political action and state-supported social services, with particular emphasis on the relationship between urban riots and welfare. Findings from analysis of activism and welfare since the Second World War indicate that urban riots played an important role nationally in short-term expansion…

  9. Welfare Policies and Adolescents: Exploring the Roles of Sibling Care, Maternal Work Schedules, and Economic Resources

    PubMed Central

    Hsueh, JoAnn; Gennetian, Lisa A.

    2011-01-01

    This study uses data from three longitudinal experimental evaluations of US state welfare reform programs to examine whether program-induced changes in families’ reliance on sibling care are linked with the effects of welfare programs on selected schooling outcomes of high risk, low-income adolescents. The findings from two of the welfare programs indicate that increased reliance on sibling care was concomitant with unfavorable effects of the programs on adolescent schooling outcomes. In the third welfare program examined, the program did not yield any increases in the use of sibling care or unfavorable effects on adolescent schooling outcomes, suggesting that sibling care is one likely contributor to the negative effects of welfare programs on adolescent schooling outcomes. These findings are discussed in terms of the pattern of the programs’ effects on families’ income, as well as maternal work on nonstandard schedules, aside from the programs’ effects on maternal employment, which play contributory roles in shaping the extent to which welfare programs led to less favorable effects on the schooling outcomes of adolescents with younger siblings. PMID:21347556

  10. State School Finance Reform in the 1970's (Excerpted from School Finance Reform: A Legislators' Handbook).

    ERIC Educational Resources Information Center

    National Conference of State Legislatures, Washington, DC.

    This report describes and evaluates the record of reform in several states that have revised their school finance systems since 1971. The introductory chapter provides an overview of reform's recent successes, shortcomings, and prospects. Six subsequent chapters offer a close look at its main features. Chapters 2 and 3 analyze new school aid…

  11. Still Social and Democratic? Inclusive Education Policies in the Nordic Welfare States

    ERIC Educational Resources Information Center

    Arnesen, Anne-Lise; Lundahl, Lisbeth

    2006-01-01

    In this article, education policy is analyzed from a welfare state perspective. The aim is to Analise the significance attributed to social-inclusive aspects of education in contemporary education policies of the Nordic countries, and the extent to which education is regarded as an element in welfare policies. Four aspects are addressed: (1)…

  12. Reclaiming the Disengaged: Reform of New Zealand's Vocational Education and Training and Social Welfare Systems

    ERIC Educational Resources Information Center

    Strathdee, Rob

    2013-01-01

    This paper uses Habermas' theory of the state and his idea of legitimation crisis to critically evaluate recent reforms in New Zealand designed to engage young people (16-24 years of age) in paid employment and/or education and training. The paper identifies three broad strategies adopted by the state to reclaim the disengaged and hence, resolve…

  13. Patterns of Welfare Attitudes in the Australian Population.

    PubMed

    Schofield, Timothy P; Butterworth, Peter

    2015-01-01

    The study of community attitudes toward welfare and welfare recipients is an area of increasing interest. This is not only because negative attitudes can lead to stigmatization and discrimination, but because of the relevance of social attitudes to policy decisions. We quantify the attitudes toward welfare in the Australian population using attitude data from a nationally representative survey (N = 3243). Although there was broad support for the social welfare system, negative attitudes are held toward those who receive welfare benefits. Using canonical correlation analysis we identify multivariate associations between welfare attitudes and respondent demographic characteristics. A primary attitudinal dimension of welfare positivity was found amongst those with higher levels of education, life instability, and personal exposure to the welfare system. Other patterns of negative welfare attitudes appeared to be motivated by beliefs that the respondent's personal circumstances indicate their deservingness. Moreover, a previously unidentified and unconsidered subset of respondents was identified. This group had positive attitudes toward receiving government benefits despite having no recent experience of welfare. They did, however, possess many of the characteristics that frequently lead to welfare receipt. These results provide insights into not only how attitudinal patterns segment across the population, but are of relevance to policy makers considering how to align welfare reform with community attitudes.

  14. Patterns of Welfare Attitudes in the Australian Population

    PubMed Central

    Schofield, Timothy P.; Butterworth, Peter

    2015-01-01

    The study of community attitudes toward welfare and welfare recipients is an area of increasing interest. This is not only because negative attitudes can lead to stigmatization and discrimination, but because of the relevance of social attitudes to policy decisions. We quantify the attitudes toward welfare in the Australian population using attitude data from a nationally representative survey (N = 3243). Although there was broad support for the social welfare system, negative attitudes are held toward those who receive welfare benefits. Using canonical correlation analysis we identify multivariate associations between welfare attitudes and respondent demographic characteristics. A primary attitudinal dimension of welfare positivity was found amongst those with higher levels of education, life instability, and personal exposure to the welfare system. Other patterns of negative welfare attitudes appeared to be motivated by beliefs that the respondent’s personal circumstances indicate their deservingness. Moreover, a previously unidentified and unconsidered subset of respondents was identified. This group had positive attitudes toward receiving government benefits despite having no recent experience of welfare. They did, however, possess many of the characteristics that frequently lead to welfare receipt. These results provide insights into not only how attitudinal patterns segment across the population, but are of relevance to policy makers considering how to align welfare reform with community attitudes. PMID:26554361

  15. Understanding Educational Reform in Global Context: Economy, Ideology, and the State.

    ERIC Educational Resources Information Center

    Ginsburg, Mark B., Ed.

    This book presents a set of national case studies on educational reform of higher education that views reform as processes of ideological and social struggles. The titles and authors are as follows: "Educational Reform: Social Struggles, the State and the World Economic System" (Mark B. Ginsburg, et al.); "Restructuring Education…

  16. Maternal Working Conditions and Child Well-Being in Welfare-Leaving Families

    ERIC Educational Resources Information Center

    Dunifon, Rachel; Kalil, Ariel; Bajracharya, Ashish

    2005-01-01

    In the wake of welfare reform, thousands of low-income single mothers have transitioned into the labor market. In this article, the authors examine how the work conditions of mothers leaving welfare for employment are associated with the emotional well-being of 372 children ages 5 to 15 years. The authors examine the cumulative incidence, over a…

  17. States' spending for public welfare and their suicide rates, 1960 to 1995: what is the problem?

    PubMed

    Zimmerman, Shirley L

    2002-06-01

    Drawing on Durkheim's theory of social integration, this discussion reports on findings from a pooled time-series analysis of states' spending for public welfare and their suicide rates, controlling for states' divorce rates, population change rates, population density, unemployment rates, sex ratio, and racial composition. The analysis spans a 35-year period, 1960 to 1995, at six different data points: 1960, 1970, 1980, 1985, 1990, and 1995. The major hypothesis was that states' suicide rates would increase with decreases in per capita spending for public welfare, controlling for the variables listed above in three different models and using OLS to analyze the data. In the basic model, states' spending for public welfare showed no relationship to states' suicide rates; in the second model that controlled for data year and in the third model that controlled for both data year and state, its relationship was significant, but in a negative direction. Suicide rates increased in states that reduced their per capita expenditures for public welfare during the observational period. Of all the variables, the influence of divorce on suicide was the most persistent and pronounced, followed by the percentage of whites in states' populations. Whether the findings reflect an increase in the unendurable psychological pain associated with suicide, or the weakening of ties that bind individuals to each other and to the larger society (as measured by states' divorce rates and per capita expenditures for public welfare), or the vulnerabilities associated with race, states can help counter suicide trends and such negative influences as divorce as evidenced by states that spend more for public welfare and have lower suicide rates. Given that clinicians work with people experiencing the unendurable psychological pain associated with suicide, the findings from these analyses have relevance for their practice.

  18. The welfare state, pensions, privatization: the case of Social Security in the United States.

    PubMed

    Du Boff, R B

    1997-01-01

    In all high-income nations, the welfare state is under challenge, with particular concern voiced about the burden of retirement pensions on the public fisc and on younger workers. The strongest drive against social insurance is taking place in the United States, which has less of it than other nations and appears to be in the best position to meet future entitlement claims. In this article, the author examines the liabilities that the U.S. Social Security system is likely to incur over the next 35 years and finds that there is little danger that the system will fall into insolvency. Privatizing Social Security is not necessary to assure the integrity of future pension benefits. Furthermore, the cost-benefit ratio of privatization appears to be unfavorable, as borne out by the mandatory private pension plan in effect in Chile. Some wealthy nations will face greater demographic strains than the United States, but all need to retain the welfare state as a foundation for future changes in the world of work.

  19. Family violence, employment status, welfare benefits, and alcohol drinking in the United States: what is the relation?

    PubMed Central

    Rodriguez, E; Lasch, K; Chandra, P; Lee, J

    2001-01-01

    OBJECTIVES—This study examined the contribution of employment status, welfare benefits, alcohol use, and other individual, and contextual factors to physical aggression during marital conflict.
METHODS—Logistic regression models were used to analyse panel data collected in the National Survey of Families and Households in 1987 and 1992. A total of 4780 married or cohabiting persons re-interviewed in 1992 were included in the analysis. Domestic violence was defined as reporting that both partners were physically violent during arguments.
RESULTS—It was found that non-employed respondents are not at greater risk of family violence in comparison with employed respondents, after controlling for alcohol misuse, income, education, age, and other factors; however, employed persons receiving welfare benefits are at significantly higher risk. Alcohol misuse, which remains a predictor of violence even after controlling for other factors, increases the risk of family violence while satisfaction with social support from family and friends decreases it.
CONCLUSION—These results underscore the important effect of alcohol misuse on domestic violence, and the need to monitor the potential impact of welfare reform on domestic violence.


Keywords: family violence; alcohol misuse; employment status; welfare benefits PMID:11160171

  20. For the Welfare of Children: Lessons Learned from Class Action Litigation

    ERIC Educational Resources Information Center

    Meltzer, Judith, Ed.; Joseph, Rachel Molly, Ed.; Shookhoff, Andy, Ed.

    2012-01-01

    This series of papers brings together distinguished experts writing on the use of class action litigation to reform public child welfare systems. It is an effort to tease out of four decades of experience in this work, the factors that increase the likelihood that litigation will result in successful system reform. This publication is an outgrowth…

  1. 3 N.J. Community Colleges Set Up New Programs as Part of State's Plans for Welfare Reform.

    ERIC Educational Resources Information Center

    Jaschik, Scott

    1987-01-01

    Bergen Community College, Middlesex County College, and Union County College are setting up (1) counseling programs to help welfare recipients determine their job interests and skills, (2) job-training courses, and (3) day-care centers for participants children. (MLW)

  2. Employment Barriers Among Welfare Recipients and Applicants With Chronically Ill Children

    PubMed Central

    Smith, Lauren A.; Romero, Diana; Wood, Pamela R.; Wampler, Nina S.; Chavkin, Wendy; Wise, Paul H.

    2002-01-01

    Objectives. This study evaluated the association of chronic child illness with parental employment among individuals who have had contact with the welfare system. Methods. Parents of children with chronic illnesses were interviewed. Results. Current and former welfare recipients and welfare applicants were more likely than those with no contact with the welfare system to report that their children’s illnesses adversely affected their employment. Logistic regression analyses showed that current and former receipt of welfare, pending welfare application, and high rates of child health care use were predictors of unemployment. Conclusions. Welfare recipients and applicants with chronically ill children face substantial barriers to employment, including high child health care use rates and missed work. The welfare reform reauthorization scheduled to occur later in 2002 should address the implications of chronic child illness for parental employment. PMID:12197972

  3. Welfare Reform and Children's Health.

    PubMed

    Baltagi, Badi H; Yen, Yin-Fang

    2016-03-01

    This study investigates the effect of the Temporary Aid to Needy Families (TANF) program on children's health outcomes using data from the Survey of Income and Program Participation over the period 1994 to 2005. The TANF policies have been credited with increased employment for single mothers and a dramatic drop in welfare caseload. Our results show that these policies also had a significant effect on various measures of children's medical utilization among low-income families. These health measures include a rating of the child's health status reported by the parents, the number of times that parents consulted a doctor, and the number of nights that the child stayed in a hospital. We compare the overall changes of health status and medical utilization for children with working and nonworking mothers. We find that the child's health status as reported by the parents is affected by the maternal employment status. Copyright © 2014 John Wiley & Sons, Ltd.

  4. Adolescents' School Enrollment and Employment: Effect of State Welfare Policies. JCPR Working Paper.

    ERIC Educational Resources Information Center

    Hao, Lingxin; Astone, Nan M.; Cherlin, Andrew J.

    This study hypothesizes that stringent welfare policies may promote school enrollment and reduce employment among adolescents from low-income, single parent, and welfare families. Using data from the National Longitudinal Survey of Youth, 1997 cohort, combined with state-level data sources, this analysis uses a dynamic model to study school and…

  5. ASAS centennial paper: Farm animal welfare science in the United States.

    PubMed

    Johnson, A K

    2009-06-01

    Compared with the more traditional sciences of nutrition, physiology, and reproduction, the acceptance of animal welfare science in its own right is still relatively new. Seven colleagues, who had an average of 10 yr experience with beef (n = 5), swine (n = 5), dairy (n = 2), poultry (n = 1), and sheep (n = 1) were asked several questions on the opportunities and challenges facing the field. The information collected was pooled for anonymity. General challenges identified by the group were (1) are we making progress and how can this be defined, (2) demand for information has outpaced the science, and (3) pressures from stakeholders. Solutions were (1) to continue providing sound science that has been validated, measured objectively, and is reliable; and (2) to continue to have animal science and veterinary medicine departments employ faculty trained in farm animal welfare. Highlights for the future were willingness for animal welfare scientists to work across disciplines and across departments, within the same institution, and enthusiastically across state lines, and expansion of new teaching models. In conclusion, new and innovative tools, personalities, and dedication to the field of animal welfare will continue to provide scientific information and direction for farm animal welfare science.

  6. Subjects of, or Subject to, Policy Reform? A Foucauldian Discourse Analysis of Regulation and Resistance in UK Narratives of Educational Impacts of Welfare Cuts: The Case of the "Bedroom Tax"

    ERIC Educational Resources Information Center

    Burman, Erica; Greenstein, Anat; Bragg, Jo; Hanley, Terry; Kalambouka, Afroditi; Lupton, Ruth; McCoy, Lauren; Sapin, Kate; Winter, Laura

    2017-01-01

    This paper draws on material generated from a qualitative study of educational impacts of a British welfare reform affecting housing rent subsidy, size and location commonly known as "the bedroom tax" (Bragg et al., 2015), which was partly taken as a topic for study specifically because of its iconic status as a controversial and…

  7. Using Cash Incentives to Encourage Progress of Welfare Recipients in Adult Basic Education

    ERIC Educational Resources Information Center

    Ziegler, Mary; Ebert, Olga; Cope, Gail

    2004-01-01

    Welfare reform legislation in Tennessee provided adult basic education classes for welfare recipients whose literacy skills were below ninth grade. Although more than half of those eligible enrolled in adult basic education, many dropped out. The Completion Bonus, a cash incentive program, was instituted to encourage the completion of education…

  8. Health inequalities and welfare state regimes: theoretical insights on a public health 'puzzle'.

    PubMed

    Bambra, Clare

    2011-09-01

    Welfare states are important determinants of health. Comparative social epidemiology has almost invariably concluded that population health is enhanced by the relatively generous and universal welfare provision of the Scandinavian countries. However, most international studies of socioeconomic inequalities in health have thrown up something of a public health 'puzzle' as the Scandinavian welfare states do not, as would generally be expected, have the smallest health inequalities. This essay outlines and interrogates this puzzle by drawing upon existing theories of health inequalities--artefact, selection, cultural--behavioural, materialist, psychosocial and life course--to generate some theoretical insights. It discusses the limits of these theories in respect to cross-national research; it questions the focus and normative paradigm underpinning contemporary comparative health inequalities research; and it considers the future of comparative social epidemiology.

  9. Casper W. Weinberger to be Secretary of Health, Education, and Welfare: Hearings Before the Committee on Labor and Public Welfare. United States Senate, Ninety-Third Congress. Part 2: Appendix--Comprehensive HEW Simplification and Reform "MEGA Proposal".

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Public Welfare.

    A proposal up for consideration before the United States Senate is discussed. The program suggested is a redesign of the Department of Health, Education, and Welfare in keeping with the principles of the New Federalism. The proposal touches every major area of HEW policy: it simplifies the Department's program structure; it narrows and focuses the…

  10. Child Welfare Act and Child Custody and Right of Access Act. Finland.

    ERIC Educational Resources Information Center

    Utriainen, Sirpa, Ed.

    The two major articles of child welfare legislation in Finland are the Child Welfare Act of 1983 and the Child Custody and Right of Access Act of 1983. These new acts are part of a reform of social legislation and services providing increased flexibility and effectiveness in protecting Finnish children's health and happiness. The Acts attach…

  11. Teacher Job Satisfaction in a Reform State: The Influence of Teacher Characteristics, Job Dimensions, and Psychological States

    ERIC Educational Resources Information Center

    Winter, Paul A.; Brenner, Doris B.; Petrosko, Joseph M.

    2006-01-01

    Despite the importance of job satisfaction, little research exists about this factor as it relates to teachers working in a school reform environment. This study addressed teacher characteristics, job dimensions, and work-related psychological states that predict public school teacher job satisfaction in a school reform state. Teachers (N = 578)…

  12. Promoting marriage as welfare policy: looking at a public role in private lives.

    PubMed

    Koppelman, Jane

    2002-02-15

    This paper discusses the interest in and politics surrounding government's using welfare reform legislation to carve out a stronger role in promoting marriage. It examines trends in family formation, their impact on society, and the effect of single parenting, divorce, and step-parenting on child well-being. The paper also looks at the treatment of marriage in current government programs, new state activities to promote marriage, proposals for a stronger government role, and marriage experts' expectations for the success of marriage education programs.

  13. Using School Change States to Analyze Comprehensive School Reform Projects

    ERIC Educational Resources Information Center

    Wetherill, Karen S.; Applefield, James M.

    2005-01-01

    Comprehensive school reform (CSR) projects are being funded throughout the United States in a determined effort to improve the performance of public education. The multidimensional nature of comprehensive school reform presents unique challenges for explaining widely discrepant outcomes among schools. These challenges are addressed in a study of 8…

  14. Importing the Poor: Welfare Magnetism and Cross-Border Welfare Migration

    ERIC Educational Resources Information Center

    Journal of Human Resources, 2005

    2005-01-01

    A study of the welfare programs in two counties bordering different states along with comparative welfare expenditure in interior counties tests the theory that Aid for Families with Dependent Children (AFDC) recipients migrate to counties which have a higher per capita welfare budget. Research shows that border counties with a $100 differential…

  15. Is Christian Religious Conservatism Compatible with the Liberal Social Welfare State?

    ERIC Educational Resources Information Center

    Belcher, John R.; Fandetti, Donald; Cole, Danny

    2004-01-01

    This article examines the rise of Christian religious conservatism and explores whether the theological views of the conservative Christian movement are compatible with the liberal social welfare state. The authors conclude that the driving force behind social change should remain with the state, even though faith-based initiatives can provide…

  16. Effects of Maternal Work Incentives on Teen Drug Arrests

    PubMed Central

    Corman, Hope; Dave, Dhaval; Kalil, Ariel; Reichman, Nancy E.

    2017-01-01

    Purpose This study exploits differences in the implementation of welfare reform across states and over time in the United States in the attempt to identify causal effects of welfare reform on youth arrests for drug-related crimes between 1990 and 2005, the period during which welfare reform unfolded. Methodology Using monthly arrest data from the U.S. Federal Bureau of Investigation's Uniform Crime Reports, we estimate the effects of welfare reform implementation on drug-related arrests among 15–17 year olds in the United States between 1990 and 2005. We use a difference-in-differences (DD) approach that exploits the implementation of welfare reform across states and over time to estimate effects for teens exposed to welfare reform. Findings The findings, based on numerous different model specifications, suggest that welfare reform had no statistically significant effect on teen drug arrests. Most estimates were positive and suggestive of a small (3%) increase in arrests. Originality/Value This study investigated the effects of a broad-based policy change that altered maternal employment, family income, and other family characteristics on youth drug arrests. PMID:28989228

  17. Organizational factors and the implementation of family to family: contextual elements of systems reform.

    PubMed

    Crea, Thomas M; Crampton, David S; Knight, Nelson; Paine-Wells, Lisa

    2011-01-01

    In efforts to reform the child welfare system, agency leaders must involve staff at all levels; yet, little research has been done to determine which organizational factors encourage or inhibit staff engagement. Employees from an urban child welfare agency were invited to complete a survey regarding organizational effectiveness and its influence on reform efforts. The results show how these findings can be used by managers to improve practice, specifically through increased information sharing with stakeholders.

  18. Eighteenth International Conference on Social Welfare, San Juan, Puerto Rico, 1976. Swedish National Report.

    ERIC Educational Resources Information Center

    1976

    The report discusses achievements in Sweden's economic and social reforms which have led to an increase in equality. Intended as Sweden's contribution to the exchange of information regarding social welfare action in developed and developing nations, the report is presented in eight chapters. Chapter I enumerates Sweden's policies of welfare,…

  19. A comprehensive snapshot of States' small group market reforms on insurer pricing & rating practices, 1999.

    PubMed

    Xirasagar, Sudha; Stoskopf, Carleen H; Shrader, William R; Glover, Saundra H

    2004-01-01

    This paper presents a qualitative analysis of states' small group health insurance reforms that impact small group premiums, mostly enacted by the states during 1996-99, following the federal Health Insurance Portability and Accountability Act in 1996. It draws from an intensive review of statutes of 48 states and the District of Columbia as of 1999. It analyses regulations related to insurer pricing and rating practices concerning rating criteria and rating bands, pricing incentives, premium stability from year to year, minimum loss rations, reinsurance and carve-out coverage for the medically uninsurable. It also covers regulations targeting employer purchasing and coverage practices such as pooled purchasing and adverse selection. This is the second of a two-part series analyzing states' small group market reforms, the first being devoted to state reforms to promote access and improving the value of health plans offered in this market (Xirasagar et al. 2004). The variety in pricing and rating reforms illustrate the differences in the depth of reforms across states, and represent a far wider range of potential actuarial combinations than the sample of reforms documented in past literature.

  20. The Imperial Welfare State? Decolonisation, Education and Professional Interventions on Immigrant Children in Birmingham, 1948-1971

    ERIC Educational Resources Information Center

    Ydesen, Christian; Myers, Kevin

    2016-01-01

    This article approaches debates about how the history of the post-1945 English welfare state might be written. It argues that professionals' interventions on immigrant children can serve as a prism for understanding the crafting of the modern English welfare state. In this sense the article engages with the narrative concerning the resilience of a…

  1. Transitions in state public health law: comparative analysis of state public health law reform following the Turning Point Model State Public Health Act.

    PubMed

    Meier, Benjamin Mason; Hodge, James G; Gebbie, Kristine M

    2009-03-01

    Given the public health importance of law modernization, we undertook a comparative analysis of policy efforts in 4 states (Alaska, South Carolina, Wisconsin, and Nebraska) that have considered public health law reform based on the Turning Point Model State Public Health Act. Through national legislative tracking and state case studies, we investigated how the Turning Point Act's model legal language has been considered for incorporation into state law and analyzed key facilitating and inhibiting factors for public health law reform. Our findings provide the practice community with a research base to facilitate further law reform and inform future scholarship on the role of law as a determinant of the public's health.

  2. Toward health reform for seniors in Bermuda: historical constraints on political possibilities.

    PubMed

    Miller, Edward Alan; Nadash, Pamela

    2011-01-01

    In 2009, as the United States moved toward health care reform, the government of Bermuda implemented its FutureCare program to make health care for seniors more affordable. This article investigates how preferences for reform and its eventual design were shaped by the country's social history and commitment to free market values. Data derive from 36 in-depth interviews with key stakeholders deemed knowledgeable about health care financing and delivery in Bermuda, including government officials, provider representatives, insurance executives, and consumer advocates. Data also derive from a variety of documentary sources. Results indicate that although a clear need for health care and the ability to finance it for seniors exists in Bermuda, the scope of reform was circumscribed by preferences for prior policy decisions, creating a favorable tax and business environment for international corporations and a minimalist social welfare state for addressing racial and economic inequality. This suggests that widespread agreement on the challenges in meeting the health and long-term care needs of the elderly does not necessarily lead to equally commensurable solutions to addressing it.

  3. State-Level Reforms That Support College-Level Program Changes in North Carolina

    ERIC Educational Resources Information Center

    Bowling, R. Edward; Morrissey, Sharon; Fouts, George M.

    2014-01-01

    This chapter describes the concurrent reforms occurring in North Carolina--both campus-level changes focused on such issues as developing structured programs of study and state-level reforms aimed at supporting the campus efforts.

  4. State Perspectives on Health Care Reform: Oregon, Hawaii, Tennessee, and Rhode Island

    PubMed Central

    Thome, Jean I.; Bianchi, Barbara; Bonnyman, Gordon; Greene, Clark; Leddy, Tricia

    1995-01-01

    The general consensus among States which have had their section 1115 demonstration projects approved is that there is no one best way to implement State health care reform. The Health Care Financing Administration (HCFA), however, wished to discern how States were accomplishing the task of implementing the demonstrations, and solicited responses from State representatives whose section 1115 demonstration waivers had been approved. The resulting article gives an overview of this implementation process from four State perspectives. Written by representatives from Oregon, Hawaii, Tennessee, and Rhode Island, the ideas presented here are indicative of the complex undertaking of State health care reform. PMID:10142573

  5. Losing the Safety Net: How a Time-Limited Welfare Policy Affects Families at Risk of Reaching Time Limits

    ERIC Educational Resources Information Center

    Morris, Pamela A.; Hendra, Richard

    2009-01-01

    The authors examined the effects of Florida's Family Transition Program (FTP), one of the first welfare reform initiatives to include a time limit on the receipt of federal cash assistance with other welfare requirements, on single-mother welfare-receiving families. Using a regression-based subgroup approach, they identified a group of families…

  6. Transitions in State Public Health Law: Comparative Analysis of State Public Health Law Reform Following the Turning Point Model State Public Health Act

    PubMed Central

    Meier, Benjamin Mason; Gebbie, Kristine M.

    2009-01-01

    Given the public health importance of law modernization, we undertook a comparative analysis of policy efforts in 4 states (Alaska, South Carolina, Wisconsin, and Nebraska) that have considered public health law reform based on the Turning Point Model State Public Health Act. Through national legislative tracking and state case studies, we investigated how the Turning Point Act's model legal language has been considered for incorporation into state law and analyzed key facilitating and inhibiting factors for public health law reform. Our findings provide the practice community with a research base to facilitate further law reform and inform future scholarship on the role of law as a determinant of the public's health. PMID:19150900

  7. Towards a new welfare state: the social sustainability principle and health care strategies.

    PubMed

    Garcés, Jorge; Ródenas, Francisco; Sanjosé, Vicente

    2003-09-01

    In this paper we propose a social and health care model that offers alternatives to three problems arising in converging European welfare states, particularly in the southern nations: the rise in demand for services and features linked to the ageing process, the increase in dependency and the crisis of informal support. Development of the principles of social sustainability implies re-formulation of the regulatory, care, economic, administrative, cultural, and axiological framework enabling a response to the needs of long term care without compromising the welfare of future generations. Together with this principle, quality of life elevated to a subjective right directs attention towards the sphere closest to citizens, eliminating all barriers, which hamper exercise of this right. All of the above produces economic and social costs which must be accepted from a viewpoint of social co-responsibility, which brings with it the supply of welfare individually, without detriment to the exercise of state responsibility in guaranteeing a social protection system of a universal nature.

  8. City and State Takeover as a School Reform Strategy. ERIC Digest.

    ERIC Educational Resources Information Center

    Wong, Kenneth K.; Shen, Francis X.

    This digest addresses city and state takeover as a school reform strategy, outlining the emergence of takeover in the past decade, discussing promises and limitations that takeover offers, and synthesizing the research to date on takeover's effectiveness. A notable trend over the past decade is greater implementation of takeover reforms,…

  9. Commentary: recent reforms in the British National Health Service--lessons for the United States.

    PubMed Central

    Holland, W W; Graham, C

    1994-01-01

    President Clinton recently announced his reform plan for health care in the United States. The United Kingdom, along with other countries, has already enacted reforms in an effort to overcome the basic problem of having insufficient funds to provide a health service to meet modern demands. This paper briefly describes the recent health reforms in the United Kingdom and highlights some lessons for the United States, which include the need to choose procedures that should be universally provided. Health reforms that involve some fundamental restructuring need to be evaluated everywhere and agreed to by the staff in advance. PMID:8296937

  10. Positive welfare state dynamics? Sickness benefits and sickness absence in Europe 1997-2011.

    PubMed

    Sjöberg, Ola

    2017-03-01

    Sickness absence is associated with great costs for individuals, companies and society at large. Influenced by neo-classical economic theory, policy advice has emphasized the role of sickness benefit programs for reducing sickness absence rates: too generous benefits without proper control will increase the number of recipients and prolong absence spells as well as possibly cause negative dynamic effects in the long term. This study provides an alternative interpretation of the relationship between sickness benefits and sickness absence. By combining an epidemiological approach to sickness absence and a resource-based approach to welfare, we argue that sickness benefits might be viewed as a "collective resource" that, by providing economic support during times of ill-health, might have positive health effects. Statistical analysis of short-term sickness absence using innovative methodological approaches and combined micro- and macro-level data for 21 EU countries over the period of 1992-2011 indicates that the long run effects of relatively generous sickness benefits is rather to reduce sickness absence. This result also has implications for sickness benefit reform: whereas benefit cuts to some extent may reduce absence in the short run, in the longer run such reforms may actually increase sickness absence rates. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Welfare Reform. Assessing the Effectiveness of Various Welfare-to-Work Approaches. Report to Congressional Committees.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. Health, Education, and Human Services Div.

    A study examined research conducted on the effectiveness of different welfare-to-work approaches. Five evaluations begun in the 1980s with five-year results indicated that programs focusing on rapid employment and job search activities combined with education and training activities more often increased employment and earnings and reduced welfare…

  12. Scientific assessment of animal welfare.

    PubMed

    Hemsworth, P H; Mellor, D J; Cronin, G M; Tilbrook, A J

    2015-01-01

    Animal welfare is a state within the animal and a scientific perspective provides methodologies for evidence-based assessment of an animal's welfare. A simplistic definition of animal welfare might be how the animal feels now. Affective experiences including emotions, are subjective states so cannot be measured directly in animals, but there are informative indirect physiological and behavioural indices that can be cautiously used to interpret such experiences. This review enunciates several key science-based frameworks for understanding animal welfare. The biological functioning and affective state frameworks were initially seen as competing, but a recent more unified approach is that biological functioning is taken to include affective experiences and affective experiences are recognised as products of biological functioning, and knowledge of the dynamic interactions between the two is considered to be fundamental to managing and improving animal welfare. The value of these two frameworks in understanding the welfare of group-housed sows is reviewed. The majority of studies of the welfare of group-housed sows have employed the biological functioning framework to infer compromised sow welfare, on the basis that suboptimal biological functioning accompanies negative affective states such as sow hunger, pain, fear, helplessness, frustration and anger. Group housing facilitates social living, but group housing of gestating sows raises different welfare considerations to stall housing, such as high levels of aggression, injuries and stress, at least for several days after mixing, as well as subordinate sows being underfed due to competition at feeding. This paper highlights the challenges and potential opportunities for the continued improvement in sow management through well-focused research and multidisciplinary assessment of animal welfare. In future the management of sentient animals will require the promotion of positive affective experiences in animals and this

  13. Welfare's End.

    ERIC Educational Resources Information Center

    Mink, Gwendolyn

    During the 1920s, progressive women activists invented welfare to help mothers and their children survive when breadwinning fathers either died or abandoned their families. During the 1930s, the local mothers' pension programs of the Progressive Era became part of the emerging national welfare state, which was conceived to relieve poor single…

  14. Welfare, Tax Burden and Fiscal Balance in Artificial Societies

    NASA Astrophysics Data System (ADS)

    Kikuchi, Toshiko

    Japan's social security system is facing a crisis by short-sighted policies to balance of the accounts in a financial crisis. However, such a balance of accounts does not necessarily bring remedy of financial difficulties. If it is possible to reduce the social security payments because the weak become independent, it is considered that short-sighted reforms cause a further financial crisis. This study explores how welfare and tax burden influence fiscal balance using multi-agent simulations. The results of simulation show that fiscal balance is improved by high-welfare than a cut in fiscal expenditures, and that welfare reducing is impossible unless the three relations of social configuration (market, obligatory, and communal relations) function in balance with each other.

  15. Importing the Poor: Welfare Magnetism and Cross-Border Welfare Migration

    PubMed Central

    McKinnish, Terra

    2011-01-01

    I test for welfare-induced migration by comparing AFDC participation in border counties to interior counties in the same state. If migration costs are lower for border county residents, border counties on the high-benefit side of a state border should have higher welfare participation relative to the state’s interior counties. Border counties on the low-benefit side should have lower welfare participation relative to the state’s interior counties. The results obtained using county-level data from 1970–90 indicate that having a neighbor with benefits that are $100 lower increases AFDC expenditures in border counties by 4.0–6.8 percent relative to interior counties. PMID:21949446

  16. Welfare reform, family support, and child development: perspectives from policy analysis and developmental psychopathology.

    PubMed

    Knitzer, J; Yoshikawa, H; Cauthen, N K; Aber, J L

    2000-01-01

    This article explores the implications of recent welfare-related policy change for the well-being of children in low-income families, and for research investigating child development processes and outcomes. It provides an overview of current welfare-related policies and explores the implications for developmental researchers. The article also synthesizes early findings from research, highlighting both overall impacts and the more nuanced evidence that while families are transitioning off welfare, only a small number are transitioning out of poverty, and a subgroup of families at risk are not faring well. It then examines, from a theoretical and methodological framework, what developmental psychopathology might bring to the study of welfare-related impacts on children in the context of this complex and changing policy landscape, and what welfare researchers might bring to the field of developmental psychopathology. The article concludes with broad recommendations for both research and policy.

  17. The Myth of the Phoenix: Progressive Education, Migration and the Shaping of the Welfare State, 1985-2015

    ERIC Educational Resources Information Center

    Goossens, Cedric; Van Gorp, Angelo

    2016-01-01

    Since the 1970s, many western welfare states have been subject both to increased migration and to a renewed interest in progressive education. The present article addresses the question of whether these two phenomena are related and how changing notions of the welfare state shape and are shaped by this relationship. To answer the question, we…

  18. A Critical Comparison of Welfare States and Their Relevance to People with an Intellectual Disability

    ERIC Educational Resources Information Center

    de Chenu, Linda; Daehlen, Dag; Tah, Jude

    2016-01-01

    This article compares the welfare services for adults with an intellectual disability in three European countries: England, Norway and Sweden. The purpose of the comparison is to develop an understanding of the welfare state and institutional contexts of the country-specific policies and to develop a critical analysis through a comparative method…

  19. The impacts of welfare reform on rural public transportation patronage

    DOT National Transportation Integrated Search

    1999-12-01

    This study examines alternative means of forecasting rural public transportation patronage with explicit attention to persons likely to be affected by welfare to work requirements. Original data gathered on rural transit and auto commuters provides a...

  20. Child Welfare Financing: Looking beyond the New York State Family and Children's Services Block Grant.

    ERIC Educational Resources Information Center

    Citizens' Committee for Children of New York, NY.

    Since the Family and Children's Services Block Grant and the per diem rate methodology have not been effective, especially in the wake of the increasing number of children entering foster care, this policy brief explores ways in which New York State's child welfare system should allocate child welfare dollars to counties and providers to produce…

  1. Effects of demographic factors and information sources on United States consumer perceptions of animal welfare.

    PubMed

    McKendree, M G S; Croney, C C; Widmar, N J O

    2014-07-01

    As consumers have become more interested in understanding how their food is produced, scrutiny and criticism have increased regarding intensified food animal production methods. Resolution of public concerns about animal agricultural practices depends on understanding the myriad factors that provide the basis for concerns. An online survey of 798 U.S. households was conducted to investigate relationships between household characteristics (demographics, geographic location, and experiences) and level of concern for animal welfare as well as sources used to obtain information on the subject. Because recent media attention has focused on animal care practices used in the U.S. swine industry, respondents were also asked specific questions pertaining to their perceptions of pig management practices and welfare issues and their corresponding pork purchasing behavior. Respondents reporting higher levels of concern about animal welfare were more frequently female, younger, and self-reported members of the Democratic Party. Fourteen percent of respondents reported reduction in pork consumption because of animal welfare concerns with an average reduction of 56%. Over half of the respondents (56%) did not have a primary source for animal welfare information; those who identified a primary information source most commonly used information provided by animal protection organizations, the Humane Society of the United States (HSUS), and People for the Ethical Treatment of Animals (PETA). Midwest participants were significantly, at the 5% significance level, less concerned about domestic livestock animal welfare and more frequently reported not having a source for animal welfare information than those from other regions of the United States. Overall, the U.S. livestock and poultry industries and other organizations affiliated with animal agriculture appear to be less used public sources of information on animal welfare than popular animal protection organizations. Improved

  2. A Call for Reformation of Teacher Preparation Programs in the United States

    ERIC Educational Resources Information Center

    Dann, Ashley Ireland

    2014-01-01

    Although current research, educational theorists, and international comparison prove a need for reform, the United States' teacher preparation programs are failing. The following paper will call for the reform of teacher preparation programs in three distinct areas. Examination of current data, application of educational theorists'…

  3. [Public sector and social and health policy reforms. An inventory on the eve of the new millennium].

    PubMed

    Gerschman, S

    1999-01-01

    This study reflects on reforms in health systems and social policies within the framework of the so-called public sector reforms. The point of departure is a review of various explanations for the crisis in the Welfare State, present in the literature from the 1990s. Social policies, at the heart of the crisis, are heavily challenged. What we intend to demonstrate is that this argument plays a specific role, that of introducing neoliberal changes into economic policy, in which the economic tools used generate abstention by the state from the social sphere, deregulation of national economies in favor of the free market, and the fundamentally oversized role of the international financial market. Within this context we analyze the social security and health system reforms. The final part of the article deals with current difficulties in social policies, focusing the debate on a mapping of possible alternatives for developing social and health policies.

  4. Development of animal welfare understanding drives change in minimum welfare standards.

    PubMed

    Mellor, D J; Webster, J R

    2014-04-01

    The process by which societies adapt to increasing knowledge about the mental and physical capacities of animals and the ways in which they are affected by human activities has been described as a journey. Different countries and regions are at various stages of this journey, and will take a unique path, depending on their specific social and cultural dynamics. However, all participants are unified by an increasing awareness of, and concern for, animal welfare. This journey has been characterised by a number of landmark events, one of which was the release of the Five Freedoms concept. Although aspirational and abstract, as it did not outline specific practical goals, nonetheless this concept became a catalyst for moving animal welfare thinking in a new direction, and set up a number of important targets for research. This eventually led to a key shift in thinking from a focus on biological functioning and resources, to ways of assessing welfare outcomes in terms of animals' experiences, i.e. their affective states. Behaviour science played an important role in the interpretation of animals' affective experiences, receiving compelling support from parallel studies in affective neuroscience. An important aspect of our understanding of animal welfare is that affective states can be negative or positive. Enabling animals to perform specific behaviours at key times when they are needed is central to the achievement of positive affective states. Another important event has been the development of practical ways to shift the spectrum of affective states towards a positive balance and their incorporation into welfare codes and regulations. The recent focus on positive affective states does not mean that negative experiences should be given less attention. In fact, in those countries that are at the early stages of the journey, improving function and productivity may be the most effective way to promote some important aspects of animal welfare. For example, alleviating

  5. Writing Whirligigs: The Art and Assessment of Writing in Kentucky State Reform.

    ERIC Educational Resources Information Center

    Wolf, Shelby A.; McIver, Monette C.

    In 1990, the state of Kentucky created a new school system through the Kentucky Educational Reform Act (KERA). While KERA mandates wide-ranging progressive reform, testing through the Kentucky Instructional Results Information System (KIRIS) makes sure teachers get the job done. Though all Kentucky teachers are involved in writing, those at the…

  6. The State of America's Children Yearbook: 1997.

    ERIC Educational Resources Information Center

    Weill, James D., Ed.; Jablonski, Donna M., Ed.

    This Children's Defense Fund 1997 report on the state of America's children highlights the critical need for renewed commitment to children by all sectors of society. The introduction discusses Americans' values and presents 25 tips for effective child advocacy. The report then details the following: (1) the impact of welfare reform on children…

  7. Lifting the Welfare Spending Shroud: The Ambiguity around Expenditures Lessens with First Release of Information. Special Report.

    ERIC Educational Resources Information Center

    Matakis, Brian

    Noting that welfare reform offers new opportunities to apply dollars toward several initiatives beyond cash grants, this special report of the Voices for Illinois Children provides a detailed accounting of Illinois welfare expenditures for federal fiscal years (FFY) 1998 and 1999 and is intended to serve as a starting point toward greater clarity…

  8. The impact of welfare reform on the health insurance coverage, utilization and health of low education single mothers.

    PubMed

    Narain, Kimberly; Bitler, Marianne; Ponce, Ninez; Kominski, Gerald; Ettner, Susan

    2017-05-01

    The Personal Responsibility Work Opportunity and Reconciliation Act (PRWORA) of 1996 imposed time limits on the receipt of welfare cash benefits and mandated cash benefit sanctions for failure to meet work requirements. Many studies examining the health implications of PRWORA have found associated declines in health insurance coverage and healthcare utilization among single mothers but no impact of PRWORA on health outcomes. A limitation of this literature is that most studies cover a time period before time limits were implemented in all states and also before individuals began actually timing out. This work builds on previous studies by exploring this research question using data from the Survey of Income and Program Participation that covers a time period after all states have implemented time limits (1991-2009). We use a difference-in-differences study design that exploits variability in eligibility for cash welfare benefits by marital status and state-level variation in timing of PRWORA implementation to identify the effect of PRWORA. Using ordinary least square regression models, controlling for state-level and federal policies, individual-level demographics and state and year fixed-effects, we find that PRWORA leads to 7 and 5 percentage point increases in self-reported poor health and self-reported disability among white single mothers without a diploma, respectively. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Trends in mental health inequalities in England during a period of recession, austerity and welfare reform 2004 to 2013.

    PubMed

    Barr, Ben; Kinderman, Peter; Whitehead, Margaret

    2015-12-01

    Several indicators of population mental health in the UK have deteriorated since the financial crisis, during a period when a number of welfare reforms and austerity measures have been implemented. We do not know which groups have been most affected by these trends or the extent to which recent economic trends or recent policies have contributed to them. We use data from the Quarterly Labour Force Survey to investigate trends in self reported mental health problems by socioeconomic group and employment status in England between 2004 and 2013. We then use panel regression models to investigate the association between local trends in mental health problems and local trends in unemployment and wages to investigate the extent to which these explain increases in mental health problems during this time. We found that the trend in the prevalence of people reporting mental health problems increased significantly more between 2009 and 2013 compared to the previous trends. This increase was greatest amongst people with low levels of education and inequalities widened. The gap in prevalence between low and high educated groups widened by 1.29 percentage points for women (95% CI: 0.50 to 2.08) and 1.36 percentage points for men (95% CI: 0.31 to 2.42) between 2009 and 2013. Trends in unemployment and wages only partly explained these recent increases in mental health problems. The trend in reported mental health problems across England broadly mirrored the pattern of increases in suicides and antidepressant prescribing. Welfare policies and austerity measures implemented since 2010 may have contributed to recent increases in mental health problems and widening inequalities. This has led to rising numbers of people with low levels of education out of work with mental health problems. These trends are likely to increase social exclusion as well as demand for and reliance on social welfare systems. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Welfare Reform: More Coordinated Federal Effort Could Help States and Localities Move TANF Recipients With Impairments Toward Employment

    DTIC Science & Technology

    2001-10-01

    need to overcome logistical obstacles, such as transportation difficulties. Welfare caseloads dropped 46 percent between 1994 and 1999; however...provided one-to-one tutoring and employment services, including job placement and follow-up, to recipients with dyslexia . Sedgwick County refers...are about to have a sanction imposed. Leon County, FL; March 1999 Recipients with 48 months or more on TANF Dyslexia Research Institute developed and

  11. Welfare State Replacements: Deinstitutionalization, Privatization and the Outsourcing to Immigrant Women Enterprise.

    PubMed

    Nazareno, Jennifer

    2018-04-01

    The U.S. government has a long tradition of providing direct care services to many of its most vulnerable citizens through market-based solutions and subsidized private entities. The privatized welfare state has led to the continued displacement of some of our most disenfranchised groups in need of long-term care. Situated after the U.S. deinstitutionalization era, this is the first study to examine how immigrant Filipino women emerged as owners of de facto mental health care facilities that cater to the displaced, impoverished, severely mentally ill population. These immigrant women-owned businesses serve as welfare state replacements, overseeing the health and illness of these individuals by providing housing, custodial care, and medical services after the massive closure of state mental hospitals that occurred between 1955 and 1980. This study explains the onset of these businesses and the challenges that one immigrant group faces as owners, the meanings of care associated with their de facto mental health care enterprises, and the conditions under which they have operated for more than 40 years.

  12. The Impact of State Behavioral Health Reform on Native American Individuals, Families, and Communities

    PubMed Central

    Willging, Cathleen E.; Goodkind, Jessica; Lamphere, Louise; Saul, Gwendolyn; Fluder, Shannon; Seanez, Paula

    2012-01-01

    In 2005, the State of New Mexico undertook a sweeping transformation of all publicly funded behavioral health services. The reform was intended to enhance the cultural responsiveness and appropriateness of these services. To examine achievement of this objective, we conducted a qualitative study of the involvement of Native Americans in reform efforts and the subsequent impacts of reform on services for Native Americans. We found that the reform was relatively unsuccessful at creating mechanisms for genuine community input or improving behavioral health care for this population. These shortcomings were related to limited understandings of administrators concerning how tribal governments and health care systems operate, and the structural limitations of a managed care system that does not allow flexibility for culturally appropriate utilization review, screening, or treatment. However, interaction between the State and tribes increased, and we conclude that aspects of the reform could be strengthened to achieve more meaningful involvement and service improvements. PMID:22427455

  13. The impact of state behavioral health reform on Native American individuals, families, and communities.

    PubMed

    Willging, Cathleen E; Goodkind, Jessica; Lamphere, Louise; Saul, Gwendolyn; Fluder, Shannon; Seanez, Paula

    2012-07-01

    In 2005, the State of New Mexico undertook a sweeping transformation of all publicly funded behavioral health services. The reform was intended to enhance the cultural responsiveness and appropriateness of these services. To examine achievement of this objective, we conducted a qualitative study of the involvement of Native Americans in reform efforts and the subsequent impacts of reform on services for Native Americans. We found that the reform was relatively unsuccessful at creating mechanisms for genuine community input or improving behavioral health care for this population. These shortcomings were related to limited understandings of administrators concerning how tribal governments and health care systems operate, and the structural limitations of a managed care system that does not allow flexibility for culturally appropriate utilization review, screening, or treatment. However, interaction between the State and tribes increased, and we conclude that aspects of the reform could be strengthened to achieve more meaningful involvement and service improvements.

  14. An epidemiological approach to welfare research in zoos: the Elephant Welfare Project.

    PubMed

    Carlstead, Kathy; Mench, Joy A; Meehan, Cheryl; Brown, Janine L

    2013-01-01

    Multi-institutional studies of welfare have proven to be valuable in zoos but are hampered by limited sample sizes and difficulty in evaluating more than just a few welfare indicators. To more clearly understand how interactions of husbandry factors influence the interrelationships among welfare outcomes, epidemiological approaches are needed as well as multifactorial assessments of welfare. Many questions have been raised about the housing and care of elephants in zoos and whether their environmental and social needs are being met in a manner that promotes good welfare. This article describes the background and rationale for a large-scale study of elephant welfare in North American zoos funded by the (U.S.) Institute of Museum and Library Services. The goals of this project are to document the prevalence of positive and negative welfare states in 291 elephants exhibited in 72 Association of Zoos and Aquariums zoos and then determine the environmental, management, and husbandry factors that impact elephant welfare. This research is the largest scale nonhuman animal welfare project ever undertaken by the zoo community, and the scope of environmental variables and welfare outcomes measured is unprecedented.

  15. Welfare state regimes and gender inequalities in the exposure to work-related psychosocial hazards.

    PubMed

    Campos-Serna, Javier; Ronda-Pérez, Elena; Moen, Bente E; Artazcoz, Lucia; Benavides, Fernando G

    2013-01-01

    Gender inequalities in the exposure to work-related psychosocial hazards are well established. However, little is known about how welfare state regimes influence these inequalities. To examine the relationship between welfare state regimes and gender inequalities in the exposure to work-related psychosocial hazards in Europe, considering occupational social class. We used a sample of 27, 465 workers from 28 European countries. Dependent variables were high strain, iso-strain, and effort-reward imbalance, and the independent was gender. We calculated the prevalence and prevalence ratio separately for each welfare state regime and occupational social class, using multivariate logistic regression models. More female than male managers/professionals were exposed to: high strain, iso-strain, and effort-reward imbalance in Scandinavian [adjusted prevalence ratio (aPR) = 2·26; 95% confidence interval (95% CI): 1·87-2·75; 2·12: 1·72-2·61; 1·41: 1·15-1·74; respectively] and Continental regimes (1·43: 1·23-1·54; 1·51: 1·23-1·84; 1·40: 1·17-1·67); and to high strain and iso-strain in Anglo-Saxon (1·92: 1·40-2·63; 1·85: 1·30-2·64; respectively), Southern (1·43: 1·14-1·79; 1·60: 1·18-2·18), and Eastern regimes (1·56: 1·35-1·81; 1·53: 1·28-1·83). Gender inequalities in the exposure to work-related psychosocial hazards were not lower in those welfare state regimes with higher levels of universal social protection policies.

  16. Understanding State School Funding: The First Step toward Quality Reforms. The Progress of Education Reform. Volume 13, Number 3

    ERIC Educational Resources Information Center

    Griffith, Michael

    2012-01-01

    This quote, taken from a piece written by the Education Commission of the States (ECS) nearly 30 years ago, demonstrates that researchers have long recognized the relationship between quality education reform and the structure of a state's school funding system. However, many policymakers continue to view their state's school funding formula not…

  17. Educational inequalities in health in European welfare states: a social expenditure approach.

    PubMed

    Dahl, Espen; van der Wel, Kjetil A

    2013-03-01

    A puzzle in comparative health inequality research is the finding that egalitarian welfare states do not necessarily demonstrate narrow health inequalities. This paper interrogates into this puzzle by moving beyond welfare regimes to examine how welfare spending affect inequalities in self-rated across Europe. We operationalise welfare spending in four different ways and compare both absolute and relative health inequalities, as well as the level of poor self-rated health in the low education group across varying levels of social spending. The paper employs data from the EU Statistics of Income and Living Conditions (EU-SILC) and includes a sample of approximately 245,000 individuals aged 25-80+ years from 18 European countries. The data were examined by means of gender stratified multilevel logistic regression analyses. The results show that social expenditures are associated with lower health inequalities among women and, to a lesser degree, among men. Especially those with primary education benefit from high social transfers as compared with those who have tertiary education. This means that lower educational inequalities in health - in absolute and relative terms- are linked to higher social spending. The four different operationalisations of social spending produce similar patterns. Copyright © 2012 Elsevier Ltd. All rights reserved.

  18. Gender equity and health sector reform in Colombia: mixed state-market model yields mixed results.

    PubMed

    Ewig, Christina; Bello, Amparo Hernández

    2009-03-01

    In 1993, Colombia carried out a sweeping health reform that sought to dramatically increase health insurance coverage and reduce state involvement in health provision by creating a unitary state-supervised health system in which private entities are the main insurers and health service providers. Using a quantitative comparison of household survey data and an analysis of the content of the reforms, we evaluate the effects of Colombia's health reforms on gender equity. We find that several aspects of these reforms hold promise for greater gender equity, such as the resulting increase in women's health insurance coverage. However, the reforms have not achieved gender equity due to the persistence of fees which discriminate against women and the introduction of a two-tier health system in which women heads of household and the poor are concentrated in a lower quality health system.

  19. Organizational Factors and the Implementation of Family to Family: Contextual Elements of Systems Reform

    ERIC Educational Resources Information Center

    Crea, Thomas M.; Crampton, David S.; Knight, Nelson; Paine-Wells, Lisa

    2011-01-01

    In efforts to reform the child welfare system, agency leaders must involve staff at all levels; yet, little research has been done to determine which organizational factors encourage or inhibit staff engagement. Employees from an urban child welfare agency were invited to complete a survey regarding organizational effectiveness and its influence…

  20. The impact of welfare reform on parents' ability to care for their children's health.

    PubMed Central

    Heymann, S J; Earle, A

    1999-01-01

    OBJECTIVES: Most of the national policy debate regarding welfare assumed that if middle-income mothers could balance work while caring for their children's health and development, mothers leaving welfare for work should be able to do so as well. Yet, previous research has not examined the conditions faced by mothers leaving welfare for work. METHODS: Using data from the National Longitudinal Survey of Youth, this study examined the availability of benefits that working parents commonly use to meet the health and developmental needs of their children; paid sick leave, vacation leave, and flexible hours. RESULTS: In comparison with mothers who had never received welfare, mothers who had been on Aid to Families with Dependent Children were more likely to be caring for at least 1 child with a chronic condition (37% vs 21%, respectively). Yet, they were more likely to lack sick leave for the entire time they worked (36% vs 20%) and less likely to receive other paid leave or flexibility. CONCLUSIONS: If current welfare recipients face similar conditions when they return to work, many will face working conditions that make it difficult or impossible to succeed in the labor force at the same time as meeting their children's health and developmental needs. PMID:10191791

  1. Intergenerational solidarity: the paradox of reciprocity imbalance in ageing welfare states.

    PubMed

    Thijssen, Peter

    2016-12-01

    In this article a new theoretical framework is applied to a research field that is somewhat fragmented, namely that of intergenerational solidarity in ageing welfare states. Inspired by utilitarian considerations many scholars tend to problematize the lack of reciprocity characterizing intergenerational exchanges. As some generations are longer old and more numerous they may receive excessive state-administered support of the younger generations, especially in a democratic setting. However, in reality there is limited empirical evidence of intergenerational conflict and theoretical explanations of this paradox are rare. An integrated and dynamical approach that incorporates Durkheim's solidarity theory, Honneth's intersubjective recognition theory, and the current work on reciprocal exchange is necessary in order to understand the survival of intergenerational solidarity in ageing welfare states. According to this model reciprocal recognition leading to the empathization of exchanges is the driving force of intergenerational solidarity in a prefigurative and democratized culture where the status of the young has risen dramatically. Hence, we come to the paradoxical conclusion that attempts to preserve intergenerational solidarity by openly denouncing excessive transfers and trying to bypass them institutionally sometimes might be counterproductive because they may erode their empathic underpinnings. © London School of Economics and Political Science 2016.

  2. Happy Marriage or Uneasy Alliance? The Relationship between Comprehensive School Reform and State Accountability Systems

    ERIC Educational Resources Information Center

    Datnow, Amanda

    2005-01-01

    The purpose of this article is to examine how the relationship between comprehensive school reform (CSR) and state accountability systems helps or hinders school improvement efforts. This article draws on case study data collected in schools in 3 states that received funding to implement reforms through the federal CSR program. Findings show that…

  3. The Welfare to Work Transition in the United States: Implications for Work-Related Learning

    NASA Astrophysics Data System (ADS)

    Fisher, James C.; Martin, Larry G.

    2000-11-01

    This paper summarizes the legislation upon which the current welfare-to-work transition in the United States is based and describes characteristics of the former welfare population from which various tiers of employment options have emerged: unsubsidized-employed workers, subsidized-employed workers, subsidized-unemployed recipients, and unsubsidized-unemployed individuals. It also discusses current program emphases, and presents a format for directions for future program development which includes academic programs, situated cognition programs, integrated literacy/occupational skills programs, and integrated literacy/soft skills training.

  4. A Framework for Rebuilding Initial Certification and Preparation Programs in Educational Leadership: Lessons from Whole-State Reform Initiatives

    ERIC Educational Resources Information Center

    Murphy, Joseph; Moorman, Hunter N.; McCarthy, Martha

    2008-01-01

    Background/Context: This study examines the extent of reform in preparation programs in school leadership in six states employing a comprehensive, whole-state intervention design. Although no studies of these or other comprehensive reform designs are available, there is a rich context surrounding preparation reform work that informed our…

  5. The project organization as a policy tool in implementing welfare reforms in the public sector.

    PubMed

    Jensen, Christian; Johansson, Staffan; Löfström, Mikael

    2013-01-01

    Organizational design is considered in policy literature as a forceful policy tool to put policy to action. However, previous research has not analyzed the project organization as a specific form of organizational design and, hence, has not given much attention to such organizations as a strategic choice when selecting policy tools. The purpose of the article is to investigate the project as a policy tool; how do such temporary organizations function as a specific form of organization when public policy is implemented? The article is based on a framework of policy implementation and is illustrated with two welfare reforms in the Swedish public sector, which were organized and implemented as project organizations. The case studies and the analysis show that it is crucial that a project organization fits into the overall governance structure when used as a policy tool. If not, the project will remain encapsulated and will not have sufficient impact on the permanent organizational structure. The concept of encapsulation indicates a need to protect the project from a potential hostile environment. The implication of this is that organizational design as a policy tool is a matter that deserves more attention in the strategic discussion on implementing public policies and on the suitability of using certain policy tools. Copyright © 2012 John Wiley & Sons, Ltd.

  6. Welfare, maternal work, and on-time childhood vaccination rates.

    PubMed

    Sohn, Min-Woong; Yoo, Joan; Oh, Elissa H; Amsden, Laura B; Holl, Jane L

    2011-12-01

    To examine effects of Temporary Assistance for Needy Families welfare cash assistance and maternal work requirements on "on-time" childhood vaccination rates. A stratified random sample of Illinois children from low-income families affected by welfare reform was monitored from 1997 to 2004. Medical records from pediatricians' offices and Medicaid claims data were used to identify the timeliness of 18 recommended vaccinations. Random-intercept logistic models were used to estimate on-time vaccine administration as a function of welfare receipt and maternal work with adjustment for characteristics of the children and mothers and time-varying covariates pertaining to the administration window for each recommended vaccine dose. Of all recommended vaccinations, 55.9% were administered on time. On-time vaccination rates were higher when families were receiving welfare than not (57.4% vs 52.8%). Children in families that either were receiving welfare or had working mothers were 1.7 to 2.1 times more likely to receive vaccinations on time compared with children in families that were not receiving welfare and did not have working mothers. When vaccine doses were stratified according to welfare status, maternal work was associated with decreased on-time vaccination rates (odds ratio: 0.73 [95% confidence interval: 0.59-0.90]) when families received welfare but increased on-time vaccination rates (odds ratio: 1.68 [95% confidence interval: 1.27-2.22]) when they did not receive welfare. These results indicate that maternal work requirements of Temporary Assistance for Needy Families had negative effects on timely administration of childhood vaccinations, although receipt of welfare itself was associated with increased on-time rates.

  7. The Impacts of State Health Reform Initiatives on Adults in New York and Massachusetts

    PubMed Central

    Long, Sharon K; Stockley, Karen

    2011-01-01

    Objective To analyze the effects of health reform efforts in two large states—New York and Massachusetts. Data Sources/Study Setting National Health Interview Survey (NHIS) data from 1999 to 2008. Study Design We take advantage of the “natural experiments” that occurred in New York and Massachusetts to compare health insurance coverage and health care access and use for adults before and after the implementation of the health policy changes. To control for underlying trends not related to the reform initiatives, we subtract changes in the outcomes over the same time period for comparison groups of adults who were not affected by the policy changes using a differences-in-differences framework. The analyses are conducted using multiple comparison groups and different time periods as a check on the robustness of the findings. Data Collection/Extraction Methods Nonelderly adults ages 19–64 in the NHIS. Principal Findings We find evidence of the success of the initiatives in New York and Massachusetts at expanding insurance coverage, with the greatest gains reported by the initiative that was broadest in scope—the Massachusetts push toward universal coverage. There is no evidence of improvements in access to care in New York, reflecting the small gains in coverage under that state's reform effort and the narrow focus of the initiative. In contrast, there were significant gains in access to care in Massachusetts, where the impact on insurance coverage was greater and a more comprehensive set of reforms were implemented to improve access to a full array of health care services. The estimated gains in coverage and access to care reported here for Massachusetts were achieved in the early period under health reform, before the state's reform initiative was fully implemented. Conclusions Comprehensive reform initiatives are more successful at addressing gaps in coverage and access to care than are narrower efforts, highlighting the potential gains under national

  8. Educating Welfare Women in College.

    ERIC Educational Resources Information Center

    Gilbert, Caroline Marie

    The importance of higher education for women on welfare, the needs of welfare women in college, and college services provided to this population are discussed, along with model college programs, and policy implications for local, state, and federal programs. It is proposed that single-parent women on welfare have access to higher education so they…

  9. Child Care Issues Impacting Welfare Reform in the Rural South.

    ERIC Educational Resources Information Center

    Ghazvini, Alisa S.; Mullis, Ann K.; Mullis, Ronald L.; Park, Jennifer J.

    1999-01-01

    Access to affordable, quality child care is a major barrier to successful employment for many families. About one-fifth of families return to welfare within a few months of leaving, with lack of accessible child care and transportation being the most frequently cited reasons. These issues are likely to be compounded in the rural South. Information…

  10. Progressing beyond the Welfare State.

    ERIC Educational Resources Information Center

    Benson, Lee; Harkavy, Ira

    1991-01-01

    This paper outlines a neo-Deweyan strategy to transform American public schools into genuine community schools that function as central agencies for the development of a democratic welfare society. John Dewey's thesis was that a well-functioning school system constitutes the necessary, though not sufficient, condition for a well-functioning…

  11. Medicaid Issues in Family Welfare and Nursing Home Reform. Including H.R. 2270, a Bill To Amend Title XIX of the Social Security Act To Change the Medicaid Requirements for Nursing Facilities Based on Recommendations of the Institute of Medicine of the National Academy of Sciences. Hearings before the Subcommittee on Health and the Environment of the Committee on Energy and Commerce, House of Representatives, One Hundredth Congress, First Session (April 24 and May 12, 1987).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Energy and Commerce.

    Two hearings held a month apart examine major issues concerning Medicaid benefits in family welfare and nursing home reform. The first set of hearings discusses the proposed Family Welfare Reform Act of 1987 (H.R. 1720), which is intended to replace the Aid to Families with Dependent Children (AFDC) program of the Social Security Act Title IV.…

  12. The European influence on workers' compensation reform in the United States

    PubMed Central

    2011-01-01

    Workers' compensation law in the United States is derived from European models of social insurance introduced in Germany and in England. These two concepts of workers' compensation are found today in the federal and state workers' compensation programs in the United States. All reform proposals in the United States are influenced by the European experience with workers' compensation. In 2006, a reform proposal termed the Public Health Model was made that would abolish the workers' compensation system, and in its place adopt a national disability insurance system for all injuries and illnesses. In the public health model, health and safety professionals would work primarily in public health agencies. The public health model eliminates the physician from any role other than that of privately consulting with the patient and offering advice solely to the patient. The Public Health Model is strongly influenced by the European success with physician consultation with industry and labor. PMID:22151643

  13. Economic hardship and depression across the life course: the impact of welfare state regimes.

    PubMed

    Levecque, Katia; Van Rossem, Ronan; De Boyser, Katrien; Van de Velde, Sarah; Bracke, Piet

    2011-06-01

    Previous research in the United States suggests that depression related to economic hardship decreases with age. We test whether this pattern can be generalized to other developed nations. Based on data from 23 countries in the European Social Survey (2006--2007), multilevel analyses show that the moderating role of age depends on the socio-political context. While the hardship--depression link is not significantly different across the life course in Nordic and Bismarckian regimes, the hardship--depression link increases with age in Southern and Eastern European countries and decreases with age in strength in Anglo-Saxon welfare states. Our findings suggest that welfare state regimes play a significant role in attenuating, boosting, or even reversing the health effects of social experiences such as economic hardship on aging. Health knowledge gained through research that ignores the socio-political context may be limited in terms of generalization.

  14. The British welfare state and mental health problems: the continuing relevance of the work of Claus Offe.

    PubMed

    Pilgrim, David

    2012-09-01

    It is now over thirty years since Claus Offe theorised the crisis tendencies of the welfare state in late capitalism. As part of that work he explored ongoing and irresolvable forms of crisis management in parliamentary democracies: capitalism cannot live with the welfare state but also cannot live without it. This article examines the continued relevance of this analysis by Offe, by applying its basic assumptions to the response of the British welfare state to mental health problems, at the turn of the twenty first century. His general theoretical abstractions are tested against the empirical picture of mental health service priorities, evident since the 1980s, in sections dealing with: re-commodification tendencies; the ambiguity of wage labour in the mental health workforce; the emergence of new social movements; and the limits of legalism. © 2012 The Author. Sociology of Health & Illness © 2012 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.

  15. Animal welfare at the group level: more than the sum of individual welfare?

    PubMed

    Ohl, F; Putman, R J

    2014-03-01

    Currently assessment and management of animal welfare are based on the supposition that welfare status is something experienced identically by each individual animal when exposed to the same conditions. However, many authors argue that individual welfare cannot be seen as an 'objective' state, but is based on the animal's own self-perception; such perception might vary significantly between individuals which appear to be exposed to exactly the same challenges. We argue that this has two implications: (1) actual perceived welfare status of individuals in a population may vary over a wide range even under identical environmental conditions; (2) animals that appear to an external observer to be in better or poorer welfare condition may all in fact perceive their own individual status as the same. This would imply that optimum welfare of a social group might be achieved in situations where individual group members differ markedly in apparent welfare status and perceive their own welfare as being optimal under differing circumstances. Welfare phenotypes may also vary along a continuum between self-regarding and other-regarding behaviour; a variety of situations exist where (social) individuals appear to invest in the welfare of other individuals instead of maximising their own welfare; in such a case it is necessary to re-evaluate individual welfare within the context of a social group and recognise that there may be consequences for the welfare of individuals, of decisions made at the group level or by other group members.

  16. The Sustainability of Comprehensive School Reform Models in Changing District and State Contexts

    ERIC Educational Resources Information Center

    Datnow, Amanda

    2005-01-01

    This article addresses the sustainability of comprehensive school reform (CSR) models in the face of turbulent district and state contexts. It draws on qualitative data gathered in a longitudinal case study of six CSR models implemented in 13 schools in one urban district. Why do reforms sustain in some schools and not in others? How do changing…

  17. Urban Poverty and the Welfare State: Comparative Reflections on Scandinavia and the U.S. Working Paper No. 481.

    ERIC Educational Resources Information Center

    Abrahamson, Peter

    Scandinavian welfare states are developing a growing new middle class and a growing marginalized, poverty-threatened underclass, reproducing the societal duality caused by labor market structuring. Tightening labor markets, increased dependency on welfare benefits, and substantial decreases in public transfers have combined to create a growing…

  18. Superintendent Retirement in a Reform State: Rhetoric and Reality

    ERIC Educational Resources Information Center

    Boyland, Lori; Ellis, John

    2015-01-01

    Indiana recently gained status as a national leader in educational reform. At the same time, a record number of superintendents retired, with 62 retirements in 2012 and 2013, representing 21% of superintendents in the state. The purpose of this study was to explore factors influencing superintendents' decisions to retire during this time.…

  19. Poverty and Welfare among Rural Female-Headed Families before and after PRWORA.

    ERIC Educational Resources Information Center

    Lichter, Daniel T.; Jensen, Leif

    2001-01-01

    Rural poverty among female-headed families with children has declined since 1996 welfare reforms. Moreover, the income of female-headed families has increased, while income from earnings has more than offset declines in public assistance income. Rural single mothers nevertheless continue to experience higher poverty rates than their urban…

  20. The Juggling Act: Navigating Parent Involvement in the Welfare Reform Era

    ERIC Educational Resources Information Center

    Shiffman, Catherine Dunn

    2013-01-01

    This article examines how parents supported their children's education while transitioning from welfare to work. Interviews with parents, elementary school educators, and staff at a community-based organization were conducted in an urban Tennessee community. Navigating work and parenting responsibilities was particularly challenging when children…

  1. Toward Self Sufficiency: Social Issues in the Nineties. Proceedings of the National Association for Welfare Research and Statistics (33rd, Scottsdale, Arizona, August 7-11, 1993).

    ERIC Educational Resources Information Center

    National Association for Welfare Research and Statistics, Olympia, WA.

    The presentations compiled in these proceedings on welfare and self-sufficiency reflect much of the current research in areas of housing, health, employment and training, welfare and reform, nutrition, child support, child care, and youth. The first section provides information on the conference and on the National Association for Welfare Research…

  2. 25 CFR 20.200 - What contact will the Bureau maintain with State, tribal, county, local, and other Federal agency...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Welfare Reform... agency programs? We will coordinate all financial assistance and social services programs with state... social services program avoids duplication of assistance. ...

  3. 25 CFR 20.200 - What contact will the Bureau maintain with State, tribal, county, local, and other Federal agency...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Welfare Reform... agency programs? We will coordinate all financial assistance and social services programs with state... social services program avoids duplication of assistance. ...

  4. 25 CFR 20.200 - What contact will the Bureau maintain with State, tribal, county, local, and other Federal agency...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ..., DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Welfare Reform... agency programs? We will coordinate all financial assistance and social services programs with state... social services program avoids duplication of assistance. ...

  5. 25 CFR 20.200 - What contact will the Bureau maintain with State, tribal, county, local, and other Federal agency...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ..., DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Welfare Reform... agency programs? We will coordinate all financial assistance and social services programs with state... social services program avoids duplication of assistance. ...

  6. 25 CFR 20.200 - What contact will the Bureau maintain with State, tribal, county, local, and other Federal agency...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ..., DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Welfare Reform... agency programs? We will coordinate all financial assistance and social services programs with state... social services program avoids duplication of assistance. ...

  7. Are there differences in birth weight between neighbourhoods in a Nordic welfare state?

    PubMed

    Sellström, Eva; Arnoldsson, Göran; Bremberg, Sven; Hjern, Anders

    2007-09-26

    The objective of this cohort study was to examine the effect on birth weight of living in a disadvantaged neighbourhood in a Nordic welfare state. Birth weight is a health indicator known to be sensitive to political and welfare state conditions. No former studies on urban neighbourhood differences regarding mean birth weight have been carried out in a Nordic country. A register based on individual data on children's birth weight and maternal risk factors was used. A neighbourhood characteristic, i.e. an aggregated measure on income was also included. Connections between individual- and neighbourhood-level determinants and the outcome were analysed using multi-level regression technique. The study covered six hundred and ninety-six neighbourhoods in the three major cities of Sweden, Stockholm, Göteborg and Malmö, during 1992-2001. The majority of neighbourhoods had a population of 4 000-10 000 inhabitants. An average of 500 births per neighbourhood were analysed in this study. Differences in mean birth weight in Swedish urban neighbourhoods were minor. However, gestational length, parity and maternal smoking acted as modifiers of the neighbourhood effects. Most of the observed variation in mean birth weight was explained by individual risk factors. Welfare institutions and benefits in Sweden might buffer against negative infant outcomes due to adverse structural organisation of urban neighbourhoods.

  8. Are there differences in birth weight between neighbourhoods in a Nordic welfare state?

    PubMed Central

    Sellström, Eva; Arnoldsson, Göran; Bremberg, Sven; Hjern, Anders

    2007-01-01

    Background The objective of this cohort study was to examine the effect on birth weight of living in a disadvantaged neighbourhood in a Nordic welfare state. Birth weight is a health indicator known to be sensitive to political and welfare state conditions. No former studies on urban neighbourhood differences regarding mean birth weight have been carried out in a Nordic country. Methods A register based on individual data on children's birth weight and maternal risk factors was used. A neighbourhood characteristic, i.e. an aggregated measure on income was also included. Connections between individual- and neighbourhood-level determinants and the outcome were analysed using multi-level regression technique. The study covered six hundred and ninety-six neighbourhoods in the three major cities of Sweden, Stockholm, Göteborg and Malmö, during 1992–2001. The majority of neighbourhoods had a population of 4 000–10 000 inhabitants. An average of 500 births per neighbourhood were analysed in this study. Results Differences in mean birth weight in Swedish urban neighbourhoods were minor. However, gestational length, parity and maternal smoking acted as modifiers of the neighbourhood effects. Most of the observed variation in mean birth weight was explained by individual risk factors. Conclusion Welfare institutions and benefits in Sweden might buffer against negative infant outcomes due to adverse structural organisation of urban neighbourhoods. PMID:17897453

  9. Welfare Rights in the Liberal Tradition.

    ERIC Educational Resources Information Center

    Horne, Thomas A.

    1990-01-01

    Maintains that welfare rights are not incompatible with liberalism's commitment to private property and freedom. Argues that students need to be aware of liberalism's favorable historical position on welfare. Examines the positions of John Locke, Thomas Paine, and John Stuart Mills on poverty, welfare, and the role of the state. (RW)

  10. Conceptualizing Public Attitudes toward the Welfare State: A Comment on Hasenfeld and Rafferty.

    ERIC Educational Resources Information Center

    Emerson, Michael O.; Van Buren, Mark E.

    1992-01-01

    Using structural equation technique to replicate results of Hasenfeld and Rafferty's causal model predicting public attitudes toward welfare state programs with the social ideologies of work ethic and social rights. By incorporating estimates of measurement error, results failed to support the authors' original conclusions. Operationalizing key…

  11. Poverty and social welfare: an agenda for change.

    PubMed

    Meyer, J A; Lewin, M E

    1986-01-01

    Actions to reduce the federal deficit in recent years threaten to strand the economically and socially disadvantaged while maintaining generous subsidy programs for populations with little or no financial need. This situation has been brought about in large part because of government's inherent reluctance to scale down programs that are politically popular even if no longer affordable or, in the long run, appropriate. The authors suggest that realistic and responsible social welfare policy reform requires that no sector of the federal budget be exempt from review or change. In the area of health, the importance of reshaping programs such as Medicare and Medicaid and disaggregating trends to focus more on populations with legitimate unmet needs is underscored. The authors make a number of suggestions on how existing social welfare programs can be better targeted.

  12. Barriers to employability among substance dependent and nonsubstance-affected women on federal welfare: implications for program design.

    PubMed

    Morgenstern, Jon; McCrady, Barbara S; Blanchard, Kimberly A; McVeigh, Katharine H; Riordan, Annette; Irwin, Thomas W

    2003-03-01

    This study examined barriers to employability among women meeting criteria for a substance dependence disorder who were identified by routine screening conducted in welfare offices. The characteristics of these women were compared to other women on welfare who did not have a substance use disorder. A sample of 214 substance dependent women on federal welfare were recruited to participate in a substance use disorders welfare demonstration project. An additional 69 nonsubstance-affected women on welfare served as a comparison sample. All participants were assessed in welfare settings through a standardized battery of measures. Substance dependent women reported moderate to severe substance use problems. They also reported significantly higher rates than the women with no substance use disorder of other barriers such as domestic violence, mental health problems, legal problems, child welfare investigations and fewer job skills. Findings raise questions about the likely effectiveness of existing welfare reform services in addressing the needs of substance dependent women.

  13. Leave No City Behind: England/United States Dialogue on Urban Education Reform

    ERIC Educational Resources Information Center

    Hannaway, Jane; Murphy, Marilyn; Reed, Jodie

    2004-01-01

    Both the United States and England initiated ambitious standards-based education reform to eliminate large gaps between their highest and lowest achievers. England appears to be ahead, having started in 1988 with a national curriculum, tests, and performance tables. The United States' No Child Left Behind Act began rewriting state rules in 2002…

  14. Reform in the General Education Movement: The Case of Michigan State College, 1938-1952

    ERIC Educational Resources Information Center

    Zayed, Kevin S.

    2012-01-01

    This article uses the case of Michigan State College (MSC) to reconsider understanding of reform in the general education movement. Using the lens of MSC, the author argues that reform in the general education movement operated in a matrix of influence that involved educational research, philanthropy, and (both inter- and intra-) institutional…

  15. Pedagogy of the Consumer: The Politics of Neo-Liberal Welfare Reform

    ERIC Educational Resources Information Center

    Wilkins, Andrew

    2012-01-01

    Situated against the backdrop of a widespread and growing interest in the linkages between neo-liberalism and welfare, this paper introduces the lens of neo-liberalism as a conceptual strategy for thinking about contemporary issues in education policy. Through charting the historic rise of unfettered market institutions and practices in the…

  16. Native American Indian child welfare system change: implementation of a culturally appropriate practice model across three tribal child welfare systems.

    PubMed

    Scannapieco, Maria; Iannone, Mary A

    2012-01-01

    Currently, there are 565 federally recognized tribes in the United States who are independent sovereign nations. These tribes have varying capacities to manage and administer child welfare programs. Most provide some type of child welfare service to the children and families within their tribal land. However, there are no national resources to document the number of children in foster care or the extent of abuse and neglect in the families served by tribal child welfare agencies. Information is only known about those Native American/Alaska Native families and children who are reported to state child protection agencies. Native American children represented 0.9% of all children in the United States in the late 1990s, but they comprised 3.1% of the substitute care population in state-run child welfare systems (Morrison, et al., 2010). Incident rates of child welfare referrals, substantiated referrals, and foster care placement among Native American children and families are relatively high compared to other ethnic groups (Earle & Cross, 2001) but precise interpretation of Native American status is difficult due to variations in child welfare reporting systems (Magruder & Shaw, 2008).

  17. Welfare Reform: States Provide TANF-Funded Services to Many Low-Income Families Who Do Not Receive Cash Assistance. Report to the Ranking Minority Member, Subcommittee on Human Resources, Committee on Ways and Means, House of Representatives.

    ERIC Educational Resources Information Center

    Fagnoni, Cynthia M.; Posner, Paul L.

    A study determined the extent to which states spend federal Temporary Assistance for Needy Families (TANF) and state maintenance-of-effort (MOE) funds for cash assistance and non-cash services and how this compares to welfare spending in fiscal year (FY) 1995. It also identifed the extent to which states use TANF and MOE funds to provide services…

  18. Bridging the Gap: Higher Education and Career-Centered Welfare Reform. Proceedings.

    ERIC Educational Resources Information Center

    Kosar, Kevin R., Ed.

    This conference examined the current welfare policy and the continued use of higher education as a tool for moving low-income people into self-supporting careers. The proceedings include: welcoming remarks by Stephen Greenwald; keynote addresses by William Spriggs and Danny Simmons; a lunch address by Rae Alexander-Minter; remarks by Patricia…

  19. How Welfare States Shape the Gender Pay Gap: A Theoretical and Comparative Analysis

    ERIC Educational Resources Information Center

    Mandel, Hadas; Shalev, Michael

    2009-01-01

    We assess the impact of the welfare state on cross-national variation in the gender wage gap. Earnings inequality between men and women is conceptualized as resulting from their different locations in the class hierarchy, combined with the severity of wage differentials between and within classes. This decomposition contributes to identifying…

  20. Work or welfare after cancer? Explorations of identity and stigma.

    PubMed

    Moffatt, Suzanne; Noble, Emma

    2015-11-01

    With increasing numbers of people living with cancer, a greater focus is required on the social consequences of the disease. This article explores the connections between cancer and employment and the constraints imposed by ill health and wider structural conditions. Narrative data from 23 people of working age with cancer in north-east England collected longitudinally over 16 months highlight the impact of financial strain caused by temporary or permanent interruption to employment, and the positive benefits of an upstream welfare rights intervention in enabling participants to claim benefit entitlements and boost incomes. Returning to work, for those who were able, helped repair the disruption caused by the illness. For those unable to work, reliance on welfare benefits, while necessary, conferred a stigmatised identity that compounded the disruption wrought by cancer. While stigma occurs at the individual level, the structural dimensions of stigma need to be acknowledged in order to analyse the forces that cause, maintain and perpetuate the stigma associated with claiming welfare while ill. We conclude that current UK policies and welfare reforms to reduce sickness-related welfare claims will lead to greater hardship during periods of ill health and increase inequalities. © 2015 Foundation for the Sociology of Health & Illness.

  1. Reform and efficiency of state-owned forest enterprises in Northeast China as “social firms”

    Treesearch

    Han Xue; Gregory E. Frey; Geng Yude; Frederick W. Cubbage; Zhang Zhaohui

    2018-01-01

    State-owned forest enterprises (SOFEs) in northeast China have experienced past economic loss andenvironmental degradation, causing government to seek reforms. Measurement of technical efficiencyallows us to evaluate overall trends and how reforms affect production of social and environmental goods.Previous assessments have used small samples, short time...

  2. Civil Society-Driven Drug Policy Reform for Health and Human Welfare-India.

    PubMed

    Vallath, Nandini; Tandon, Tripti; Pastrana, Tania; Lohman, Diederik; Husain, S Asra; Cleary, James; Ramanath, Ganpati; Rajagopal, M R

    2017-03-01

    The lack of adequate access to opioids in India as analgesics and for agonist therapies, forces millions to live with severe unalleviated pain, or languish with suffering associated with drug dependence. Although India is a major opium exporter, the excessively prohibitive 1985 narcotics law formulated to control harmful use of drugs, impeded the availability and access to opioids for medical and scientific purposes. Amendment of this law in 2014 established a new national regulatory framework for improved access to essential opioid analgesics. This article reflects on key elements and processes that led to this landmark achievement. Unlike quick timelines associated with effecting policy reforms for law enforcement, realizing the 2014 drug policy change primarily to mitigate human suffering, was a 22-year-long process. The most exacting challenges included recognizing the multilayered complexities of the prior policy framework and understanding their adverse impact on field practices to chart an appropriate and viable path for reform. The evolution of an informal civil society movement involving health care professionals, lawyers, media, policy analysts, government officials, and the public was pivotal in addressing these challenges and garnering momentum for reform. The success of the effort for improving access to opioid medications was underpinned by a three-pronged strategy of 1) persuading the executive arm of the government to take interim enabling measures; 2) leveraging judicial intervention through public interest litigation; and 3) crafting a viable policy document for legislative approval and implementation. We hope our findings are useful for realizing drug policy reforms, given the current transformed global policy mandates emphasizing humanitarian, healthcare, and quality-of-life considerations. Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  3. Welfare state regimes, unemployment and health: a comparative study of the relationship between unemployment and self-reported health in 23 European countries.

    PubMed

    Bambra, C; Eikemo, T A

    2009-02-01

    The relationship between unemployment and increased risk of morbidity and mortality is well established. However, what is less clear is whether this relationship varies between welfare states with differing levels of social protection for the unemployed. The first (2002) and second (2004) waves of the representative cross-sectional European Social Survey (37 499 respondents, aged 25-60 years). Employment status was main activity in the last 7 days. Health variables were self-reported limiting long-standing illness (LI) and fair/poor general health (PH). Data are for 23 European countries classified into five welfare state regimes (Scandinavian, Anglo-Saxon, Bismarckian, Southern and Eastern). In all countries, unemployed people reported higher rates of poor health (LI, PH or both) than those in employment. There were also clear differences by welfare state regime: relative inequalities were largest in the Anglo-Saxon, Bismarckian and Scandinavian regimes. The negative health effect of unemployment was particularly strong for women, especially within the Anglo-Saxon (OR(LI) 2.73 and OR(PH) 2.78) and Scandinavian (OR(LI) 2.28 and OR(PH) 2.99) welfare state regimes. The negative relationship between unemployment and health is consistent across Europe but varies by welfare state regime, suggesting that levels of social protection may indeed have a moderating influence. The especially strong negative relationship among women may well be because unemployed women are likely to receive lower than average wage replacement rates. Policy-makers' attention therefore needs to be paid to income maintenance, and especially the extent to which the welfare state is able to support the needs of an increasingly feminised European workforce.

  4. Catalytic Reforming of Oxygenates: State of the Art and Future Prospects.

    PubMed

    Li, Di; Li, Xinyu; Gong, Jinlong

    2016-10-12

    This Review describes recent advances in the design, synthesis, reactivity, selectivity, structural, and electronic properties of the catalysts for reforming of a variety of oxygenates (e.g., from simple monoalcohols to higher polyols, then to sugars, phenols, and finally complicated mixtures like bio-oil). A comprehensive exploration of the structure-activity relationship in catalytic reforming of oxygenates is carried out, assisted by state-of-the-art characterization techniques and computational tools. Critical emphasis has been given on the mechanisms of these heterogeneous-catalyzed reactions and especially on the nature of the active catalytic sites and reaction pathways. Similarities and differences (reaction mechanisms, design and synthesis of catalysts, as well as catalytic systems) in the reforming process of these oxygenates will also be discussed. A critical overview is then provided regarding the challenges and opportunities for research in this area with a focus on the roles that systems of heterogeneous catalysis, reaction engineering, and materials science can play in the near future. This Review aims to present insights into the intrinsic mechanism involved in catalytic reforming and provides guidance to the development of novel catalysts and processes for the efficient utilization of oxygenates for energy and environmental purposes.

  5. The Common Core "State" Standards: The Arts and Education Reform

    ERIC Educational Resources Information Center

    Wexler, Alice

    2014-01-01

    In this commentary, Alice Wexler notes that as the Common Core State Standards (CCSS) become reality, teachers have reason for concern. She contends that this reform to public education has consequently marginalized the arts and exacerbated the inequities of people in poverty and those with disabilities. Teachers, principals and, ultimately,…

  6. Diagnostic imaging rates for head injury in the ED and states' medical malpractice tort reforms.

    PubMed

    Smith-Bindman, Rebecca; McCulloch, Charles E; Ding, Alexander; Ding, Alex; Quale, Christopher; Chu, Philip W

    2011-07-01

    Physicians' fears of being sued may lead to defensive medical practices, such as ordering nonindicated medical imaging. We investigated the association between states' medical malpractice tort reforms and neurologic imaging rates for patients seen in the emergency department with mild head trauma. We assessed neurologic imaging among a national sample of 8588 women residing in 10 US states evaluated in an emergency setting for head injury between January 1, 1992, and December 31, 2001. We assessed the odds of imaging as it varied by the enactment of medical liability reform laws. The medical liability reform laws were significantly associated with the likelihood of imaging. States with laws that limited monetary damages (odds ratio [OR], 0.63; 95% confidence interval [CI], 0.40-0.99), mandated periodic award payments (OR, 0.64; 95% CI, 0.43-0.97), or specified collateral source offset rules (OR, 0.62; 95% CI, 0.40-0.96) had an approximately 40% lower odds of imaging, whereas states that had laws that limited attorney's contingency fees had significantly higher odds of imaging (OR, 1.5; 95% CI, 0.99-2.4), compared to states without these laws. When we used a summation of the number of laws in place, the greater the number of laws, the lower the odds of imaging. In the multivariate analysis, after adjusting for individual and community factors, the total number of laws remained significantly associated with the odds of imaging, and the effect of the individual laws was attenuated, but not eliminated. The tort reforms we examined were associated with the propensity to obtain neurologic imaging. If these results are confirmed in larger studies, tort reform might mitigate defensive medical practices. Copyright © 2011 Elsevier Inc. All rights reserved.

  7. Migrant Child Welfare: A State of the Field Study of Child Welfare Services for Migrant Children and Their Families Who Are In-Stream, Home Based, Or Settled-Out. Final Report, June 1977.

    ERIC Educational Resources Information Center

    Cavenaugh, David N.; And Others

    The five parts of this report present the findings and recommendations of the Migrant Child Welfare study. Part I briefly summarizes the impact of the child welfare services and the family interview results, and reviews the organizational structure of program delivery at the state and local levels. Part II synthesizes the information obtained from…

  8. The politics of ideas in welfare state transformation: Christian Democracy and the reform of family policy in Germany.

    PubMed

    Fleckenstein, Timo

    2011-01-01

    The expansion of employment-centered family policies of the Grand Coalition in Germany came with some surprise, as Christian Democrats have traditionally been strongly committed to the male breadwinner model and corresponding family policies. This article investigates why Christian Democrats (though with some inconsistencies) promoted “social-democratic” family policies guided by the adult worker rather than by the male breadwinner model. Illuminating the politics of recent family policy reforms, the electoral rationale for this modernization of family policy, the role of political entrepreneurship, and intraparty political conflicts over the new policy paradigm are discussed.

  9. Welfare reform : implementing DOT's access to jobs program in its first year

    DOT National Transportation Integrated Search

    1999-11-26

    To transition welfare recipients to employment, it is important to provide them with transportation to the workplace. Many of these new jobs are in areas with limited or no public transportation systems and are accessible primarily by car. However, m...

  10. Funding Special Education by Capitation: Evidence from State Finance Reforms

    ERIC Educational Resources Information Center

    Dhuey, Elizabeth; Lipscomb, Stephen

    2011-01-01

    This study examines responses to state capitation policies for special education finance between 1991-92 and 2003-4. Capitation refers to distributing funds based on the entire student enrollment. We find that disability rates tended to fall following capitation reforms, primarily in subjectively diagnosed categories and in early and late grades.…

  11. Shifting subjects of health-care: placing "medical tourism" in the context of Malaysian domestic health-care reform.

    PubMed

    Ormond, Meghann

    2011-01-01

    "Medical tourism" has frequently been held to unsettle naturalised relationships between the state and its citizenry. Yet in casting "medical tourism" as either an outside "innovation" or "invasion," scholars have often ignored the role that the neoliberal retrenchment of social welfare structures has played in shaping the domestic health-care systems of the "developing" countries recognised as international medical travel destinations. While there is little doubt that "medical tourism" impacts destinations' health-care systems, it remains essential to contextualise them. This paper offers a reading of the emergence of "medical tourism" from within the context of ongoing health-care privatisation reform in one of today's most prominent destinations: Malaysia. It argues that "medical tourism" to Malaysia has been mobilised politically both to advance domestic health-care reform and to cast off the country's "underdeveloped" image not only among foreign patient-consumers but also among its own nationals, who are themselves increasingly envisioned by the Malaysian state as prospective health-care consumers.

  12. Splintered Accountability: State Governance and Education Reform. SUNY Series in Public Policy

    ERIC Educational Resources Information Center

    Shober, Arnold F.

    2010-01-01

    The No Child Left Behind Act declared that improving education in every school in the United States was a top national priority. However, this act did not acknowledge how state departments of education have successfully constructed reforms for the past few decades, despite the power struggle between governors, legislators, school districts, and…

  13. The science of animal welfare

    USDA-ARS?s Scientific Manuscript database

    People differ in their culture, education, economic status, and values; thus they may view an animal’s welfare status as good or poor based on their individuality. However, regardless of these human differences in perception the actual state of welfare for the animal does exist in a range from good ...

  14. Welfare Reform: Reauthorization of Work and Child Care. Hearing before the Subcommittee on 21st Century Competitiveness of the Committee on Education and the Workforce, U.S. House of Representatives, One Hundred Ninth Congress, First Session (March 15, 2005). Serial Number 109-4

    ERIC Educational Resources Information Center

    US House of Representatives, 2005

    2005-01-01

    The purpose of this hearing was to hear testimony on the effects of welfare reform and the Temporary Assistance for Needy Families block grant, and to examine one of the most important work supports available to low-income families, Federal child care assistance. The opening statements were delivered by the Honorable Howard P. "Buck"…

  15. Implementation and Evaluation of Linked Parenting Models in a Large Urban Child Welfare System

    PubMed Central

    Feldman, Sara Wolf; Wulczyn, Fred; Saldana, Lisa; Forgatch, Marion

    2015-01-01

    During the past decade, there have been increased efforts to implement evidence-based practices into child welfare systems to improve outcomes for children in foster care and their families. In this paper, the implementation and evaluation of a policy-driven large system-initiated reform is described. Over 250 caseworkers and supervisors were trained and supported to implement two evidence-based parent focused interventions in five private agencies serving over 2,000 children and families. At the request of child welfare system leaders, a third intervention was developed and implemented to train the social work workforce to use evidence-based principles in everyday interactions with caregivers (including foster, relative, adoptive, and biological parents). In this paper, we describe the policy context and the targeted outcomes of the reform. We discuss the theory of the interventions and the logistics of how they were linked to create consistency and synergy. Training and ongoing consultation strategies used are described as are some of the barriers and opportunities that arose during the implementation. The strategy for creating a path to sustainability is also discussed. The reform effort was evaluated using both qualitative and quantitative methods; the evaluation design, research questions and preliminary results are provided. PMID:26602831

  16. Implementation and evaluation of linked parenting models in a large urban child welfare system.

    PubMed

    Chamberlain, Patricia; Feldman, Sara Wolf; Wulczyn, Fred; Saldana, Lisa; Forgatch, Marion

    2016-03-01

    During the past decade, there have been increased efforts to implement evidence-based practices into child welfare systems to improve outcomes for children in foster care and their families. In this paper, the implementation and evaluation of a policy-driven large system-initiated reform is described. Over 250 caseworkers and supervisors were trained and supported to implement two evidence-based parent focused interventions in five private agencies serving over 2,000 children and families. At the request of child welfare system leaders, a third intervention was developed and implemented to train the social work workforce to use evidence-based principles in everyday interactions with caregivers (including foster, relative, adoptive, and biological parents). In this paper, we describe the policy context and the targeted outcomes of the reform. We discuss the theory of the interventions and the logistics of how they were linked to create consistency and synergy. Training and ongoing consultation strategies used are described as are some of the barriers and opportunities that arose during the implementation. The strategy for creating a path to sustainability is also discussed. The reform effort was evaluated using both qualitative and quantitative methods; the evaluation design, research questions and preliminary results are provided. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. From Policy to Practice: The Implementation and Negotiation of Technologies in Everyday Child Welfare

    ERIC Educational Resources Information Center

    Peckover, Sue; Hall, Christopher; White, Sue

    2009-01-01

    A central element of the Every Child Matters reforms in England are measures which aim at improving information sharing. Amongst these are the children's database and the Common Assessment Framework, both representing technological solutions to long-standing concerns about information sharing in child welfare. This article reports some findings…

  18. Negotiating reform at an arm's length from the state: Disease Management Programmes and the introduction of clinical standards in Germany.

    PubMed

    Burau, Viola

    2009-07-01

    Studies of German health policy often highlight institutional constraints to reform. However, based on a case study of the introduction of clinical standards as part of the Disease Management Programmes for chronic illnesses, this article suggests that negotiating reform at an arm's length from the state can also lead to governance change, although the strengthening of hierarchy is not as prominent as that in some of the countries studied in this special issue. As such, the case of Germany offers interesting insights into the politics of governance change that occur in the shadow, but largely without the direct involvement of the state, which is typical of a corporatist health-care state. In this respect, the analysis identifies three leverages for change. First, the change in medical governance explicitly builds on earlier reforms and gives the reform alliance a competitive edge. Second, the organisations of the joint self-administration, as a more or less open ally of the state, play an influential role throughout the reform process. Importantly and third, this is complemented by the state steering at a distance.

  19. Reforming Science and Mathematics Education

    NASA Astrophysics Data System (ADS)

    Lagowski, J. J.

    1995-09-01

    fundamental reforms in public education is challenging. The coalition must be able to reach consensus on a vision of reform and, then, sustain the reform over an extended period of time. This is not easy when power and authority are highly fragmented (and perhaps at odds), where interest groups live or die on confromtation politics, when public and private sectors exhibit a basic distrust of one another, and when everyone is an expert--real or imagined--on topics more-or-less related to education. In addition, the SSI's are operating in a turbulent climate. Policy makers may be working on standards-based reforms in K-12 education at the same time they are seeking efficiencies in state government, consider deregulation, and experiment with integrated social services. Criminal justice, health, and welfare are competing in state capitols for the resources required to bring about education reforms. And, within this shifting policy landscape, the SSI's are seeking higher priority for mathematics and science, as well as attempting to develop the infrastructure and capacity to support change in the schools. Simply keeping mathematics and science education high on the agenda of state policy-makers is a challenge. Each of these component strategies of the SSI's is important. The critical question is whether, in a given state, the SSI strategies, when combined with other state reform initiatives, form a coherent, comprehensive plan for improving public education. While the oldest of the SSI's are only in their fourth year of activity, it is already clear that the reforms they are seeking will take longer than five years to accomplish. (The SSI's are supported by five-year grants from the NSF.) The instructional reforms advocated by the SSI's require time to implement, and once in place, additional time to produce results. Elected officials often focus on the short-term, and they can become impatient when the results are slow. There appears to be no ready solution to the conflict

  20. Business Participation in Welfare-to-Work: Lessons from the United States.

    ERIC Educational Resources Information Center

    Mills, Jack; Kazis, Richard

    Case studies of 19 U.S. companies involved in welfare-to-work programs found that political and economic factors have accelerated the rate at which employers are hiring welfare recipients. Although participation in welfare-to-work programs is dominated by larger firms in a few industries (such as service and retail sectors), there is potential for…

  1. Indian Child Welfare Act Proceedings. Final rule.

    PubMed

    2016-06-14

    This final rule adds a new subpart to the Department of the Interior's (Department) regulations implementing the Indian Child Welfare Act (ICWA), to improve ICWA implementation. The final rule addresses requirements for State courts in ensuring implementation of ICWA in Indian child-welfare proceedings and requirements for States to maintain records under ICWA.

  2. [Welfare State and public health: the role of occupational health].

    PubMed

    Benavides, Fernando G; Delclós, Jordi; Serra, Consol

    2017-09-21

    In the context of the current crisis of the Welfare State, occupational health can contribute significantly to its sustainability by facilitating decent and healthy employment throughout the working life. To this end, occupational health must take on the challenge of promoting health, preventing and managing injuries, illnesses and disability, based on better coordination of prevention services, mutual insurance companies, and health services, as well as by empowering the leadership in prevention of companies and the active participation of those who work. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  3. For My Children: Mexican American Women, Work, and Welfare. Focus Study Report #2.

    ERIC Educational Resources Information Center

    Quiroz, Julia Teresa; Tosca, Regina

    This is the final report of the National Council of La Raza's (NCLR) Focus Study examining the opinions, attitudes, and needs of Mexican American single women, relating to implementation of national welfare reform legislation. Over a 2-year period NCLR staff held focus groups with Mexican American women in four communities: Phoenix, Arizona; Mora,…

  4. Nationalism and social welfare in the post-Soviet context.

    PubMed

    Chandler, Andrea

    2011-01-01

    This paper offers hypotheses on the role that state social welfare measures can play in reflecting nationalism and in aggravating interethnic tensions. Social welfare is often overlooked in theoretical literature on nationalism, because of the widespread assumption that the welfare state promotes social cohesion. However, social welfare systems may face contradictions between the goal of promoting universal access to all citizens on the one hand, and social pressures to recognize particular groups in distinct ways on the other. Examples from the post-Soviet context (particularly Russia) are offered to illustrate the ways in which social welfare issues may be perceived as having ethnic connotations.

  5. Child Health 2000: Report Card for New York State, Regions and Counties.

    ERIC Educational Resources Information Center

    New York Academy of Medicine, NY.

    This report details the impact of the changing health environment on children's health and access to health care in New York state. The report links key measures of child health with recent policy changes, such as expansions in health insurance coverage, Medicaid managed care, and welfare reform. Data from 1997 are used as a baseline measure for…

  6. Equine Welfare in England and Wales: Exploration of Stakeholders' Understanding.

    PubMed

    Horseman, Susan V; Buller, Henry; Mullan, Siobhan; Knowles, Toby G; Barr, Alistair R S; Whay, Helen R

    2017-01-01

    Investigating how those responsible for the care of nonhuman animals understand the concept of animal welfare is important for animal welfare improvement. In-depth interviews with 31 equine stakeholders were used to explore their perceptions and understanding of welfare. The results showed the stakeholders understood the concept of welfare in 4 ways. Firstly, welfare was understood in terms of the provision of resources-for example, food. Secondly, a "horse-centered" understanding of welfare was articulated; this understanding included the horses' mental state and was linked to natural behavior. Thirdly, the word welfare had negative connotations, and for some, good welfare was achieved through avoidance of negative states. Finally, interviewees discussed incidents that occurred in their own familiar contexts but suggested that these were not welfare problems. Evidence indicated that the ways in which equine stakeholders understood the concept of welfare might have been acting as a barrier to the alleviation of some equine welfare problems. There is a need for strategies aimed at improving equine welfare to consider stakeholder constructs of welfare and the ways in which these constructs are generated and acted upon.

  7. Hen Welfare in Different Housing Systems

    USDA-ARS?s Scientific Manuscript database

    Egg production systems have become subject to heightened levels of scrutiny due to animal welfare concerns. Multiple factors such as disease, skeletal and foot health, pest and parasite load, behavior, stress, affective states, nutrition, and genetics influence the level of welfare laying hens exper...

  8. How Will Welfare Reform Affect Childbearing and Family Structure Decisions? Discussion Paper.

    ERIC Educational Resources Information Center

    Peters, H. Elizabeth; Plotnick, Robert D.; Jeong, Se-Ook

    This paper summarizes changes in key elements of welfare policy and in closely related policies on child support enforcement and sex education and family planning programs. Drawing on a conceptual framework that highlights how incentives created by public policy can affect demographic behaviors, the paper concludes that, as Congress intended,…

  9. Welfare Reform: Progress in Meeting Work-Focused TANF Goals. Testimony before the Subcommittee on Human Resources, Committee on Ways and Means, House of Representatives.

    ERIC Educational Resources Information Center

    Fagnoni, Cynthia M.

    The General Accounting Office (GAO) examined progress in meeting work-focused goals of the Temporary Assistance for Needy Families (TANF) program. The following issues were considered: (1) states' progress in implementing TANF; (2) the status of families who have left welfare; (3) the characteristics of adults currently receiving TANF; (4) states'…

  10. Welfare policy and planning of oral health services.

    PubMed

    Helöe, L A

    1988-04-01

    The Scandinavian countries are commonly referred to as welfare states, i.e. liberal states which assume responsibility for their citizens through a range of interventions in the market economy. The principles of the welfare policy are: 1) universality of population coverage, 2) comprehensiveness of risks covered, 3) adequacy of benefits and 4) citizens' right to health and social services. The goals are usually expressed in brief slogans like solidarity, universality, equality of opportunity, quality, efficiency and pluralism/"freedom of choice". Our welfare model is thus based upon ideals deriving from both individualistic and collectivistic philosophies, just as Scandinavia's mixed economy is. Similar to other health sectors, dental care is an integral part of the welfare state, striving to attain its manifold goals. Planning of oral health services should therefore be directed toward these goals, considering the shifts in the disease and problem panorama.

  11. Child Care: States Increased Spending on Low-Income Families. Report to Congressional Requesters.

    ERIC Educational Resources Information Center

    Shaul, Marnie S.

    Recognition of the link between child care and the success of welfare reform has given rise to questions about how states are spending child care funds provided through Temporary Assistance to Needy Families (TANF) and the Child Care and Development Fund (CCDF). At the request of members of Congress, this report from the General Accounting Office…

  12. National Health Care Reform, Medicaid, and Children in Foster Care.

    ERIC Educational Resources Information Center

    Halfon, Neal; And Others

    1994-01-01

    Outlines access to health care for children in out-of-home care under current law, reviews how health care access for these children would be affected by President Clinton's health care reform initiative, and proposes additional measures that could be considered to improve access and service coordination for children in the child welfare system.…

  13. A balancing act? Work-life balance, health and well-being in European welfare states.

    PubMed

    Lunau, Thorsten; Bambra, Clare; Eikemo, Terje A; van der Wel, Kjetil A; Dragano, Nico

    2014-06-01

    Recent analyses have shown that adverse psychosocial working conditions, such as job strain and effort-reward imbalance, vary by country and welfare state regimes. Another work-related factor with potential impact on health is a poor work-life balance. The aims of this study are to determine the association between a poor work-life balance and poor health across a variety of European countries and to explore the variation of work-life balance between European countries. Data from the 2010 European Working Conditions Survey were used with 24,096 employees in 27 European countries. Work-life balance is measured with a question on the fit between working hours and family or social commitments. The WHO-5 well-being index and self-rated general health are used as health indicators. Logistic multilevel models were calculated to assess the association between work-life balance and health indicators and to explore the between-country variation of a poor work-life balance. Employees reporting a poor work-life balance reported more health problems (Poor well-being: OR = 2.06, 95% CI = 1.83-2.31; Poor self-rated health: OR = 2.00, 95% CI = 1.84-2.17). The associations were very similar for men and women. A considerable part of the between-country variation of work-life balance is explained by working hours, working time regulations and welfare state regimes. The best overall work-life balance is reported by Scandinavian men and women. This study provides some evidence on the public health impact of a poor work-life balance and that working time regulations and welfare state characteristics can influence the work-life balance of employees. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  14. Emerging State-Level Themes: Strengths and Stressors in Educational Accountability Reform. Topical Review 4

    ERIC Educational Resources Information Center

    Nagle, Katherine

    2005-01-01

    The purpose of this topical review is to present Educational Policy Reform Research Institute's (EPRRI's) state-level qualitative findings collected during in depth interviews in the four core study states of California, Maryland, New York, and Texas. The data presented reflect the perspectives of state-level personnel who were involved with the…

  15. Promoting cross-sector partnerships in child welfare: qualitative results from a five-state strategic planning process.

    PubMed

    Collins-Camargo, Crystal; Armstrong, Mary I; McBeath, Bowen; Chuang, Emmeline

    2013-01-01

    Little is known about effective strategic planning for public and private child welfare agencies working together to serve families. During a professionally facilitated, strategic planning event, public and private child welfare administrators from five states explored partnership challenges and strengths with a goal of improving collaborative interactions in order to improve outcomes for children and families. Summarizing thematic results of session notes from the planning event, this article describes effective strategies for facilitation of such processes as well as factors that challenge or promote group processes. Implications for conducting strategic planning in jurisdictions seeking to improve public/private partnerships are discussed.

  16. Evaluating ARRA Programs and Other Educational Reforms: A Guide for States

    ERIC Educational Resources Information Center

    Perez-Johnson, Irma; Walters, Kirk; Puma, Michael; Herman, Rebecca; Garet, Michael; Heppen, Jessica; Lemke, Mariann; Aladjem, Daniel; Amin, Samia; Burghardt, John

    2011-01-01

    The American Institutes for Research (AIR) and Mathematica Policy Research (MPR) developed this guide to help you consider evaluation issues likely to arise as you launch ARRA-funded initiatives and other educational reform activities. Many states are already involved in evaluation, so many of the ideas presented here may be familiar. The authors…

  17. Education Reform for the Knowledge Economy in the State of Sangon

    ERIC Educational Resources Information Center

    Lightfoot, Michael

    2015-01-01

    This paper aims to highlight the issues associated with the implementation of education reform policies relating to "future schools" in a small state in the Middle East and North Africa region. The study points to the consistency with which global corporations and the supranational organisations, such as UNESCO and the World Bank,…

  18. New labour and reform of the English NHS: user views and attitudes.

    PubMed

    Wallace, Andrew; Taylor-Gooby, Peter

    2010-06-01

    The British National Health Service has undergone significant restructuring in recent years. In England this has taken a distinctive direction where the New Labour Government has embraced and intensified the influence of market principles towards its vision of a 'modernized' NHS. This has entailed the introduction of competition and incentives for providers of NHS care and the expansion of choice for patients. To explore how users of the NHS perceive and respond to the market reforms being implemented within the NHS. In addition, to examine the normative values held by NHS users in relation to welfare provision in the UK. Qualitative interviews using a quota sample of 48 recent NHS users in South East England recruited from three local health economies. Some NHS users are exhibiting an ambivalent or anxious response to aspects of market reform such as patient choice, the use of targets and markets and the increasing presence of the private sector within the state healthcare sector. This has resulted in a sense that current reforms, are distracting or preventing NHS staff from delivering quality of care and fail to embody the relationships of care that are felt to sustain the NHS as a progressive public institution. The best way of delivering such values for patients is perceived to involve empowering frontline staffs who are deemed to embody the same values as service users, thus problematizing the current assumptions of reform frameworks that market-style incentives will necessarily gain public consent and support.

  19. Child Welfare Services for Indigenous Populations: A Comparison of Child Welfare Histories, Policies, Practices and Laws for American Indians and Norwegian Samis

    ERIC Educational Resources Information Center

    Jacobs, Mary Ann; Saus, Merete

    2012-01-01

    This article takes Dixon and Scheurell's framework for understanding colonisation processes within social welfare policies and applies it to child welfare for Indigenous populations in the United States and Norway. While those countries' historical child welfare policies follow Dixon and Scheurell's hypotheses regarding colonisation, each nation…

  20. A Legal Guide to State Pension Reform. Education Sector Policy Briefs

    ERIC Educational Resources Information Center

    Herriot-Hatfield, Jennie; Monahan, Amy; Rosenberg, Sarah; Tucker, Bill

    2012-01-01

    Just 18 minutes before the midnight signing deadline on May 15, 2010, Minnesota state legislators breathed a sigh of relief. Their bipartisan pension reform legislation, which passed both chambers by large margins and aimed to help shore up a potentially failing pension system, had just escaped a veto threat. Under pressure from his Republican…

  1. The Family Transition Program: Implementation and Three-Year Impacts of Florida's Initial Time-Limited Welfare Program.

    ERIC Educational Resources Information Center

    Bloom, Dan; Farrell, Mary; Kemple, James J.; Verma, Nandita

    This report focuses on implementation, impacts, and time limit in Florida's Family Transition Program (FTP), a welfare reform initiative. Chapter 1 describes FTP and evaluation, target population, and data. Chapter 2 describes implementation of FTP in Escambia County: staffing and organizational structure of FTP and traditional Aid to Families…

  2. Are Parental Welfare Work Requirements Good for Disadvantaged Children? Evidence from Age-of-Youngest-Child Exemptions

    ERIC Educational Resources Information Center

    Herbst, Chris M.

    2017-01-01

    This paper assesses the impact of welfare reform's parental work requirements on low-income children's cognitive and social-emotional development. The identification strategy exploits an important feature of the work requirement rules--namely, age-of-youngest-child exemptions--as a source of quasi-experimental variation in first-year maternal…

  3. Welfare States, Labor Markets, Political Dynamics, and Population Health: A Time-Series Cross-Sectional Analysis Among East and Southeast Asian Nations.

    PubMed

    Ng, Edwin; Muntaner, Carles; Chung, Haejoo

    2016-04-01

    Recent scholarship offers different theories on how macrosocial determinants affect the population health of East and Southeast Asian nations. Dominant theories emphasize the effects of welfare regimes, welfare generosity, and labor market institutions. In this article, we conduct exploratory time-series cross-sectional analyses to generate new evidence on these theories while advancing a political explanation. Using unbalanced data of 7 East Asian countries and 11 Southeast Asian nations from 1960 to 2012, primary findings are 3-fold. First, welfare generosity measured as education and health spending has a positive impact on life expectancy, net of GDP. Second, life expectancy varies significantly by labor markets; however, these differences are explained by differences in welfare generosity. Third, as East and Southeast Asian countries become more democratic, welfare generosity increases, and population health improves. This study provides new evidence on the value of considering politics, welfare states, and labor markets within the same conceptual framework. © 2016 APJPH.

  4. CASAWORKS for Families: A Promising Approach to Welfare Reform and Substance-Abusing Women. A CASA White Paper.

    ERIC Educational Resources Information Center

    Columbia Univ., New York, NY. National Center on Addiction and Substance Abuse.

    CASAWORKS for Families is the first national demonstration program to provide simultaneously drug and alcohol treatment; literacy, job, parenting, and social skills training; family violence prevention; and health care to help substance-abusing welfare parents recover. Its mission is to help women on welfare with substance abuse problems achieve…

  5. Working on reform. How workers' compensation medical care is affected by health care reform.

    PubMed

    Himmelstein, J; Rest, K

    1996-01-01

    The medical component of workers' compensation programs-now costing over $24 billion annually-and the rest of the nation's medical care system are linked. They share the same patients and providers. They provide similar benefits and services. And they struggle over who should pay for what. Clearly, health care reform and restructuring will have a major impact on the operation and expenditures of the workers' compensation system. For a brief period, during the 1994 national health care reform debate, these two systems were part of the same federal policy development and legislative process. With comprehensive health care reform no longer on the horizon, states now are tackling both workers' compensation and medical system reforms on their own. This paper reviews the major issues federal and state policy makers face as they consider reforms affecting the relationship between workers' compensation and traditional health insurance. What is the relationship of the workers' compensation cost crisis to that in general health care? What strategies are being considered by states involved in reforming the medical component of workers compensation? What are the major policy implications of these strategies?

  6. On the choice of farm management practices after the reform of the Common Agricultural Policy in 2003.

    PubMed

    Schmid, Erwin; Sinabell, Franz

    2007-02-01

    The Common Agricultural Policy (CAP) was fundamentally reformed in 2003. From 2005, farmers will receive decoupled income support payments instead of production premiums if basic standards for environment, food safety, animal health and welfare are met. Farmers are likely to adjust production and management practices to the new policy framework. We describe how this reform fits into the EU strategy of making agricultural production more environmentally friendly by concentrating on the financial aspects of the reforms. Using an agricultural sector model for Austria, we show that the reform will further decrease agricultural outputs, reduce farm inputs, lessen nitrogen surpluses and make environmentally friendly management practices more attractive for farmers.

  7. Healthcare reform in the United States and China: pharmaceutical market implications.

    PubMed

    Daemmrich, Arthur; Mohanty, Ansuman

    2014-01-01

    The United States and China are broadening health insurance coverage and increasing spending on pharmaceuticals, in contrast to other major economies that are reducing health spending and implementing a variety of drug price controls. This article analyzes the implications of health system reforms in the United States and China for national pharmaceutical markets. It follows a historical institutionalist approach that identifies path dependency in the design and operation of national health systems. On that basis, we estimate prescription sales for 2015 and 2020, analyze the sustainability of free-market pricing for drugs in the two countries, and assess future competitive dynamics in the pharmaceutical sector. The institutional trajectories of health system reform and insurance coverage were studied for the United States and China. Next, data were collected from government, industry, and analyst reports on total healthcare spending and prescription drug expenditure by insurance status (in the United States) and by site of care (in China). Simple quantitative models were developed to estimate future drug spending based on insurance coverage, treatment locations, and health spending as a percentage of GDP. Both countries will see rising total pharmaceutical spending and will be the two largest country markets for prescription drugs through at least 2020. In dollar terms, the U.S. pharmaceutical market will be over $440 billion in 2015 and $700 billion in 2020; China's prescription market will be over $155 billion in 2015 and grow further to $260 billion in 2020. In both countries, generics will increase their share of all prescriptions, but economic and structural incentives for new drug invention and brand-name prescribing by physicians will keep the share of patented drug sales high compared to countries with more direct government control over the pharmaceutical market. Expanding private insurance contributes to spending on branded drugs, since insurers compete

  8. Policy challenges and reforms in small EU member state health systems: a narrative literature review.

    PubMed

    Azzopardi-Muscat, Natasha; Funk, Tjede; Buttigieg, Sandra C; Grech, Kenneth E; Brand, Helmut

    2016-12-01

    The EU directive on patients' rights and cross-border care is of particular interest to small states as it reinforces the concept of health system cooperation. An analysis of the challenges faced by small states, as well as a deep evaluation of their health system reform characteristics is timely and justified. This paper identifies areas in which EU level cooperation may bring added value to these countries' health systems. Literature search is based primarily on PUBMED and is limited to English-language papers published between January 2000 and September 2014. Results of 76 original research papers appearing in peer-reviewed journals are summarised in a literature map and narrative review. Primary care, health workforce and medicines emerge as the salient themes in the review. Lack of capacity and small market size are found to be the frequently encountered challenges in governance and delivery of services. These constraints appear to also impinge on the ability of small states to effectively implement health system reforms. The EU appears to play a marginal role in supporting small state health systems, albeit the stimulus for reform associated with EU accession. Small states face common health system challenges which could potentially be addressed through enhanced health system cooperation at EU level. The lessons learned from research on small states may be of relevance to health systems organized at regional level in larger European states. © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  9. Tulsa's IndEx Program. A Business-Led Initiative for Welfare Reform and Economic Development. Connections To Work.

    ERIC Educational Resources Information Center

    Buck, Maria L.

    In 1992, the Metropolitan Tulsa Chamber of Commerce in Oklahoma established a welfare-to-work program called Industrial Exchange, Inc. (IndEx). IndEx provides welfare recipients with a combination of education activities and work experience. By contracting with local companies to perform light manufacturing and packaging work at a central site,…

  10. Pension Reform in China.

    PubMed

    Liu, Tao; Sun, Li

    2016-01-01

    This article analyzes China's pension arrangement and notes that China has recently established a universal non-contributory pension plan covering urban non-employed workers and all rural residents, combined with the pension plan covering urban employees already in place. Further, in the latest reform, China has discontinued the special pension plan for civil servants and integrated this privileged welfare class into the urban old-age pension insurance program. With these steps, China has achieved a degree of universalism and integration of its pension arrangement unprecedented in the non-Western world. Despite this radical pension transformation strategy, we argue that the current Chinese pension arrangement represents a case of "incomplete" universalism. First, its benefit level is low. Moreover, the benefit level varies from region to region. Finally, universalism in rural China has been undermined due to the existence of the "policy bundle." Additionally, we argue that the 2015 pension reform has created a situation in which the stratification of Chinese pension arrangements has been "flattened," even though it remains stratified to some extent.

  11. Animal welfare: at the interface between science and society.

    PubMed

    Ohl, F; van der Staay, F J

    2012-04-01

    The general concept of animal welfare embraces a continuum between negative/bad welfare and positive/good welfare. Early approaches to defining animal welfare were mainly based on the exclusion of negative states, neglecting the fact that during evolution animals optimised their ability to interact with and adapt to their environment(s). An animal's welfare status might best be represented by the adaptive value of the individual's interaction with a given environmental setting but this dynamic welfare concept has significant implications for practical welfare assessments. Animal welfare issues cannot simply be addressed by means of objective biological measurements of an animal's welfare status under certain circumstances. In practice, interpretation of welfare status and its translation into the active management of perceived welfare issues are both strongly influenced by context and, especially, by cultural and societal values. In assessing whether or not a given welfare status is morally acceptable, animal welfare scientists must be aware that scientifically based, operational definitions of animal welfare will necessarily be influenced strongly by a given society's moral understanding. Copyright © 2011 Elsevier Ltd. All rights reserved.

  12. Prevention in Poland: health care system reform.

    PubMed Central

    Sheahan, M D

    1995-01-01

    Despite the political and economic reforms that have swept Eastern Europe in the past 5 years, there has been little change in Poland's health care system. The Ministry of Health and Social Welfare has targeted preventive care as a priority, yet the enactment of legislation to meet this goal has been slow. The process of reform has been hindered by political stagnation, economic crisis, and a lack of delineation of responsibility for implementing the reforms. Despite the delays in reform, recent developments indicate that a realistic, sustainable restructuring of the health care system is possible, with a focus on preventive services. Recent proposals for change have centered on applying national goals to limited geographic areas, with both local and international support. Regional pilot projects to restructure health care delivery at a community level, local health education and disease prevention initiatives, and a national training program for primary care and family physicians and nurses are being planned. Through regionalization, an increase in responsibility for both the physician and the patient, and redefinition of primary health care and the role of family physicians, isolated local movements and pilot projects have shown promise in achieving these goals, even under the current budgetary constraints. PMID:7610217

  13. Prevention in Poland: health care system reform.

    PubMed

    Sheahan, M D

    1995-01-01

    Despite the political and economic reforms that have swept Eastern Europe in the past 5 years, there has been little change in Poland's health care system. The Ministry of Health and Social Welfare has targeted preventive care as a priority, yet the enactment of legislation to meet this goal has been slow. The process of reform has been hindered by political stagnation, economic crisis, and a lack of delineation of responsibility for implementing the reforms. Despite the delays in reform, recent developments indicate that a realistic, sustainable restructuring of the health care system is possible, with a focus on preventive services. Recent proposals for change have centered on applying national goals to limited geographic areas, with both local and international support. Regional pilot projects to restructure health care delivery at a community level, local health education and disease prevention initiatives, and a national training program for primary care and family physicians and nurses are being planned. Through regionalization, an increase in responsibility for both the physician and the patient, and redefinition of primary health care and the role of family physicians, isolated local movements and pilot projects have shown promise in achieving these goals, even under the current budgetary constraints.

  14. Thoroughfares, crossroads and cul-de-sacs: drug testing of welfare recipients.

    PubMed

    Wincup, Emma

    2014-09-01

    Over the past five years, proposals to introduce drug testing for welfare recipients have proliferated across the globe. In England, it was included in the Welfare Reform Act 2009 (yet never implemented) and in 2013, the New Zealand government introduced legislation which requires claimants to take pre-employment drug tests when requested by a prospective employer or training provider. Similarly, in over 20 US states there have been attempts to initiate drug testing of welfare recipients as a condition of eligibility for welfare, although frequently these controversial plans have either stalled or once introduced they have been halted through legal challenge. This article examines the process of introducing drug testing of welfare claimants in the UK as part of a broader strategy to address worklessness among problem drug users. Using Hudson and Lowe's (2004) multi-level analytic framework, which disputes 'top down' rational models of policy-making, it explores the mechanisms used for challenging drug testing policies. In so doing, it identifies the key policy actors involved, noting the alliances forged and strategies adopted to persuade the government to pursue alternative policies. Whilst the primary focus of the article is on the UK, consideration of the US and New Zealand facilitates comparison of the types of policy networks which emerge to oppose similar policies proposed in different socio-political contexts, and the forms of argument and/or evidence they inject into policy discussions. It is argued that a heavy reliance on rights-based arguments was a feature of opposing drug testing in the UK, US and New Zealand, and these featured more heavily than attempts to refute evidence underpinning these policies. However, there were important differences between jurisdictions in relation to the mechanisms used to challenge drug testing policies. These do not simply reflect the nature of the policies proposed but instead are reflective of different modes of

  15. Intergovernmental relations and Long Term Care reforms: lessons from the Italian case.

    PubMed

    Gabriele, Stefania; Tediosi, Fabrizio

    2014-05-01

    The article aims at analysing the reasons why Italy failed to reform Long Term Care (LTC) policies, focusing on an aspect which has been overlooked: the interplay between LTC policies and the intergovernmental multilevel relationships. In the Italian LTC system, the main central intervention has been the regularisation of migrant care work, while the automatic growth of the cash benefits has accompanied the care needs evolution. Therefore the only institutional change has been a "gradual transformation". The causes of the failure to reform LTC have been mainly related to a strong fragmentation of the policy field, the existence of a universalistic cash benefit, the fiscal constraint. We argue that a further obstacle to reform LTC policies has been the weak and uncertain legislative framework of federalism. The uncertainty on the allocation and distribution of resources and the delay to apply the equalisation mechanism based on needs engendered a lame federalism that contributed to hindering welfare innovations and to increasing the institutional fragmentation. The analysis is partly consistent with previous literature, although it places less emphasis on the role of the constituencies and the scarcity of resources in influencing decisions, focusing more on the implications of the failure to fully realise the federalist reform. This focus shows that to implement institutional change in the welfare system, it is important to take into account the features of the federal governance, the intergovernmental relations, and to address the challenges that are connected to them. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  16. Which moral hazard? Health care reform under the Affordable Care Act of 2010.

    PubMed

    Mendoza, Roger Lee

    2016-06-20

    Purpose - Moral hazard is a concept that is central to risk and insurance management. It refers to change in economic behavior when individuals are protected or insured against certain risks and losses whose costs are borne by another party. It asserts that the presence of an insurance contract increases the probability of a claim and the size of a claim. Through the US Affordable Care Act (ACA) of 2010, this study seeks to examine the validity and relevance of moral hazard in health care reform and determine how welfare losses or inefficiencies could be mitigated. Design/methodology/approach - This study is divided into three sections. The first contrasts conventional moral hazard from an emerging or alternative theory. The second analyzes moral hazard in terms of the evolution, organization, management, and marketing of health insurance in the USA. The third explains why and how salient reform measures under the ACA might induce health care consumption and production in ways that could either promote or restrict personal health and safety as well as social welfare maximization. Findings - Insurance generally induces health care (over) consumption. However, not every additional consumption, with or without adverse selection, can be considered wasteful or risky, even if it might cost insurers more in the short run. Moral hazard can generate welfare and equity gains. These gains might vary depending on which ACA provisions, insured population, covered illnesses, treatments, and services, as well as health outcomes are taken into account, and because of the relative ambiguities surrounding definitions of "health." Actuarial risk models can nonetheless benefit from incorporating welfare and equity gains into their basic assumptions and estimations. Originality/value - This is the first study which examines the ACA in the context of the new or alternative theory of moral hazard. It suggests that containing inefficient moral hazard, and encouraging its desirable

  17. Going beyond The three worlds of welfare capitalism: regime theory and public health research.

    PubMed

    Bambra, C

    2007-12-01

    International research on the social determinants of health has increasingly started to integrate a welfare state regimes perspective. Although this is to be welcomed, to date there has been an over-reliance on Esping-Andersen's The three worlds of welfare capitalism typology (1990). This is despite the fact that it has been subjected to extensive criticism and that there are in fact a number of competing welfare state typologies within the comparative social policy literature. The purpose of this paper is to provide public health researchers with an up-to-date overview of the welfare state regime literature so that it can be reflected more accurately in future research. It outlines The three worlds of welfare capitalism typology, and it presents the criticisms it received and an overview of alternative welfare state typologies. It concludes by suggesting new avenues of study in public health that could be explored by drawing upon this broader welfare state regimes literature.

  18. Going beyond The three worlds of welfare capitalism: regime theory and public health research

    PubMed Central

    Bambra, C

    2007-01-01

    International research on the social determinants of health has increasingly started to integrate a welfare state regimes perspective. Although this is to be welcomed, to date there has been an over‐reliance on Esping‐Andersen's The three worlds of welfare capitalism typology (1990). This is despite the fact that it has been subjected to extensive criticism and that there are in fact a number of competing welfare state typologies within the comparative social policy literature. The purpose of this paper is to provide public health researchers with an up‐to‐date overview of the welfare state regime literature so that it can be reflected more accurately in future research. It outlines The three worlds of welfare capitalism typology, and it presents the criticisms it received and an overview of alternative welfare state typologies. It concludes by suggesting new avenues of study in public health that could be explored by drawing upon this broader welfare state regimes literature. PMID:18000134

  19. Working on reform. How workers' compensation medical care is affected by health care reform.

    PubMed Central

    Himmelstein, J; Rest, K

    1996-01-01

    The medical component of workers' compensation programs-now costing over $24 billion annually-and the rest of the nation's medical care system are linked. They share the same patients and providers. They provide similar benefits and services. And they struggle over who should pay for what. Clearly, health care reform and restructuring will have a major impact on the operation and expenditures of the workers' compensation system. For a brief period, during the 1994 national health care reform debate, these two systems were part of the same federal policy development and legislative process. With comprehensive health care reform no longer on the horizon, states now are tackling both workers' compensation and medical system reforms on their own. This paper reviews the major issues federal and state policy makers face as they consider reforms affecting the relationship between workers' compensation and traditional health insurance. What is the relationship of the workers' compensation cost crisis to that in general health care? What strategies are being considered by states involved in reforming the medical component of workers compensation? What are the major policy implications of these strategies? Images p13-a p14-a p15-a p16-a p18-a p19-a p20-a p22-a p24-a PMID:8610187

  20. Well-Being in the Welfare State: The Redistributive Capacity of Education

    ERIC Educational Resources Information Center

    Jongbloed, Janine; Pullman, Ashley

    2016-01-01

    Focusing on the macro-micro interaction between institutional arrangements and individual life outcomes, this article investigates how welfare régime types impact the association between education and well-being, as measured by satisfaction with life. Theorising with Esping-Andersen's ideal-typical welfare régime typology, we hypothesise that…

  1. Kerala: Radical Reform As Development in an Indian State. 2nd Edition.

    ERIC Educational Resources Information Center

    Franke, Richard W.; Chasin, Barbara H.

    Kerala, a state in southwestern India, has implemented radical reform as a development strategy. As a result, Kerala now has some of the Third World's highest levels of health, education, and social justice. Originally published in 1989, this book traces the role that movements of social justice played in Kerala's successful struggle to…

  2. The Illegal Immigration Reform and Immigrant Responsibility Act of 1996: an overview.

    PubMed

    Fragomen, A T

    1997-01-01

    "On September 30, 1996, President Clinton signed the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (1996 Act), Pub. L. No. 104-208, 110 Stat. 3009. After an intense lobbying effort by the business community, most provisions relating to legal immigration were omitted from the final bill. Instead, the 1996 Act focuses on illegal immigration reform and includes some of the toughest measures ever taken against illegal immigration." Aspects considered include border enforcement, penalities against alien smuggling and document fraud, deportation and exclusion proceedings, employer sanctions, welfare provisions, and changes to existing refugee and asylum procedures. excerpt

  3. Health Reform Redux: Learning From Experience and Politics

    PubMed Central

    2009-01-01

    The 2008 presidential campaign season featured health care reform proposals. I discuss 3 approaches to health care reform and the tools for bringing about reform, such as insurance market reforms, tax credits, subsidies, individual and employer mandates, and public program expansions. I also discuss the politics of past and current health care reform efforts. Market-based reforms and mandates have been less successful than public program expansions at expanding coverage and controlling costs. New divisions among special interest groups increase the likelihood that reform efforts will succeed. Federal support for state efforts may be necessary to achieve national health care reform. History suggests that state-level success precedes national reform. History also suggests that an organized social movement for reform is necessary to overcome opposition from special interest groups. PMID:19299668

  4. Neoliberalism, welfare policy and health: a qualitative meta-synthesis of single parents' experience of the transition from welfare to work.

    PubMed

    Cook, Kay

    2012-09-01

    Following the United States' lead, the emergence of neoliberal welfare policy across the western world has resulted in employment programmes for single parents, who are predominantly single mothers. While some governments claim that employment will improve single parents' incomes and well-being, researchers dispute that single parents can unproblematically move into the workforce, with net positive effects. While researchers have quantified the socio-economic effect of these programmes, in particular on participant health, no study has yet synthesized participants' experiences of welfare-to-work. Here, I present a meta-synthesis of eight qualitative health-related studies of single parents' (and exclusively single mothers') welfare-to-work transition. I report that single mothers faced a combination of health and economic issues which made their transition from welfare to work difficult, including degrees of poor physical and mental health. For participants in the United States, these health issues were often compounded by a loss of health benefits on moving into low-wage employment. In countries where a return to employment was required before children reached school age, a lack of affordable and appropriate child care, especially for children with health problems, exacerbated these difficulties. As a result of scarce resources, single mothers in receipt of welfare benefits often relied on food banks or went without food. A return to the workforce did not alleviate this problem as additional child care and reduced government subsidies depleted the funds available for food. I conclude that welfare-to-work policies are underpinned by the neoliberal assumption that the market more efficiently distributes resources than the State. However, for the women in the studies examined here, labour market participation often depleted access to essential resources. Interventions to address the 'problem' of welfare dependency must recognize the complex interplay between work

  5. Implementing health care reform in the United States: intergovernmental politics and the dilemmas of institutional design.

    PubMed

    Béland, Daniel; Rocco, Philip; Waddan, Alex

    2014-05-01

    The Affordable Care Act (ACA) was enacted, and continues to operate, under conditions of political polarization. In this article, we argue that the law's intergovernmental structure has amplified political conflict over its implementation by distributing governing authority to political actors at both levels of the American federal system. We review the ways in which the law's demands for institutional coordination between federal and state governments (and especially the role it preserves for governors and state legislatures) have created difficulties for rolling out health-insurance exchanges and expanding the Medicaid program. By way of contrast, we show how the institutional design of the ACA's regulatory reforms of the insurance market, which diminish the reform's political salience, has allowed for considerably less friction during the implementation process. This article thus highlights the implications of multi-level institutional designs for the post-enactment politics of major reforms. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  6. State-Level Support for Comprehensive School Reform: Implications for Policy and Practice

    ERIC Educational Resources Information Center

    Lane, Brett; Gracia, Susan

    2005-01-01

    In the current context of standards-based reform and heightened accountability for school performance, state education agencies (SEAs) have an important, but not yet well-articulated, role to play in local school improvement efforts. This article starts to articulate such a role by examining the variety of approaches and strategies used by 7 SEAs…

  7. Immigration and the modern welfare state: the case of USA and Germany.

    PubMed

    Wenzel, U; Bos, M

    1997-10-01

    "This article presents a comparison of the inclusion of migrants into welfare programmes in the USA and in Germany. In the first part of the article a brief overview is provided of immigration categories in both countries in order to demonstrate the relevance of these administrative regulations for the opportunities of individual migrants to participate in the welfare system. In the second part we elaborate in more detail on how welfare programmes have developed as basic mechanisms to include or exclude migrants. Our findings illustrate an increasing differentiation of membership statuses parallel to the expansion of modern welfare systems. In both the USA and Germany, the territorial principle and participation in the labour market are of prime importance to the access to social rights. In both cases all migrants may profit from contributory programmes." excerpt

  8. The Effects of Educational Reform

    ERIC Educational Resources Information Center

    Vasquez-Martinez, Claudio-Rafael; Giron, Graciela; De-La-Luz-Arellano, Ivan; Ayon-Bañuelos, Antonio

    2013-01-01

    Educational reform implies questions of social production and of state regulation that are the key words in educational reform, education and educational policies. These reforms are always on the political agenda of countries and involve international organisms, since education is a vehicle of development for social progress. A point of departure…

  9. Overview of the Common Core State Standard initiative and educational reform movement from the vantage of speech-language pathologists.

    PubMed

    Staskowski, Maureen

    2012-05-01

    Educational reform is sweeping the country. The adoption and the implementation of the Common Core State Standards in almost every state are meant to transform education. It is intended to update the way schools educate, the way students learn, and to ultimately prepare the nation's next generation for the global workplace. This article will describe the Common Core State Standard initiative and the underlying concerns about the quality of education in the United States as well as the opportunities this reform initiative affords speech-language pathologists. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  10. The long shadow of the past: risk pooling and the political development of health care reform in the States.

    PubMed

    Chen, Anthony S; Weir, Margaret

    2009-10-01

    Why do the states seem to be pursuing different types of policy innovation in their health reform? Why so some seem to follow a "solidarity principle," while others seem guided by a commitment to "actuarial fairness"? Our analysis highlights the reciprocal influence of stakeholder mobilization and public policy over time. We find that early policy choices about how to achieve cost containment led the states down different paths of reform. In the 1970s and 1980s, states that featured oligopolistic or near-monopolistic markets for private insurance (usually dominated by Blue Cross) and strong urban-academic hospitals tended to adopt regulatory strategies for cost containment that led to broader forms of pooling and financing the costs of health risks--which subsequently positioned them to pursue major, solidaristic reform on favorable terms. On the other hand, states with competitive markets for private insurance and weak, decentralized hospitals tended to adopt market-based strategies for cost containment that led to the hypersegmentation of risk and the uneven financing of costs--thereby encouraging the proliferation of incremental policies that reinforce the principle of actuarial fairness. We illustrate our analysis with a brief comparison of Massachusetts and California, and we conclude with some thoughts on what our findings imply for the federal role in catalyzing health reform.

  11. A study on laws related to women's welfare.

    PubMed

    Kim, E

    1991-01-01

    Since 1980, the domestic policy of every Korean government has focused on the construction of a welfare society, yet real change remains elusive, leaving women particularly neglected. This study examines social security legislation, especially the laws that define the status and welfare of women with the goal of advancing women's welfare and eliminating sexual discrimination against them. Welfare laws and literature were collected and examined from Korea and aboard, and facilities were visited. This paper reviews: 1) the theoretical background of women's welfare including the feminist critique and strategies for the welfare state and social welfare, and the significance and necessity of women's welfare; 2) women's welfare: international treaties and trends, including the World Declaration of Human Rights, international agreements on human rights, the International Labor Organization Treaty, the UN Convention on the Elimination of Sexual Discrimination Against Women, and the women's development strategies toward the year 2000; 3) the analysis of the laws and regulations related to women's welfare, including the systematic organization of women's welfare law (judicial, and systematic organization by applicable clients), the constitutional basis of the women's welfare related legislation and legal principles, the main feature and problems of the women's welfare related legislation, e.g. the Social Security Act: the National Pensions Act, Medical Insurance Act, the Livelihood Protection Act, Mother-child Welfare Act, Child Welfare Act, the Anti-prostitution Act, and the Gender Equal Employment Act, and 4) the direction of revision of the women's welfare related legislation including the revision and legislation of women's welfare related laws, restructuring of the delivery system, and the formation of proper environment conducive to the realization of women's welfare.

  12. Implementation Issues in Federal Reform Efforts in Education: The United States and Australia.

    ERIC Educational Resources Information Center

    Porter, Paige

    Multiple data sources are used in this study of educational change in the United States and Australia. The author considers political issues that may affect the implementation of educational reform efforts at the federal level, such as homogeneity versus heterogeneity, centralization versus decentralization, constitutional responsibility for…

  13. An Examination of State Takeover as a School Reform Strategy in a Small Rural School District

    ERIC Educational Resources Information Center

    Brookover, Chester Wayne

    2010-01-01

    The purpose of this qualitative study was to explore state takeover as a school reform strategy in a small rural school district. Since 1988, more than 50 U.S. school districts in 20 states have been subject to some form of state takeover. A number of factors generally contribute to a state takeover, some of which include: poor student…

  14. Perspectives on animal welfare legislation and study considerations for field-oriented studies of raptors in the United States

    USGS Publications Warehouse

    Boal, C.W.; Wallace, M.C.; Strobel, B.

    2010-01-01

    Concern for the welfare of animals used in research and teaching has increased over the last 50 yr. Animal welfare legislation has resulted in guidelines for the use of animals in research, but the guidelines can be problematic because they focus on animals used in laboratory and agriculture research. Raptor biologists can be constrained by guidelines, restrictions, and oversight that were not intended for field research methods or wild animals in the wild or captivity. Field researchers can be further hampered by not understanding animal welfare legislation, who is subject to oversight, or that oversight is often provided by a committee consisting primarily of scientists who work with laboratory animals. Raptor researchers in particular may experience difficulty obtaining approval due to use of various species-specific trapping and handling methods. We provide a brief review of animal welfare legislation and describe the basic components and responsibilities of an Institutional Animal Care and Use Committee (IACUC) in the United States. We identify topics in raptor research that are especially problematic to obtaining IACUC approval, and we provide insight on how to address these issues. Finally, we suggest that all raptor researchers, regardless of legal requirements, abide by the spirit of the animal welfare principles. Failure to do so may bring about further regulatory and permitting restrictions. ?? 2010 The Raptor Research Foundation, Inc.

  15. Creating State-based Alliances to Support Earth and Space Science Education Reform

    NASA Astrophysics Data System (ADS)

    Geary, E. E.; Manduca, C. A.; Barstow, D.

    2002-05-01

    Seven years after the publication of the National Science Education Standards and adoption of new state science education standards, Earth and space science remains outside the mainstream K-12 curriculum. Currently, less than ten percent of high school students in the United States of America take an Earth or space science course before graduation. This state of affairs is simply unacceptable. "All of us who live on this planet have the right and the obligation to understand Earth's unique history, its dynamic processes, its abundant resources, and its intriguing mysteries. As citizens of Earth, with the power to modify our climate and ecosystems, we also have a personal and collective responsibility to understand Earth so that we can make wise decisions about its and our future". As one step toward addressing this situation, we support the establishment of state-based alliances to promote Earth and space science education reform. "In many ways, states are the most vital locus of change in our nation's schools. State departments of education define curriculum frameworks, establish testing policies, support professional development and, in some cases, approve textbooks and materials for adoption". State alliance partners should include a broad spectrum of K-16 educators, scientists, policy makers, parents, and community leaders from academic institutions, businesses, museums, technology centers, and not-for profit organizations. The focus of these alliances should be on systemic and sustainable reform of K-16 Earth and space science education. Each state-based alliance should focus on specific educational needs within their state, but work together to share ideas, resources, and models for success. As we build these alliances we need to take a truly collaborative approach working with the other sciences, geography, and mathematics so that collectively we can improve the caliber and scope of science and mathematics education for all students.

  16. Are personality disorders associated with social welfare burden in the United States?

    PubMed

    Vaughn, Michael G; Fu, Quana; Beaver, Devin; DeLisi, Matt; Perron, Brian; Howard, Matthew

    2010-12-01

    This study examined the association between personality disorders and use of major social welfare services in a nationally representative sample of U.S. adults (N = 43,093). Social welfare services received and diagnoses of personality, substance use, mood, and anxiety disorders were assessed with the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV-version. Analyses quantified the association between personality disorders and forms of public assistance while controlling for numerous confounds. Logistic regression analyses revealed dependent personality disorder, paranoid personality disorder, antisocial personality disorder, and avoidant personality disorder were significantly associated with increased odds of receiving public assistance. In contrast, persons diagnosed with histrionic, schizoid, and obsessive-personality disorder were not significantly more likely to receive any public welfare service. Development of effective prevention and treatment of personality disorders would likely lead to reductions in overall social welfare burden.

  17. Implementing the Affordable Care Act: state approaches to premium rate reforms in the individual health insurance market.

    PubMed

    Giovannelli, Justin; Lucia, Kevin W; Corlette, Sabrina

    2014-12-01

    The Affordable Care Act protects people from being charged more for insurance based on factors like medical history or gender and establishes new limits on how insurers can adjust premiums for age, tobacco use, and geography. This brief examines how states have implemented these federal reforms in their individual health insurance markets. We identify state rating standards for the first year of full implementation of reform and explore critical considerations weighed by policymakers as they determined how to adopt the law's requirements. Most states took the opportunity to customize at least some aspect of their rating standards. Interviews with state regulators reveal that many states pursued implementation strategies intended primarily to minimize market disruption and premium shock and therefore established standards as consistent as possible with existing rules or market practice. Meanwhile, some states used the transition period to strengthen consumer protections, particularly with respect to tobacco rating.

  18. Infant welfare in inter-war Oxford.

    PubMed

    Peretz, E

    1995-01-01

    State provision of welfare increased in the 1930s in Great Britain, especially the welfare of mothers and babies. The national picture hid many local nuances and practices concerned with the implementation of policies. Using Oxford and Oxfordshire as a case study, this paper examines the ways in which local authorities chose to interpret national policies and to insist on a mixture of personal responsibility, public philanthropy and professional involvement.

  19. Finding Common Ground in Pension Reform: Lessons from the Washington State Pension System

    ERIC Educational Resources Information Center

    Goldhaber, Dan; Grout, Cyrus

    2014-01-01

    As states and localities across the nation consider the tradeoffs between defined benefit (DB) and defined contribution (DC) pension systems, it is important to gain insight into what implications pension reforms might have on workforce composition and teachers' retirement savings behavior. Moreover, it is also important to consider that…

  20. Does the Minimum Wage Affect Welfare Caseloads?

    ERIC Educational Resources Information Center

    Page, Marianne E.; Spetz, Joanne; Millar, Jane

    2005-01-01

    Although minimum wages are advocated as a policy that will help the poor, few studies have examined their effect on poor families. This paper uses variation in minimum wages across states and over time to estimate the impact of minimum wage legislation on welfare caseloads. We find that the elasticity of the welfare caseload with respect to the…

  1. The State of Teacher Evaluation Reform: State Education Agency Capacity and the Implementation of New Teacher-Evaluation Systems

    ERIC Educational Resources Information Center

    McGuinn, Patrick

    2012-01-01

    The Obama administration's Race to the Top competitive grant program initiated an unprecedented wave of state teacher-evaluation reform across the country. To date, most of the scholarly analysis of this activity has focused on the design of the evaluation instruments or the implementation of the new evaluations by districts and schools. But…

  2. Social inequalities in "sickness": does welfare state regime type make a difference? A multilevel analysis of men and women in 26 European countries.

    PubMed

    van der Wel, Kjetil A; Dahl, Espen; Thielen, Karsten

    2012-01-01

    In comparative studies of health inequalities, public health researchers have usually studied only disease and illness. Recent studies have also examined the sickness dimension of health, that is, the extent to which ill health is accompanied by joblessness, and how this association varies by education within different welfare contexts. This research has used either a limited number of countries or quantitative welfare state measures in studies of many countries. In this study, the authors expand on this knowledge by investigating whether a regime approach to the welfare state produces consistent results. They analyze data from the European Union Statistics on Income and Living Conditions (EU-SILC); health was measured by limiting longstanding illness (LLSI). Results show that for both men and women reporting LLSI in combination with low educational level, the probabilities of non-employment were particularly high in the Anglo-Saxon and Eastern welfare regimes, and lowest in the Scandinavian regime. For men, absolute and relative social inequalities in sickness were lowest in the Southern regime; for women, inequalities were lowest in the Scandinavian regime. The authors conclude that the Scandinavian welfare regime is more able than other regimes to protect against non-employment in the face of illness, especially for individuals with low educational level.

  3. Beyond Job Search or Basic Education: Rethinking the Role of Skills in Welfare Reform.

    ERIC Educational Resources Information Center

    Strawn, Julie

    Most welfare-to-work programs may be classified as quick employment programs emphasizing individual or group job searches or skill-building programs emphasizing basic education. Although both types of programs offer benefits, they also suffer from significant limitations. To be more effective than their predecessors, current-generation…

  4. Privatizing the welfarist state: health care reforms in Malaysia.

    PubMed

    Khoon, Chan Chee

    2003-01-01

    In Malaysia, the shifting balance between market and state has many nuances. Never a significant welfare state in the usual mold, the Malaysian state nonetheless has been a dominant social and economic presence dictated by its affirmative action-type policies, which eventually metamorphosed into state-led indigenous capitalism. Privatisation is also intimately linked with emergence of an indigenous bourgeoisie with favored access to the vast accumulation of state assets and prerogatives. Internationally, it is conditioned by the fluid relationships of converging alliances and contested compromise with international capital, including transnational health services industries. As part of its vision of a maturing, diversified economy, the Malaysian government is fostering a private-sector advanced health care industry to cater to local demand and also aimed at regional and international patrons. The assumption is that, as disposable incomes increase, a market for such services is emerging and citizens can increasingly shoulder their own health care costs. The government would remain the provider for the indigent. But the key assumption remains: the growth trajectory will see the emergence of markets for an increasingly affluent middle class. Importantly, the health care and social services market would be dramatically expanded as the downsizing of public-sector health care proceeds amid a general retreat of government from its provider and financing roles.

  5. Child Welfare and Juvenile Justice: Federal Agencies Could Play a Stronger Role in Helping States Reduce the Number of Children Placed Solely To Obtain Mental Health Services.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC.

    Child welfare directors in 19 states and juvenile justice officials in 30 counties estimated that in fiscal year 2001 parents placed over 12,700 children into the child welfare or juvenile justice systems so that these children could receive mental health services. Neither the child welfare nor the juvenile justice system was designed to serve…

  6. Welfare to Wages: Strategies To Assist the Private Sector To Employ Welfare Recipients. Companion Case Studies, Focus Groups & Data Analysis.

    ERIC Educational Resources Information Center

    Roberts, Brandon; Padden, Jeffrey D.

    This report, which is directed toward policymakers at the local, state, and national levels, is based on an extensive nationwide study of welfare-to-work initiatives. It identifies strategies to assist the private sector in employing welfare recipients. The document begins with an executive summary that discusses the following: the research study…

  7. The Relationship Between Mental Representations of Welfare Recipients and Attitudes Toward Welfare.

    PubMed

    Brown-Iannuzzi, Jazmin L; Dotsch, Ron; Cooley, Erin; Payne, B Keith

    2017-01-01

    Scholars have argued that opposition to welfare is, in part, driven by stereotypes of African Americans. This argument assumes that when individuals think about welfare, they spontaneously think about Black recipients. We investigated people's mental representations of welfare recipients. In Studies 1 and 2, we used a perceptual task to visually estimate participants' mental representations of welfare recipients. Compared with the average non-welfare-recipient image, the average welfare-recipient image was perceived (by a separate sample) as more African American and more representative of stereotypes associated with welfare recipients and African Americans. In Study 3, participants were asked to determine whether they supported giving welfare benefits to the people pictured in the average welfare-recipient and non-welfare-recipient images generated in Study 2. Participants were less supportive of giving welfare benefits to the person shown in the welfare-recipient image than to the person shown in the non-welfare-recipient image. The results suggest that mental images of welfare recipients may bias attitudes toward welfare policies.

  8. Illinois Public School Finance Project: State Superintendent's Preliminary School Finance Reform Recommendations. Resource and Background Materials.

    ERIC Educational Resources Information Center

    Illinois State Board of Education, Springfield.

    Preliminary recommendations of the state superintendent's office are presented in part I of this report on Illinois school finance reform. The recommendations are grouped under four areas: (1) distribution of state funds (with eight recommendations), (2) generation of revenues (with six recommendations), (3) management resources (with six…

  9. Children's Budget Watch: Investments in Our Future. A Profile of State and Federal Spending for Children in Pennsylvania, FY 1989-1990 through FY 1995-1996.

    ERIC Educational Resources Information Center

    Pennsylvania Partnerships for Children, Harrisburg.

    This report profiles trends in state and federal spending for children in Pennsylvania from fiscal year (FY) 1989-1990 through 1995-1996, and highlights budgetary trends and the impact of federal welfare reform on selected children's health, nutrition, early care and education, elementary and secondary education, income support, and child welfare…

  10. The relationship between tort reform and medical utilization.

    PubMed

    Kavanagh, Kevin T; Calderon, Lindsay E; Saman, Daniel M

    2014-12-01

    The hidden cost of defensive medicine has been cited by policymakers as a significant driving force in the increase of our nation's health-care costs. If this hypothesis is correct, one would expect that states with higher levels of tort reform will have a decrease in Medicare utilization and that medical utilization will decrease after tort reform is enacted. State-level reimbursement data for years 1999 to 2010 (the last year available) was obtained from the Dartmouth Atlas of Health Care. Medical tort rankings for the 50 states were obtained from the Pacific Research Institute (PRI) and correlated with state medical utilization for the year 2010. In 3 states, Mississippi, Nevada, and Texas, data were available to make pretort and posttort reform comparisons. Data analysis between total state Medicare Reimbursements and the PRI's tort rankings showed no significant observed correlation. In 6 Medicare utilization categories (total Medicare, hospital and skilled nursing facility, physician, home health agency, hospice, and durable medical equipment), a negative trend was observed when correlated with PRI tort rankings. This trend does not support the hypothesis that defensive medicine is a major driver of health-care expenditures. Tracking expenditures in the states of Texas, Nevada, and Mississippi, before and after passage of comprehensive medical tort reform gave inconsistent results and did not demonstrate substantial or meaningful total Medicare savings. In Mississippi, there was a trend of decreased expenditures after medical tort reform was passed. However, in Texas, where 80% of the analyzed enrollees resided, there was a trend of progressive increasing expenditures after tort reform was passed. The comparison of the Dartmouth Atlas Medicare Reimbursement Data with Malpractice Reform State Rankings, which are used by the PRI, did not support the hypothesis that defensive medicine is a driver of rising health-care costs. Additionally, comparing Medicare

  11. Student Dropout in Upper Secondary Education in Norway: A Challenge to the Principles of the Welfare State?

    ERIC Educational Resources Information Center

    Halvorsrud, Kristoffer

    2017-01-01

    This article presents a review of extant research on student dropout in Norway, originally undertaken as part of a systematic review. The article contextualizes the foundational principle of equality as championed by the welfare state and identifies the significance of dropout in upper secondary education in Norway. The article then assesses…

  12. Payment Reform

    PubMed Central

    Schneider, Eric C.; Hussey, Peter S.; Schnyer, Christopher

    2011-01-01

    Abstract Insurers and purchasers of health care in the United States are on the verge of potentially revolutionary changes in the approaches they use to pay for health care. Recently, purchasers and insurers have been experimenting with payment approaches that include incentives to improve quality and reduce the use of unnecessary and costly services. The Patient Protection and Affordable Care Act of 2010 is likely to accelerate payment reform based on performance measurement. This article provides details of the results of a technical report that catalogues nearly 100 implemented and proposed payment reform programs, classifies each of these programs into one of 11 payment reform models, and identifies the performance measurement needs associated with each model. A synthesis of the results suggests near-term priorities for performance measure development and identifies pertinent challenges related to the use of performance measures as a basis for payment reform. The report is also intended to create a shared framework for analysis of future performance measurement opportunities. This report is intended for the many stakeholders tasked with outlining a national quality strategy in the wake of health care reform legislation. PMID:28083159

  13. Designing Inter-Organizational Networks to Implement Education Reform: An Analysis of State Race to the Top Applications

    ERIC Educational Resources Information Center

    Russell, Jennifer Lin; Meredith, Julie; Childs, Joshua; Stein, Mary Kay; Prine, Deanna Weber

    2015-01-01

    This study sought to understand the opportunities and challenges associated with the implementation of state designed Race to the Top (RttT) funded reform networks. Drawing on a conceptual framework developed from the networked governance literature, we analyzed the 12 state RttT grantees' applications. Our analysis revealed that states designed…

  14. Inequalities in oral impacts and welfare regimes: analysis of 21 European countries.

    PubMed

    Guarnizo-Herreño, Carol C; Watt, Richard G; Pikhart, Hynek; Sheiham, Aubrey; Tsakos, Georgios

    2014-12-01

    Very few studies have analysed the relationship between political factors and oral health inequalities, and only one study has compared the magnitude of inequalities in oral health-related quality of life (OHRQoL) across welfare state regimes. This study aimed to compare socioeconomic inequalities in oral impacts on daily life among 21 European countries with different welfare state regimes (Scandinavian, Anglo-Saxon, Bismarckian, Southern, and Eastern). We analysed data from the Eurobarometer 72.3, a survey carried out in 2009 among adults in European countries. Inequalities in oral impacts by education, occupational social class and subjective social status (SSS) were estimated by means of age-standardized prevalence rates, odds ratios (ORs), the relative index of inequality (RII) and the slope index of inequality (SII). Educational inequalities in the form of social gradients were observed in all welfare regimes. The Scandinavian and Southern welfare regimes also showed gradients for all SEP measures. There were not significant differences in the magnitude of relative inequalities (RII) across welfare state regimes. Absolute educational inequalities were largest in the Anglo-Saxon welfare regime (SII = 17.57; 95% CI: 7.80-27.33) and smallest in the Bismarckian (SII = 3.32; 95% CI: -2.18 to 8.83). A significant difference in the magnitude of inequalities across welfare regimes was found for absolute educational inequalities but not for relative inequalities. Welfare state regimes may influence the relationship between knowledge-related resources and oral impacts on daily life. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  15. Free to Choose? Reform, Choice, and Consideration Sets in the English National Health Service.

    PubMed

    Gaynor, Martin; Propper, Carol; Seiler, Stephan

    2016-11-01

    Choice in public services is controversial. We exploit a reform in the English National Health Service to assess the effect of removing constraints on patient choice. We estimate a demand model that explicitly captures the removal of the choice constraints imposed on patients. We find that, post-removal, patients became more responsive to clinical quality. This led to a modest reduction in mortality and a substantial increase in patient welfare. The elasticity of demand faced by hospitals increased substantially post- reform and we find evidence that hospitals responded to the enhanced incentives by improving quality. This suggests greater choice can raise quality.

  16. Health care reform 2010: a fresh view on tort reform.

    PubMed

    Stimson, C J; Dmochowski, Roger; Penson, David F

    2010-11-01

    We reviewed the state of medical malpractice tort reform in the context of a new political climate and the current debate over comprehensive health care reform. Specifically we asked whether medical malpractice tort reform is necessary, and evaluated the strengths and weaknesses of contemporary reform proposals. The medical, legal and public policy literature related to medical malpractice tort reform was reviewed and synthesized. We include a primer for understanding the current structure of medical malpractice law, identify the goals of the current system and analyze whether these goals are presently being met. Finally, we describe and evaluate the strengths and weaknesses of the current reform proposals including caps on damages, safe harbors and health care courts. Medical malpractice tort law is designed to improve health care quality and appropriately compensate patients for medical malpractice injuries, but is failing on both fronts. Of the 3 proposed remedies, caps on damages do little to advance the quality and compensatory goals, while safe harbors and health care courts represent important advancements in tort reform. Tort reform should be included in the current health policy debate because the current medical malpractice system is not adequately achieving the basic goals of tort law. While safe harbors and health care courts both represent reasonable remedies, health care courts may be preferred because they do not rely on jury determination in the absence of strong medical evidence. Copyright © 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  17. Exploring Science Teachers' Affective States: Pedagogical Discontentment, Self-efficacy, Intentions to Reform, and Their Relationships

    NASA Astrophysics Data System (ADS)

    Kahveci, Ajda; Kahveci, Murat; Mansour, Nasser; Alarfaj, Maher Mohammed

    2017-06-01

    Teachers play a key role in moving reform-based science education practices into the classroom. Based on research that emphasizes the importance of teachers' affective states, this study aimed to explore the constructs pedagogical discontentment, science teaching self-efficacy, intentions to reform, and their correlations. Also, it aimed to provide empirical evidence in light of a previously proposed theoretical model while focusing on an entirely new context in Middle East. Data were collected in Saudi Arabia with a total of randomly selected 994 science teachers, 656 of whom were females and 338 were males. To collect the data, the Arabic versions of the Science Teachers' Pedagogical Discontentment scale, the Science Teaching Efficacy Beliefs Instrument and the Intentions to Reform Science Teaching scale were developed. For assuring the validity of the instruments in a non-Western context, rigorous cross-cultural validations procedures were followed. Factor analyses were conducted for construct validation and descriptive statistical analyses were performed including frequency distributions and normality checks. Univariate analyses of variance were run to explore statistically significant differences between groups of teachers. Cross-tabulation and correlation analyses were conducted to explore relationships. The findings suggest effect of teacher characteristics such as age and professional development program attendance on the affective states. The results demonstrate that teachers who attended a relatively higher number of programs had lower level of intentions to reform raising issues regarding the conduct and outcomes of professional development. Some of the findings concerning interrelationships among the three constructs challenge and serve to expand the previously proposed theoretical model.

  18. The Role of District Leadership in Radical Reform: Philadelphia's Experience under the State Takeover, 2001-2006. An Occasional Paper

    ERIC Educational Resources Information Center

    Useem, Elizabeth; Christman, Jolley Bruce; Boyd, William Lowe

    2006-01-01

    Leadership is key in the success of any reform, especially one as ambitious and complex as that in Philadelphia. "The case of Philadelphia is noteworthy as an exemplar of the implementation of paradigm-breaking new reforms in the governance and delivery of urban education." This report follows the first five years of the state takeover…

  19. The association between life course socioeconomic position and life satisfaction in different welfare states: European comparative study of individuals in early old age

    PubMed Central

    Niedzwiedz, Claire L.; Katikireddi, Srinivasa Vittal; Pell, Jill P.; Mitchell, Richard

    2014-01-01

    Background: whether socioeconomic position over the life course influences the wellbeing of older people similarly in different societies is not known. Objective: to investigate the magnitude of socioeconomic inequalities in life satisfaction among individuals in early old age and the influence of the welfare state regime on the associations. Design: comparative study using data from Wave 2 and SHARELIFE, the retrospective Wave of the Survey of Health, Ageing, and Retirement in Europe (SHARE), collected during 2006–07 and 2008–09, respectively. Setting: thirteen European countries representing four welfare regimes (Southern, Scandinavian, Post-communist and Bismarckian). Subjects: a total of 17,697 individuals aged 50–75 years. Methods: slope indices of inequality (SIIs) were calculated for the association between life course socioeconomic position (measured by the number of books in childhood, education level and current wealth) and life satisfaction. Single level linear regression models stratified by welfare regime and multilevel regression models, containing interaction terms between socioeconomic position and welfare regime type, were calculated. Results: socioeconomic inequalities in life satisfaction were present in all welfare regimes. Educational inequalities in life satisfaction were narrowest in Scandinavian and Bismarckian regimes among both genders. Post-communist and Southern countries experienced both lower life satisfaction and larger socioeconomic inequalities in life satisfaction, using most measures of socioeconomic position. Current wealth was associated with large inequalities in life satisfaction across all regimes. Conclusions: Scandinavian and Bismarckian countries exhibited narrower socioeconomic inequalities in life satisfaction. This suggests that more generous welfare states help to produce a more equitable distribution of wellbeing among older people. PMID:24476800

  20. Professionally responsible malpractice reform.

    PubMed

    Brody, Howard; Hermer, Laura D

    2011-07-01

    Medical malpractice reform is both necessary and desirable, yet certain types of reform are clearly preferable to others. We argue that "traditional" tort reform remedies such as stringent damage caps not only fail to address the root causes of negligence and the adverse effects that fear of suit can have on physicians, but also fail to address the needs of patients. Physicians ought to view themselves as professionals who are dedicated to putting patients' interests ahead of their own. Professionally responsible malpractice reform should therefore be at least as patient-centered as it is physician-centered. Examples of more professionally responsible malpractice reform exist where institutions take a pro-active approach to identification, investigation, and remediation of possible malpractice. Such programs should be implemented more generally, and state laws enacted to facilitate them.

  1. Welfare State Regimes, Gender, and Depression: A Multilevel Analysis of Middle and High Income Countries

    PubMed Central

    Chung, Haejoo; Ng, Edwin; Ibrahim, Selahadin; Karlsson, Björn; Benach, Joan; Espelt, Albert; Muntaner, Carles

    2013-01-01

    Using the 2002 World Health Survey, we examine the association between welfare state regimes, gender and mental health among 26 countries classified into seven distinct regimes: Conservative, Southeast Asian, Eastern European, Latin American, Liberal, Southern/Ex-dictatorship, and Social Democratic. A two-level hierarchical model found that the odds of experiencing a brief depressive episode in the last 12 months was significantly higher for Southern/Ex- dictatorship countries than for Southeast Asian (odds ratio (OR) = 0.12, 95% confidence interval (CI) 0.05–0.27) and Eastern European (OR = 0.36, 95% CI 0.22–0.58) regimes after controlling for gender, age, education, marital status, and economic development. In adjusted interaction models, compared to Southern/Ex-dictatorship males (reference category), the odds ratios of depression were significantly lower among Southeast Asian males (OR = 0.16, 95% CI 0.08–0.34) and females (OR = 0.23, 95% CI 0.10–0.53) and Eastern European males (OR = 0.41, 95% CI 0.26–0.63) and significantly higher among females in Liberal (OR = 2.00, 95% CI 1.14–3.49) and Southern (OR = 2.42, 95% CI 1.86–3.15) regimes. Our results highlight the importance of incorporating middle-income countries into comparative welfare regime research and testing for interactions between welfare regimes and gender on mental health. PMID:23538729

  2. Comparative analysis of aging policy reforms in Argentina, Chile, Costa Rica, and Mexico.

    PubMed

    Calvo, Esteban; Berho, Maureen; Roqué, Mónica; Amaro, Juan Sebastián; Morales, Fernando; Rivera, Emiliana; Gutiérrez Robledo, Luis Miguel F; López, Elizabeth Caro; Canals, Bernardita; Kornfeld, Rosa

    2018-04-16

    This investigation uses case studies and comparative analysis to review and analyze aging policy in Argentina, Chile, Costa Rica, and Mexico, and uncovers similarities and relevant trends in the substance of historical and current aging policy across countries. Initial charity-based approaches to poverty and illness have been gradually replaced by a rights-based approach considering broader notions of well-being, and recent reforms emphasize the need for national, intersectoral, evidence-based policy. The results of this study have implications for understanding aging policy in Latin America from a welfare regime and policymakers' perspective, identifying priorities for intervention, and informing policy reforms in developing countries worldwide.

  3. God and the Welfare State - Substitutes or Complements? An Experimental Test of the Effect of Belief in God's Control

    PubMed Central

    Be’ery, Gilad; Ben-Nun Bloom, Pazit

    2015-01-01

    Belief in God’s control of the world is common to many of the world’s religions, but there are conflicting predictions regarding its role in shaping attitudes toward the welfare state. While the devout are expected to support pro-social values like helping others, and thus might be supportive of the welfare state, the possibility of taking action is undermined by the belief in God’s absolute control over world affairs and in a morally perfect providence, who is responsible for the fates of individuals. As the literature provides mixed results on this question, this study examines the role of belief in God’s control on welfare attitudes using three priming experiments and two priming tasks, carried out with a design that is both cross-cultural (US vs. Israel) and cross-religious tradition (Judaism vs. Catholicism). We find evidence that, largely, belief in God’s control increases support for income redistribution among Israeli Jews (study 1), American Jews (study 2), and American Catholics (study 3). The findings suggest that the traditional and common political gap between the economic left and the religious, based on the evaluation that religious beliefs lead to conservative economic preferences, may be overstated. PMID:26061050

  4. Welfare Reform's Effect on Child Welfare Caseloads. Discussion Papers 01-04. Assessing the New Federalism: An Urban Institute To Assess Changing Social Policies.

    ERIC Educational Resources Information Center

    Geen, Rob; Fender, Lynn; Leos-Urbel, Jacob; Markowitz, Teresa

    Advocates, policymakers, and researchers have predicted that changes in the welfare system brought about by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 would increase the number of children who are abused and neglected, referred to child protective services, and placed in foster care. This study examined how welfare…

  5. Feeling Good About the Iron Rice Bowl: Economic Sector and Happiness in Post-Reform Urban China*

    PubMed Central

    Wang, Jia; Xie, Yu

    2015-01-01

    Situated in China’s market transition, this study examines the relationship between economic sector and a worker’s happiness in post-reform urban China. Using datasets from the Chinese General Social Surveys 2003, 2006 and 2008, we find that workers in the state sector enjoy a subjective premium in well-being – reporting significantly higher levels of happiness than their counterparts in the private sector. We also find that during a period when a large wave of workers moved from the state sector to the private sector, those remaining in the state sector reported being significantly happier than did former state sector workers who had moved, whether the move was voluntary or involuntary. We attribute the higher level of reported happiness in the state sector than in the private sector to the disparity by sector in the provision of social welfare benefits. Those who made voluntary state-to-private moves experienced a trade-off in enjoying higher payoffs while losing job security, whereas involuntary mobiles experienced downward mobility and suffered a long-term psychological penalty. PMID:26188448

  6. Feeling good about the iron rice bowl: Economic sector and happiness in post-reform urban China.

    PubMed

    Wang, Jia; Xie, Yu

    2015-09-01

    Situated in China's market transition, this study examines the relationship between economic sector and a worker's happiness in post-reform urban China. Using datasets from the Chinese General Social Surveys 2003, 2006 and 2008, we find that workers in the state sector enjoy a subjective premium in well-being - reporting significantly higher levels of happiness than their counterparts in the private sector. We also find that during a period when a large wave of workers moved from the state sector to the private sector, those remaining in the state sector reported being significantly happier than did former state sector workers who had moved, whether the move was voluntary or involuntary. We attribute the higher level of reported happiness in the state sector than in the private sector to the disparity by sector in the provision of social welfare benefits. Those who made voluntary state-to-private moves experienced a trade-off in enjoying higher payoffs while losing job security, whereas involuntary mobiles experienced downward mobility and suffered a long-term psychological penalty. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. The Role of State Departments of Education in Comprehensive School Reform. Benchmark. Volume 5, Issue 2, Spring 2004

    ERIC Educational Resources Information Center

    Hamann, Edmund T.; Lane, Brett

    2004-01-01

    States have the legal responsibility and authority to provide public education for their citizens. How each state fulfills its responsibility varies. Whether state education agencies (SEAs) are supporting school reform efforts, providing technical assistance, defining and controlling educational content, or assessing the outcomes of education, it…

  8. The Common Core State Standards: School Reform at Three Suburban Middle Schools

    ERIC Educational Resources Information Center

    Morante-Brock, Sandra

    2014-01-01

    A growing body of research supports the idea that large scale school reform efforts often fail to create sustained change within the public school sector. Proponents of school reform argue that implementing school reform, effectively and with fidelity, can work to ensure the success of reform initiatives in public education. When implementing deep…

  9. School Reform in the United States: Frames and Representations

    ERIC Educational Resources Information Center

    Shannon, Patrick

    2012-01-01

    This essay reviews six competing positions on U.S. school reform: a speech from Secretary of Education, Arne Duncan; Diane Ravitch's "The Death and Life of the Great American School System"; Frederick Hess's "The Same Thing Over and Over"; Charles Payne's "So Much Reform, So Little Change"; Anthony Byrk and others' "Organizing School for…

  10. Integrating animal welfare into veterinary education: using an online, interactive course.

    PubMed

    Siegford, Janice M; Bernardo, Theresa M; Malinowski, Robert P; Laughlin, Kirsty; Zanella, Adroaldo J

    2005-01-01

    Veterinarians in the United States and abroad are faced with growing public concern for the welfare of animals, particularly those in production. To prepare veterinarians to exert the leadership expected by the public and industry, steps should be taken to provide instruction in animal welfare at veterinary colleges. The ultimate goal is to offer courses in animal welfare in a consistent manner on a global scale, utilizing existing expertise in an efficient and cost-effective manner. Given the intense curricula of veterinary schools and the scarcity of instructors trained in animal welfare, a nontraditional approach is needed to educate veterinary students in the United States and abroad in animal welfare. Michigan State University (MSU) is developing a graduate-level, online interactive course in animal welfare assessment. The course will approach the topic of animal welfare education from a holistic, multidisciplinary standpoint (encompassing ethics, economics, and behavior) and address issues important to the general public and the international community. The MSU course will draw on renowned international animal welfare experts, allowing students to receive high-quality education that would be difficult in any other circumstance. The course will bridge an important gap in the veterinary curriculum and offer a complete and congruous education in animal welfare to veterinarians worldwide. The MSU course will also serve as a model for collaboration in content assembly and course delivery, by using technology to leverage global expertise in the interests of educational equity. In addition to innovative technology, such as the use of Web-collaboration software to create the course, a variety of media that enable students to interact with the material will also be incorporated throughout the course. Thus, the course will not only utilize the Internet to provide access to high-quality material, but will also require the active participation of the student, which is

  11. 45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters... manpower; (6) Developing ability to assess emergency welfare resources and determining requirements...

  12. 45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters... manpower; (6) Developing ability to assess emergency welfare resources and determining requirements...

  13. 45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters... manpower; (6) Developing ability to assess emergency welfare resources and determining requirements...

  14. 45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters... manpower; (6) Developing ability to assess emergency welfare resources and determining requirements...

  15. 45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters... manpower; (6) Developing ability to assess emergency welfare resources and determining requirements...

  16. Social welfare with a foreign competitor

    NASA Astrophysics Data System (ADS)

    Ferreira, Fernanda A.

    2009-11-01

    In this paper, we consider a mixed market in which a state-owned welfare-maximizing public (domestic) firm competes against a profit-maximizing private (foreign) firm. We suppose that the domestic firm is less efficient than the foreign firm. However, the domestic firm can lower its marginal costs by conducting cost-reducing R&D investment. We examine the impacts of entry of a foreign firm on decisions upon cost-reducing R&D investment by the domestic firm and how these affect the domestic welfare.

  17. The legal rights of LGBT youth in state custody: what child welfare and juvenile justice professionals need to know.

    PubMed

    Estrada, Rudy; Marksamer, Jody

    2006-01-01

    Youth in state custody, regardless of their sexual orientation or gender identity, have federal and state constitutional and statutory rights. These rights guarantee a young person safety in their placement as well as freedom from deprivation of their liberty interest. Many lesbian, gay, bisexual, and transgender (LGBT) youth have these rights violated on a regular basis. Many cases in both the child welfare and juvenile justice contexts have resulted in extensive and time-consuming consent decrees as well as sizable damages awards. Knowledge of a youth's legal rights can help providers avoid legal liability while creating a safer and healthier environment for LGBT youth. This article provides a general overview of the successful federal legal claims that youth in the child welfare and juvenile justice systems have made, discussion of the rights generated as a result, particle application of these rights to the experiences of LGBT youth with hypothetical scenarios, a focus on specific rights that emanate from certain state laws, and a focus on specific concerns of transgender youth.

  18. [Health reform in the USA].

    PubMed

    Ganduglia, Cecilia

    2010-01-01

    The United States of America passed early this year the bill enforcing their health reform. this reform aims at achieving universal insurance, cost containment and improving quality of care. The debate around this reform has been long and unable to arrive to an agreement between the parts. Even if the expansion in the medical coverage system does not reduce to zero the current degree of inaccessibility to the health system, these achievements could be considered a very important first step. Nonetheless, chances are that this reform will continue being as polemic as the negotiations previous to its conception.

  19. WELFARE AND CITIZENSHIP: THE EFFECTS OF GOVERNMENT ASSISTANCE ON YOUNG ADULTS’ CIVIC PARTICIPATION

    PubMed Central

    Swartz, Teresa Toguchi; Blackstone, Amy; Uggen, Christopher; McLaughlin, Heather

    2009-01-01

    Recent scholarship and public discourse highlight an apparent waning of civic engagement in the United States. Although the welfare state is generally thought to support democracy by reducing economic inequality, it may paradoxically contribute to political disempowerment of some groups. We examine the effects of state interventions on civic participation among young adults, hypothesizing that involvement with stigmatizing social programs, such as welfare, reduces political engagement while receipt of non-stigmatizing government assistance does not dampen civic involvement. Using official voting records and survey data from the Youth Development Study (YDS), a longitudinal community sample of young adults, a series of regression models suggests that welfare recipients are less likely to vote than non-recipients, whereas recipients of non-means tested government assistance participate similarly to young adults who do not receive government help. These effects hold even when background factors, self-efficacy, and prior voting behavior are controlled. Welfare receipt is not associated, however, with suppressed participation in non-state arenas such as volunteer work. Intensive interviews with YDS welfare recipients are used to illustrate and develop the analysis. PMID:19888350

  20. Gordon memorial lecture. Poultry welfare: science or subjectivity?

    PubMed

    Duncan, Ian J H

    2002-12-01

    1. Most people in the developed world agree on what 'animal welfare' is, although it is impossible to give it a precise scientific definition. 2. The argument is made that animal welfare is all to do with the feelings of animals and not the primary needs that these feeling have evolved to protect. 3. Acceptance of subjective feelings as a legitimate subject for scientific investigation has a long and well-established history in science. This acceptance was interrupted by the rise of Behaviorism in the 20th century, but now seems to be re-established. 4. Subjective feelings cannot be studied directly. However, in the animal welfare debate, indirect evidence on feelings is extremely useful, and methods for obtaining this indirect evidence are described. 5. The poultry species are capable of feeling several states of suffering including fear, frustration and pain. A start has been made to elucidate these states and the conditions that cause them, but much remains to be done. Recent evidence suggests that the poultry species may also be capable of experiencing pleasure. 6. It is concluded that, although poultry welfare is all to do with the subjective feelings of the birds, it is possible to be objective and scientific about these feelings. Investigation into poultry welfare, therefore, really is science rather than subjectivity.

  1. Emerging lessons from regional and state innovation in value-based payment reform: balancing collaboration and disruptive innovation.

    PubMed

    Conrad, Douglas A; Grembowski, David; Hernandez, Susan E; Lau, Bernard; Marcus-Smith, Miriam

    2014-09-01

    In recent decades, practitioners and policymakers have turned to value-based payment initiatives to help contain spending on health care and to improve the quality of care. The Robert Wood Johnson Foundation funded 7 grantees across the country to design and implement value-based, multistakeholder payment reform projects in 6 states and 3 regions of the United States. As the external evaluator of these projects, we reviewed documents, conducted Internet searches, interviewed key stakeholders, cross-validated factual and narrative interpretation, and performed qualitative analyses to derive cross-site themes and implications for policy and practice. The nature of payment reform and its momentum closely reflects the environmental context of each project. Federal legislation such as the Patient Protection and Affordable Care Act and federal and state support for the development of the patient-centered medical home and accountable care organizations encourage value-based payment innovation, as do local market conditions for payers and providers that combine a history of collaboration with independent innovation and experimentation by individual organizations. Multistakeholder coalitions offer a useful facilitating structure for galvanizing payment reform. But to achieve the objectives of reduced cost and improved quality, multistakeholder payment innovation must overcome such barriers as incompatible information systems, the technical difficulties and transaction costs of altering existing billing and payment systems, competing stakeholder priorities, insufficient scale to bear population health risk, providers' limited experience with risk-bearing payment models, and the failure to align care delivery models with the form of payment. From the evidence adduced in this article, multistakeholder, value-based payment reform requires a trusted, widely respected "honest broker" that can convene and maintain the ongoing commitment of health plans, providers, and purchasers

  2. Facial expression: An under-utilised tool for the assessment of welfare in mammals.

    PubMed

    Descovich, Kris A; Wathan, Jennifer; Leach, Matthew C; Buchanan-Smith, Hannah M; Flecknell, Paul; Farningham, David; Vick, Sarah-Jane

    2017-01-01

    Animal welfare is a key issue for industries that use or impact upon animals. The accurate identification of welfare states is particularly relevant to the field of bioscience, where the 3Rs framework encourages refinement of experimental procedures involving animal models. The assessment and improvement of welfare states in animals depends on reliable and valid measurement tools. Behavioral measures (activity, attention, posture and vocalization) are frequently used because they are immediate and non-invasive, however no single indicator can yield a complete picture of the internal state of an animal. Facial expressions are extensively studied in humans as a measure of psychological and emotional experiences but are infrequently used in animal studies, with the exception of emerging research on pain behavior. In this review, we discuss current evidence for facial representations of underlying affective states, and how communicative or functional expressions can be useful within welfare assessments. Validated tools for measuring facial movement are outlined, and the potential of expressions as honest signals is discussed, alongside other challenges and limitations to facial expression measurement within the context of animal welfare. We conclude that facial expression determination in animals is a useful but underutilized measure that complements existing tools in the assessment of welfare.

  3. Health care reforms.

    PubMed

    Marušič, Dorjan; Prevolnik Rupel, Valentina

    2016-09-01

    In large systems, such as health care, reforms are underway constantly. The article presents a definition of health care reform and factors that influence its success. The factors being discussed range from knowledgeable personnel, the role of involvement of international experts and all stakeholders in the country, the importance of electoral mandate and governmental support, leadership and clear and transparent communication. The goals set need to be clear, and it is helpful to have good data and analytical support in the process. Despite all debates and experiences, it is impossible to clearly define the best approach to tackle health care reform due to a different configuration of governance structure, political will and state of the economy in a country.

  4. United States Health Care Reform Progress to Date and Next Steps

    PubMed Central

    Obama, Barack

    2016-01-01

    IMPORTANCE The Affordable Care Act is the most important health care legislation enacted in the United States since the creation of Medicare and Medicaid in 1965. The law implemented comprehensive reforms designed to improve the accessibility, affordability, and quality of health care. OBJECTIVES To review the factors influencing the decision to pursue health reform, summarize evidence on the effects of the law to date, recommend actions that could improve the health care system, and identify general lessons for public policy from the Affordable Care Act. EVIDENCE Analysis of publicly available data, data obtained from government agencies, and published research findings. The period examined extends from 1963 to early 2016. FINDINGS The Affordable Care Act has made significant progress toward solving long-standing challenges facing the US health care system related to access, affordability, and quality of care. Since the Affordable Care Act became law, the uninsured rate has declined by 43%, from 16.0% in 2010 to 9.1% in 2015, primarily because of the law’s reforms. Research has documented accompanying improvements in access to care (for example, an estimated reduction in the share of nonelderly adults unable to afford care of 5.5 percentage points), financial security (for example, an estimated reduction in debts sent to collection of $600–$1000 per person gaining Medicaid coverage), and health (for example, an estimated reduction in the share of nonelderly adults reporting fair or poor health of 3.4 percentage points). The law has also begun the process of transforming health care payment systems, with an estimated 30% of traditional Medicare payments now flowing through alternative payment models like bundled payments or accountable care organizations. These and related reforms have contributed to a sustained period of slow growth in per-enrollee health care spending and improvements in health care quality. Despite this progress, major opportunities to

  5. United States Health Care Reform: Progress to Date and Next Steps.

    PubMed

    Obama, Barack

    2016-08-02

    The Affordable Care Act is the most important health care legislation enacted in the United States since the creation of Medicare and Medicaid in 1965. The law implemented comprehensive reforms designed to improve the accessibility, affordability, and quality of health care. To review the factors influencing the decision to pursue health reform, summarize evidence on the effects of the law to date, recommend actions that could improve the health care system, and identify general lessons for public policy from the Affordable Care Act. Analysis of publicly available data, data obtained from government agencies, and published research findings. The period examined extends from 1963 to early 2016. The Affordable Care Act has made significant progress toward solving long-standing challenges facing the US health care system related to access, affordability, and quality of care. Since the Affordable Care Act became law, the uninsured rate has declined by 43%, from 16.0% in 2010 to 9.1% in 2015, primarily because of the law's reforms. Research has documented accompanying improvements in access to care (for example, an estimated reduction in the share of nonelderly adults unable to afford care of 5.5 percentage points), financial security (for example, an estimated reduction in debts sent to collection of $600-$1000 per person gaining Medicaid coverage), and health (for example, an estimated reduction in the share of nonelderly adults reporting fair or poor health of 3.4 percentage points). The law has also begun the process of transforming health care payment systems, with an estimated 30% of traditional Medicare payments now flowing through alternative payment models like bundled payments or accountable care organizations. These and related reforms have contributed to a sustained period of slow growth in per-enrollee health care spending and improvements in health care quality. Despite this progress, major opportunities to improve the health care system remain. Policy

  6. Everyone Is on Welfare: "The Role of Redistribution in Social Policy" Revisited.

    ERIC Educational Resources Information Center

    Abramovitz, Mimi

    1983-01-01

    Uses Titmuss's model of three welfare systems to analyze how the rapidly expanding system of tax benefits available to middle- and upper-income groups parallels the social welfare system for the poor. Operating as a shadow welfare state, the tax benefits system contributes to the upward redistribution of income. (Author/JAC)

  7. Linking Political Influence to School Reform with a Focus on the Performance Evaluation Reform Act and Senate Bill 7

    ERIC Educational Resources Information Center

    Fredericks, Juliane R.

    2015-01-01

    This study focused on the federal and Illinois State the reform legislation titled the Performance Evaluation Reform Act and Senate Bill 7. The Performance Evaluation Reform Act or "PERA" was created from collaboration between stakeholders as Illinois competed in a federal competition titled "Race to the Top." The legislation…

  8. Demystifying Welfare: Its Feminization and Its Effect on Stakeholders

    ERIC Educational Resources Information Center

    Hartlep, Nicholas D.

    2008-01-01

    Welfare is misunderstood, mystified, and feminized by many stakeholders (i.e. government, media, majoritarian culture, etc.). This text analysis will assess how well the text achieved the following: (1) articulate why the current U.S. welfare state is based upon myths or false assumptions, (2) analyze what these false assumptions mean for…

  9. Social Welfare, the Neo-Conservative Turn and Educational Opportunity

    ERIC Educational Resources Information Center

    Moses, Michele S.

    2004-01-01

    This essay examines the educational opportunities of people in poverty who receive social welfare assistance. The dominant political theory underlying social policy (including education policy) in the United States has evolved from 1960s and 1970s welfare liberalism into 1980s and 1990s style neo-conservatism -- a theory that embraces principles…

  10. Teacher Evaluation Reform: Focus, Feedback, and Fear

    ERIC Educational Resources Information Center

    Donaldson, Morgaen L.

    2016-01-01

    How are teachers experiencing the more rigorous teacher evaluation systems that many states have mandated in recent years? Donaldson, who has studied teacher evaluation reform over the past eight years, shares insights from a study of 14 Connecticut districts that have implemented the state's 2012 teacher evaluation reforms. In surveys and…

  11. Welfare state retrenchment and increasing mental health inequality by educational credentials in Finland: a multicohort study

    PubMed Central

    Kokkinen, Lauri; Muntaner, Carles; Kouvonen, Anne; Koskinen, Aki; Varje, Pekka; Väänänen, Ari

    2015-01-01

    Objectives Epidemiological studies have shown an association between educational credentials and mental disorders, but have not offered any explanation for the varying strength of this association in different historical contexts. In this study, we investigate the education-specific trends in hospitalisation due to psychiatric disorders in Finnish working-age men and women between 1976 and 2010, and offer a welfare state explanation for the secular trends found. Setting Population-based setting with a 25% random sample of the population aged 30–65 years in 7 independent consecutive cohorts (1976–1980, 1981–1985, 1986–1990, 1991–1995, 1996–2000, 2001–2005, 2006–2010). Participants Participants were randomly selected from the Statistics Finland population database (n=2 865 746). These data were linked to diagnosis-specific records on hospitalisations, drawn from the National Hospital Discharge Registry using personal identification numbers. Employment rates by educational credentials were drawn from the Statistics Finland employment database. Primary and secondary outcome measures Hospitalisation and employment. Results We found an increasing trend in psychiatric hospitalisation rates among the population with only an elementary school education, and a decreasing trend in those with higher educational credentials. The employment rate of the population with only an elementary school education decreased more than that of those with higher educational credentials. Conclusions We propose that restricted employment opportunities are the main mechanism behind the increased educational inequality in hospitalisation for psychiatric disorders, while several secondary mechanisms (lack of outpatient healthcare services, welfare cuts, decreased alcohol duty) further accelerated the diverging long-term trends. All of these inequality-increasing mechanisms were activated by welfare state retrenchment, which included the liberalisation of financial markets and

  12. School Finance Reform: Past, Present and Future. Issuegram 26.

    ERIC Educational Resources Information Center

    Odden, Allan

    This paper examines past school finance reforms of the 1970's, current reforms in the 1980's, and future reforms in the 1990's. Fiscal inequities targeted in the reforms of the seventies resulted in major structural changes in the school finance systems of over 30 states. The reforms not only improved fiscal equity but helped increase…

  13. 22 CFR 142.62 - Health, welfare, social, and other services.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Health, welfare, social, and other services. 142.62 Section 142.62 Foreign Relations DEPARTMENT OF STATE CIVIL RIGHTS NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Health, Welfare...

  14. 22 CFR 142.62 - Health, welfare, social, and other services.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Health, welfare, social, and other services. 142.62 Section 142.62 Foreign Relations DEPARTMENT OF STATE CIVIL RIGHTS NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Health, Welfare...

  15. 22 CFR 142.62 - Health, welfare, social, and other services.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Health, welfare, social, and other services. 142.62 Section 142.62 Foreign Relations DEPARTMENT OF STATE CIVIL RIGHTS NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Health, Welfare...

  16. 22 CFR 142.62 - Health, welfare, social, and other services.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Health, welfare, social, and other services. 142.62 Section 142.62 Foreign Relations DEPARTMENT OF STATE CIVIL RIGHTS NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Health, Welfare...

  17. 22 CFR 142.62 - Health, welfare, social, and other services.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Health, welfare, social, and other services. 142.62 Section 142.62 Foreign Relations DEPARTMENT OF STATE CIVIL RIGHTS NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Health, Welfare...

  18. Education Reform in Australia, 1992-97. Country Studies: Education Reform and Management Publication Series, Vol. 1, No. 2.

    ERIC Educational Resources Information Center

    Pascoe, Susan; Pascoe, Robert

    This document reports on an in-depth study of the implementation of systemic reform in the state of Victoria. Called Schools of the Future, the reform was significant in its scale and complexity. Within 4 years in Victoria achieved the lowest per-pupil expenditure of any state of Australia. Data on academic achievements have been fragmentary and…

  19. Health reform: a bipartisan view.

    PubMed

    Cooper, Jim; Castle, Michael

    2009-01-01

    This optimistic assessment of the prospects for health reform from senior Democratic and Republican congressmen spells out several reasons why reform can be achieved early in the first year of the Obama administration. Political and policy factors suggest that President-elect Barack Obama is in a much better position than his predecessors to achieve comprehensive health reform, including universal coverage. The Obama administration will have to overcome numerous obstacles and resistance to enact reform. Still, after decades of frustration and disappointment, policymakers should set aside their differences and enable the United States to join the ranks of developed nations by making sure every American has health insurance.

  20. Health related social exclusion in Europe: a multilevel study of the role of welfare generosity

    PubMed Central

    2013-01-01

    Introduction The aim of this paper was to investigate the association between health, social position, social participation and the welfare state. Extending recent research on the social consequences of poor health, we asked whether and how welfare generosity is related to the risk of social exclusion associated with combinations of poor health, low education and economic inactivity. Methods Our analyses are based on data from the European Social Survey, round 3 (2006/7), comprising between 21,205 and 21,397 individuals, aged 25–59 years, within 21 European welfare states. The analyses were conducted by means of multilevel logistic regression analysis in STATA 12. Results The results demonstrated that the risk of non-participation in social networks decreased as welfare generosity increased. The risk of social exclusion, i.e. non-participation in social networks among disadvantaged groups, seldom differed from the overall association, and in absolute terms it was invariably smaller in more generous welfare state contexts. Conclusions The results showed that there were no indications of higher levels of non-participation among disadvantaged groups in more generous welfare states. On the contrary, resources made available by the welfare state seemed to matter to all individuals in terms of overall lower levels of non-participation. As such, these results demonstrate the importance of linking health related social exclusion to the social policy context. PMID:24073744

  1. Health related social exclusion in Europe: a multilevel study of the role of welfare generosity.

    PubMed

    Saltkjel, Therese; Dahl, Espen; van der Wel, Kjetil A

    2013-09-28

    The aim of this paper was to investigate the association between health, social position, social participation and the welfare state. Extending recent research on the social consequences of poor health, we asked whether and how welfare generosity is related to the risk of social exclusion associated with combinations of poor health, low education and economic inactivity. Our analyses are based on data from the European Social Survey, round 3 (2006/7), comprising between 21,205 and 21,397 individuals, aged 25-59 years, within 21 European welfare states. The analyses were conducted by means of multilevel logistic regression analysis in STATA 12. The results demonstrated that the risk of non-participation in social networks decreased as welfare generosity increased. The risk of social exclusion, i.e. non-participation in social networks among disadvantaged groups, seldom differed from the overall association, and in absolute terms it was invariably smaller in more generous welfare state contexts. The results showed that there were no indications of higher levels of non-participation among disadvantaged groups in more generous welfare states. On the contrary, resources made available by the welfare state seemed to matter to all individuals in terms of overall lower levels of non-participation. As such, these results demonstrate the importance of linking health related social exclusion to the social policy context.

  2. Middle Grades Reform. Literature Review

    ERIC Educational Resources Information Center

    Blazer, Christie

    2008-01-01

    Researchers and policymakers have pointed to the lagging scores of eighth graders on international, national, and state assessments as evidence that students are not prepared to meet high academic standards and that middle grades reform is needed. In response to these concerns, educators have introduced reforms designed to provide middle-level…

  3. A Strategy for Assessing Costs of Implementing New Practices in the Child Welfare System: Adapting the English Cost Calculator in the United States

    PubMed Central

    Snowden, Lonnie R.; Padgett, Courtenay; Saldana, Lisa; Roles, Jennifer; Holmes, Lisa; Ward, Harriet; Soper, Jean; Reid, John; Landsverk, John

    2015-01-01

    In decisions to adopt and implement new practices or innovations in child welfare, costs are often a bottom-line consideration. The cost calculator, a method developed in England that can be used to calculate unit costs of core case work activities and associated administrative costs, is described as a potentially helpful tool for assisting child welfare administrators to evaluate the costs of current practices relative to their outcomes and could impact decisions about whether to implement new practices. The process by which the cost calculator is being adapted for use in US child welfare systems in two states is described and an illustration of using the method to compare two intervention approaches is provided. PMID:20976620

  4. A strategy for assessing costs of implementing new practices in the child welfare system: adapting the English cost calculator in the United States.

    PubMed

    Chamberlain, Patricia; Snowden, Lonnie R; Padgett, Courtenay; Saldana, Lisa; Roles, Jennifer; Holmes, Lisa; Ward, Harriet; Soper, Jean; Reid, John; Landsverk, John

    2011-01-01

    In decisions to adopt and implement new practices or innovations in child welfare, costs are often a bottom-line consideration. The cost calculator, a method developed in England that can be used to calculate unit costs of core case work activities and associated administrative costs, is described as a potentially helpful tool for assisting child welfare administrators to evaluate the costs of current practices relative to their outcomes and could impact decisions about whether to implement new practices. The process by which the cost calculator is being adapted for use in US child welfare systems in two states is described and an illustration of using the method to compare two intervention approaches is provided.

  5. Child Welfare in Canada.

    ERIC Educational Resources Information Center

    McBroom, Elizabeth, Ed.

    1983-01-01

    Reflecting the current state of theory and practice in child welfare in Canada, these eight papers suggest a contemporary view of Canadian children and the contexts in which they develop as defined by legal rights and society. First, Henry S. Maas argues that attention to normal social development and its contexts, and to related ongoing theory…

  6. Marriage and Welfare Reform: The Overwhelming Evidence That Marriage Education Works. The Heritage Foundation Backgrounder.

    ERIC Educational Resources Information Center

    Fagan, Patrick F.; Patterson, Robert W.; Rector, Robert E.

    The erosion of marriage has caused enormous difficulties for children, parents, and society. Compared to children born within marriage, those born outside of marriage are overwhelmingly more likely to live in poverty, depend on welfare, and have behavior problems. They also may suffer depression and physical abuse, fail in school, abuse drugs, and…

  7. Animal health and welfare: equivalent or complementary?

    PubMed

    Nicks, B; Vandenheede, M

    2014-04-01

    The concepts of 'health' and 'welfare', whether applied to humans or animals, are increasingly becoming linked. But are they really indissociable, or even synonymous? Although human health is generally defined as a complete state of physical, mental and social well-being, animal health is still considered as simply the absence of disease. However, recent advances in scientific knowledge are forcing us to revise our ideas about the mental complexity of animals and to recognise their ability to feel emotions and to have needs and a degree of consciousness. The precise objective of animal welfare science is to study their mental states and their ability to adapt to domestication. Pending a global application of this concept of health, including mental health, to animals as well as to humans, the idea of welfare remains an important element in addition to traditional health concerns. More generally, this linkage fuels the ethical debate about the ways in which people use animals, prompting society to change its stance on some aspects of the issue.

  8. Interpersonal violence among women seeking welfare: unraveling lives.

    PubMed

    Lown, E Anne; Schmidt, Laura A; Wiley, James

    2006-08-01

    Exposure to violence is a widespread problem among women who receive welfare benefits. Research has focused on partner violence among women with children on Temporary Assistance for Needy Families (TANF), ignoring low-income women without dependent children who are eligible for General Assistance (GA). We report findings from a survey of 1235 women seeking TANF (N=1095) and GA (N=140) throughout a California county. Estimates of recent physical, sexual, and severe violence were high in both populations. However, the highest rates occurred among women without children seeking GA, suggesting that they are at higher risk for sexual violence and more severe forms of physical violence, especially from intimate partners. This increased risk is partly accounted for by the co-occurrence of other serious health and social problems. In multivariate analyses, past-year violence was associated with substance use (adjusted odds ratio [AOR]=2.0, 95% confidence interval [CI] = 1.5, 2.9), recent homelessness (AOR = 1.9, 95% CI = 1.4, 2.6), family fragmentation including divorce or separation (AOR=3.1, 95% CI 1.8, 5.2), or foster care involvement (AOR=2.2, 95% CI=1.1, 4.5) Welfare reform created TANF programs to address domestic violence. Women seeking GA may need similar services because of the high prevalence of violence.

  9. Improving the Nuclear Reform Implementation for Success

    DTIC Science & Technology

    2016-09-15

    IMPROVING THE NUCLEAR REFORM IMPLEMENTATION FOR SUCCESS GRADUATE RESEARCH PAPER Allen Y. Agnes...United States. AFIT-ENS-MS-16-S-023 IMPROVING THE NUCLEAR REFORM IMPLMENTATION FOR SUCCESS GRADUATE RESEARCH PAPER Presented to the...AFIT-ENS-MS-16-S-023 IMPROVING THE NUCLEAR REFORM IMPLEMENTATION FOR SUCCESS Allen Y. Agnes, BS, MS Major, USAF

  10. [Status of law-making on animal welfare].

    PubMed

    Polten, B

    2007-03-01

    Since the last report there have been major revisions of laws and ordinances. Deliberations on rules of Community law were also continued. On national level, the Act on the Shoeing of Horses amending the Animal Welfare Act and amendments of animal welfare provisions as well as the Deregulation Act were prepared, some of which have meanwhile entered into force. At legislative level, the work on the ratification laws for the Council of Europe conventions (Strasbourg) was concluded in order to enable Germany to adopt the revisions. They include (1) the European Convention for the protection of animals used for experimental purposes and (2) the European Convention for the protection of animals during international transport. At the level of ordinances, the amendment and extension of the Animal Welfare -Farm Animal Husbandry Ordinance are of vital importance for the sections on pig farming and laying hen husbandry. Another section refers to the husbandry of fur animals, on which an ordinance has been submitted to the Bundesrat (German upper house of Parliament). Deliberations on this issue have been adjourned. Drafts of a circus register were prepared to amend the Animal Welfare Act and to adopt a separate ordinance, and they are being discussed with the federal states and associations. Previously,the rules of Community law in the area of animal welfare were adopted as EC directives which the member states had to transfer in national law. This was done by incorporating them into national laws or ordinances, with non-compliance having to be sanctioned. It is the member states' responsibility to establish sanctions. Yet the Commission has introduced a directly operative animal welfare legislation by adopting EC Regulation 1/2005 on the protection of animals during transport. This means that a national implementation is not required. Nevertheless, the establishment of sanctions continues to be the responsibility of the member states. A special authorisation by the

  11. Social Security and Social Welfare Indicators

    ERIC Educational Resources Information Center

    Merriam, Ida C.

    1978-01-01

    Examines the resources devoted by the United States to public social welfare programs. Compares these expenditures with those by other industrial nations and notes possible future trends. For journal availability, see SO 506 144. (Author/DB)

  12. Why the United States has no national health insurance: stakeholder mobilization against the welfare state, 1945--1996.

    PubMed

    Quadagno, Jill

    2004-01-01

    The United States is the only western industrialized nation that fails to provide universal coverage and the only nation where health care for the majority of the population is financed by for-profit, minimally regulated private insurance companies. These arrangements leave one-sixth of the population uninsured at any given time, and they leave others at risk of losing insurance as a result of normal life course events. Political theorists of the welfare state usually attribute the failure of national health insurance in the United States to broader forces of American political development, but they ignore the distinctive character of the health care financing arrangements that do exist. Medical sociologists emphasize the way that physicians parlayed their professional expertise into legal, institutional, and economic power but not the way this power was asserted in the political arena. This paper proposes a theory of stakeholder mobilization as the primary obstacle to national health insurance. The evidence supports the argument that powerful stakeholder groups, first the American Medical Association, then organizations of insurance companies and employer groups, have been able to defeat every effort to enact national health insurance across an entire century because they had superior resources and an organizational structure that closely mirrored the federated arrangements of the American state. The exception occurred when the AFL-CIO, with its national leadership, state federations and union locals, mobilized on behalf of Medicare.

  13. 45 CFR 1639.3 - Prohibition.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION WELFARE REFORM § 1639.3 Prohibition. Except as provided in §§ 1639.4 and 1639.5, recipients may not initiate legal representation, or... State welfare system. Prohibited activities include participation in: (a) Litigation challenging laws or...

  14. High temperature ceramic-tubed reformer

    NASA Astrophysics Data System (ADS)

    Williams, Joseph J.; Rosenberg, Robert A.; McDonough, Lane J.

    1990-03-01

    The overall objective of the HiPHES project is to develop an advanced high-pressure heat exchanger for a convective steam/methane reformer. The HiPHES steam/methane reformer is a convective, shell and tube type, catalytic reactor. The use of ceramic tubes will allow reaction temperature higher than the current state-of-the-art outlet temperatures of about 1600 F using metal tubes. Higher reaction temperatures increase feedstock conversion to synthesis gas and reduce energy requirements compared to currently available radiant-box type reformers using metal tubes. Reforming of natural gas is the principal method used to produce synthesis gas (primarily hydrogen and carbon monoxide, H2 and CO) which is used to produce hydrogen (for refinery upgrading), methanol, as well as several other important materials. The HiPHES reformer development is an extension of Stone and Webster's efforts to develop a metal-tubed convective reformer integrated with a gas turbine cycle.

  15. Social disadvantage and individual vulnerability: a longitudinal investigation of welfare receipt and mental health in Australia.

    PubMed

    Kiely, Kim M; Butterworth, Peter

    2013-07-01

    To examine longitudinal associations between mental health and welfare receipt among working-age Australians. We analysed 9 years of data from 11,701 respondents (49% men) from the Household, Income and Labour Dynamics in Australia (HILDA) Survey. Mental health was assessed by the mental health subscale from the Short Form 36 questionnaire. Linear mixed models were used to examine the longitudinal associations between mental health and income support adjusting for the effects of demographic and socio-economic factors, physical health, lifestyle behaviours and financial stress. Within-person variation in welfare receipt over time was differentiated from between-person propensity to receive welfare payments. Random effect models tested the effects of income support transitions. Socio-demographic and financial variables explained the association between mental health and income support for those receiving student and parenting payments. Overall, recipients of disability, unemployment and mature age payments had poorer mental health regardless of their personal, social and financial circumstances. In addition, those receiving unemployment and disability payments had even poorer mental health at the times that they were receiving income support relative to the times when they were not. The greatest reductions in mental health were associated with transitions to disability payments and parenting payments for single parents. The poor mental health of welfare recipients may limit their opportunities to gain work and participate in community life. In part, this seems to reflect their adverse social and personal circumstances. However, there remains evidence of a direct link between welfare receipt and poor mental health that could be due to factors such as welfare stigma or other adverse life events coinciding with welfare receipt for those receiving unemployment or disability payments. Understanding these factors is critical to inform the next stage of welfare reform.

  16. A Re-Examination of Welfare States and Inequality in Rich Nations: How In-Kind Transfers and Indirect Taxes Change the Story

    ERIC Educational Resources Information Center

    Garfinkel, Irwin; Rainwater, Lee; Smeeding, Timothy M.

    2006-01-01

    Previous studies find large cross-national differences in inequality amongst rich Western nations, due in large part to differences in the generosity of welfare state transfers. The United States is the least generous nation and the one having the most after-tax and transfer inequality. But these analyses are limited to the effects of cash and…

  17. Transportation Planning for Access to Jobs; Job Access and the Metropolitan Planning Process in Hartford, St. Louis, and Detroit

    DOT National Transportation Integrated Search

    1997-08-28

    Federal, state, and local welfare reform initiatives may require the planning : and development of new and innovative public transportation services to ensure : that ex-welfare recipients have the needed mobility to reach employment : opportunities, ...

  18. School Reform: Past and Present.

    ERIC Educational Resources Information Center

    Parker, Franklin

    United States educational history is full of uncertain reform attempts beginning with colonial New England's school reform goal of salvation in this world as a preparation for eternal life in the next. A more practical type of education characterized the Early National Period. Monitorial schools and communal schools, as in New Harmony, Indiana,…

  19. Evidence-based drug treatment practice and the child welfare system: the example of methadone.

    PubMed

    Lundgren, Lena M; Schilling, Robert F; Peloquin, Susan D

    2005-01-01

    This article examined the extent to which methadone maintenance (MM) is considered a treatment alternative for drug-dependent parents, as reflected in the social work and child welfare literature and in child welfare policies. Findings were derived from a review of 15 social work journals published from 1996 through 2002 and from a review of child welfare policies in 27 states in regard to treatment recommendations for substance-abusing parents. These reviews found that 23 articles focused on child welfare-substance abuse issues; no article specifically discussed MM as a treatment option for heroin-using parents; and of the 27 states, only three included methadone as a treatment option in their child welfare policy recommendations. Practice and policy recommendations are discussed.

  20. Multiple-Father Families and Welfare

    ERIC Educational Resources Information Center

    Evenhouse, Eirik; Reilly, Siobhan

    2012-01-01

    In the United States, multipartnered fertility (MPF) has become commonplace. This study provides the first nationally representative measures of women's MPF, across multiple years, using the U.S. Census Bureau's Surveys of Income and Program Participation. Because welfare rules contain strong incentives for MPF, and because MPF is especially…

  1. School Finance Reform: Assessing General Equilibrium Effects. NBER Working Paper No. 13524

    ERIC Educational Resources Information Center

    Epple, Dennis N.; Ferreyra, Maria Marta

    2007-01-01

    In 1994 the state of Michigan implemented one of the most comprehensive school finance reforms undertaken to date in any of the states. Understanding the effects of the reform is thus of value in informing other potential reform initiatives. In addition, the reform and associated changes in the economic environment provide an opportunity to assess…

  2. Method of steam reforming methanol to hydrogen

    DOEpatents

    Beshty, Bahjat S.

    1990-01-01

    The production of hydrogen by the catalyzed steam reforming of methanol is accomplished using a reformer of greatly reduced size and cost wherein a mixture of water and methanol is superheated to the gaseous state at temperatures of about 800.degree. to about 1,100.degree. F. and then fed to a reformer in direct contact with the catalyst bed contained therein, whereby the heat for the endothermic steam reforming reaction is derived directly from the superheated steam/methanol mixture.

  3. Results of Third-Grade Students in a Reform Curriculum on the Illinois State Mathematics Test.

    ERIC Educational Resources Information Center

    Carroll, William M.

    1997-01-01

    Reports on the results of the reform curriculum of the University of Chicago School Mathematics Project's elementary curriculum, Everyday Mathematics, for third-grade students. Results included the fact that only 2% of UCSMP students failed to meet state goals. UCSMP students also scored well in all mathematical areas including number skills and…

  4. Children of divorce in a Scandinavian welfare state: are they less affected than US children?

    PubMed

    Breivik, Kyrre; Olweus, Dan

    2006-02-01

    A fairly common view holds that children's risks of negative outcomes associated with family dissolution are generally small or even nonexistent in Scandinavia, and clearly smaller than what is usually found in the United States. This view was empirically examined in a recent large-scale study of 4,127 12-15-year-old children in Norway, of whom 623 had experienced parental divorce and lived in a single-mother family. The somewhat paradoxical pattern of findings was as follows: (a) The negative associations between parental divorce and various outcomes were found to be generally very similar in Norway and the United States in spite of the great differences in family policy and welfare benefits for single mothers (at the macro level); and (b) Mediational effects of family economic resources were in both countries most marked for the academic achievement area, and the predictive power of such variables was quite similar, again in spite of the great differences in absolute level of the economic resources available to single-mother families in the two countries. The results cast some doubt on the value of the absolute economic deprivation perspective in explaining the results, and the many Norwegian welfare benefits do not seem to mitigate the association between divorce and negative outcomes for the children involved. Also policy implications derived from the economic deprivation perspective are questioned. Alternative interpretations of the findings involving relative deprivation and economic resources as a partial proxy for other non-economic factors are briefly discussed.

  5. US Residents' Perceptions of Dog Welfare Needs and Canine Welfare Information Sources.

    PubMed

    Bir, Courtney; Croney, Candace C; Widmar, Nicole J Olynk

    2018-06-08

    The extent to which welfare needs of breeding dogs are met in commercial dog-breeding kennels is a potential point of controversy. This analysis sought to understand US residents' perceptions and priorities related to dog welfare : by investigating (a) perceptions of breeding-dog welfare needs and (b) perceptions of various nonhuman animal welfare information sources. Using best/worst-choice experiments conducted in an online survey, respondents' choices for most and least important breeding-dog welfare needs (n = 508) and most/least trusted canine welfare information sources (n = 508) were analyzed. The survey sample was targeted to be representative of the US population in terms of gender, age, region of residence, income, and education. The largest preference shares (relatively most important) for breeding-dog welfare needs were for "availability of food and water" (39.2%) and health/veterinary care (18.1%). The largest preference shares (relatively most trusted sources) for welfare information were American Society for the Prevention of Cruelty to Animals, a veterinarian, and American Veterinary Medical Association, with 25.1%, 16.4%, and 14.1% shares, respectively.

  6. Vaccines and animal welfare.

    PubMed

    Morton, D B

    2007-04-01

    Vaccination promotes animal welfare by protecting animal health, but it also has other welfare benefits, e.g. recent investigations have looked at the potential of vaccines in immunoneutering such as immunocastration--a humane alternative to the painful traditional methods. Similarly, vaccination can be used during disease outbreaks as a viable alternative to stamping-out, thus avoiding the welfare problems that on-farm mass slaughter can cause. Protecting animal health through vaccination leads to improved animal welfare, and maintaining good welfare ensures that animals can respond successfully to vaccination (as poor welfare can lead to immunosuppression, which can affect the response to vaccination). It is clear that vaccination has tremendous advantages for animal welfare and although the possible side effects of vaccination can have a negative effect on the welfare of some individual animals, the harm caused by these unwanted effects must be weighed against the undoubted benefits for groups of animals.

  7. Health insurance reform and HMO penetration in the small group market.

    PubMed

    Buchmueller, Thomas C; Liu, Su

    This study uses data from several national employer surveys conducted between the late 1980s and the mid-1990s to investigate the effect of state-level underwriting reforms on HMO penetration in the small group health insurance market. We identify reform effects by exploiting cross-state variation in the timing and content of reform legislation and by using mid-sized and large employers, which were not affected by the legislation, as within-state control groups. While it is difficult to disentangle the effect of state reforms from other factors affecting HMO penetration in the small group markets, the results suggest a positive relationship between insurance market regulations and HMO penetration.

  8. Summary: Ecosystem Services and Human Welfare

    EPA Science Inventory

    The ecosystem services paradigm is a framework conceived to engage support among people, especially policy- and decision-makers, for the recognition that human welfare, prosperity, security, and well-being are intrinsically linked to the health of the environment. Simply stated, ...

  9. Conceptions of systemic reform: California science education as an investigative example

    NASA Astrophysics Data System (ADS)

    Sachse, Thomas Paul

    This study explored three perspectives of systemic reform in the context of the California state strategies for improving science education. The three perspectives are those of conceptualizers, implementers, and government administrators. The California case study is examined during the ten-year period from 1983 to 1993. This study is of particular significance, because it examines science education reforms during the ten-year period of Bill Honig's state superintendency in the largest and most diverse state. By examining the facets of state science reforms from three rather different perspectives, the study contrasts how systemic reform definitions vary with role. This qualitative study employs document analysis, archival reviews, and participant interviews as the primary data collection methods. Document analysis included key curriculum frameworks, project proposals and reports, relevant legislation, and professional correspondence. Archival reviews included databases (such as the California Basic Educational Data System), assessment reports (such as the California Assessment Program---Rationale and Content), and policy analyses (such as the Policy Analysis for California Education---Conditions of Education). Interviews were conducted for each of the three perspectives across five segments of the reform strategy for a total of fifteen interviews. Data analysis consisted of combining detailed reviews of documents, archives, and interview information with an examination of perspectives, by role group. The study concludes with an analysis of how each role group perceived the facets of systemic reform in the context of the California case study of science education reform. In addition, the research points to "lessons learned", the strengths and weaknesses of systemic reform strategies at the state level. The study offers recommendations to other large-scale (state level) policy reformers interested in creating, sustaining, and maintaining lasting change.

  10. Child Welfare in the Context of Welfare "Reform." Confronting the New Politics of Child and Family Policy in the United States. Report V.

    ERIC Educational Resources Information Center

    Kamerman, Sheila B., Ed.; Kahn, Alfred J., Ed.

    "Confronting the New Politics of Child and Family Policy in the United States" is an 18-month project designed to help states, local governments, and the voluntary sector as they respond to the social policy debates and changes precipitated by the 104th Congress. The project's main vehicle, aside from exploratory and analytic work, is a…

  11. Block Grants: The View from the Dome.

    ERIC Educational Resources Information Center

    Shreve, David L.

    1996-01-01

    Reviews characteristics and operations of state legislatures in the context of the current reforms proposed by the federal government and the devolution of authority to the states via block grants. Examines proposed changes related to welfare, Medicaid, workforce training, and taxation, highlighting the impact of these reforms on state…

  12. Health shocks and retirement: the role of welfare state institutions.

    PubMed

    Datta Gupta, Nabanita; Larsen, Mona

    2007-09-01

    We investigate the effect of an acute health shock on retirement among elderly male workers in Denmark, 1991-1999, and in particular whether various welfare state programs and institutions impinge on the retirement effect. The results show that an acute health event increases the retirement chances of elderly male workers by 8%, and that this increase in the baseline retirement probability is not affected by eligibility to early exit programs and persists even after accounting for selection due to take-up of disability pension. Neither is it affected by the relatively long duration of sickness benefits in Denmark nor by the promotion of corporate social responsibility initiatives since the mid-1990s. In the late 1990s, however, the retirement rate following a health shock is reduced to 3% with the introduction of the subsidized employment program ( fleksjob ) but this effect is on the margin of being significant. For the most part, the retirement effect following a health shock seems to be immune to the availability of a multitude of government programs for older workers in Denmark.

  13. Perspectives: parity--prelude to a fifth cycle of reform.

    PubMed

    Goldman, Howard H

    2002-09-01

    Based on 2000 Carl Taube Lecture at the NIMH Mental Health Economics Meeting. This perspective article examines the relationship between a policy of parity in financing mental health services and the future of reform in service delivery. Applying theories of static and dynamic efficiency to an understanding of parity and the evolution of mental health services, drawing upon Burton Weisbrod s concept of the health care quadrilemma . Each of four cycles of reform in mental health services have contended with issues of static and dynamic efficiency. Each cycle was associated with static efficiency in the management and financing of services, and each was associated with a set of new treatment technologies intended to improve dynamic efficiency. Each reform proved ultimately unsuccessful primarily because of the failure of the treatment technologies to prevent future patient chronicity or to achieve sustained recovery. Recent advances in treatment technology and management of care can permit an unprecedented level of efficiency consistent with a policy of improved access to mainstream health and social welfare resources, including insurance coverage. This policy of so-called financing parity can improve current mental health service delivery, but it may also portend a future fifth cycle of reform. If new technologies continue to advance as full technologies - simple to deliver and producing true recovery - and mainstream resources are made available, then the specialty mental health services may contract dramatically in favor of effective care and treatment of mental illness in primary care and other mainstream settings. Predicting the future of health care is speculative, but it may be easier using the Weisbrod formulation to understand the process of mental health reform. Over-reliance on administrative techniques for building static efficiency and false optimism about dynamic efficiency from new technology have stymied previous reforms. All the same, a fifth cycle

  14. Health Care Reform and Social Movements in the United States

    PubMed Central

    Hoffman, Beatrix

    2003-01-01

    Because of the importance of grassroots social movements, or “change from below,” in the history of US reform, the relationship between social movements and demands for universal health care is a critical one. National health reform campaigns in the 20th century were initiated and run by elites more concerned with defending against attacks from interest groups than with popular mobilization, and grassroots reformers in the labor, civil rights, feminist, and AIDS activist movements have concentrated more on immediate and incremental changes than on transforming the health care system itself. However, grassroots health care demands have also contained the seeds of a wider critique of the American health care system, leading some movements to adopt calls for universal coverage. PMID:12511390

  15. The Invisible Realities of Welfare Reform in Wisconsin: Perspectives of African American Women and Their Employers

    ERIC Educational Resources Information Center

    Alfred, Mary V.

    2005-01-01

    This study explored the experiences of African American women as they transitioned from welfare to work and develop economic self-sufficiency. The barriers to self-sufficiency included the "work-first" philosophy and case management practices, labor market conditions and employment practices, and personal history. HRD can help minimize…

  16. Sponsors of Policy: A Network Analysis of Wealthy Elites, Their Affiliated Philanthropies, and Charter School Reform in Washington State

    ERIC Educational Resources Information Center

    Au, Wayne; Ferrare, Joseph J.

    2014-01-01

    Background/Context: Charter school policy has evolved into a major component of the current education reform movement in the United States. As of 2012, all but nine U.S. states allowed charter schools, and in one of those nine, Washington State, charter school legislation was passed by popular vote in November 2012. There is a substantial, if…

  17. A Culturally Responsive Practice Model for Urban Indian Child Welfare Services.

    ERIC Educational Resources Information Center

    Mindell, Robert; Vidal de Haymes, Maria; Francisco, Dale

    2003-01-01

    Describes a collaboration among a university, a state child welfare agency, and a Native American community organization to develop a culturally driven practice model for urban, Native American child welfare. Identifies challenges and opportunities in addressing the needs of urban Native American communities. Concludes with principles for…

  18. Public Pension Reform and Teacher Turnover: Evidence from Washington State. CEDR Policy Brief. WP #2015-8

    ERIC Educational Resources Information Center

    Goldhaber, Dan; Grout, Cyrus; Holden, Kristian

    2015-01-01

    Traditional defined benefit (DB) pension systems in many states face large funding shortfalls. Movement toward defined contribution (DC) pension structures may reduce the likelihood of future shortfalls, but there is concern that such reforms may have the undesirable effect of increasing employee turnover. In studying patterns of employee turnover…

  19. The (Evasive) Language of School Reform

    ERIC Educational Resources Information Center

    Noguera, Pedro A.; Pierce, Jill C.

    2016-01-01

    Across the United States, decisions championed in the name of school "reform" are segregating students on the basis of race and class. Traditional public schools that serve low-income students of color have been closed, consolidated, or co-located with charter schools. The officials initiating these reforms claim they will benefit…

  20. The Reform of Qatar University. Monograph

    ERIC Educational Resources Information Center

    Moini, Joy S.; Bikson, Tora K.; Neu, C. Richard; DeSisto, Laura

    2009-01-01

    In 2003, the State of Qatar engaged the RAND-Qatar Policy Institute to assist Qatar University, the nation's first and only public higher education institution, with reform of its major administrative and academic structures, policies, and practices. This monograph summarizes that reform effort, which formally lasted from October 2003 through…