Social Work Commons^™

Expanded Child Tax Credit Payments Supported Families Raising Children With Disabilities, Allyson Baughman, Laura Brugger, Meg Comeau, Leah Hamilton, Candace Jarzombek, Caroline Parker, Stephen Roll

Social Policy Institute Research

The 2021 expanded Child Tax Credit (CTC) provided temporary enhancements to the existing CTC for the tax years 2021 and 2022. Under the expanded credit, families with children under the age of 18 were eligible to receive a credit of up to $3,000 per child ($3,600 for children under the age of 6).

In addition, half the credit was paid out on a monthly basis rather than as a one-time payment at tax time. This provision was designed to provide more immediate financial support to families with children during the COVID-19 pandemic. However, it also supported families who were at …

“It Helped Us More Than I Could Have Imagined”: How The 2021 Expanded Child Tax Credit Supported Families Raising Children With Disabilities, Laura Brugger, Stephen Roll, Leah Hamilton, Allyson Baughman, Meg Comeau, Candace Jarzombeck, Caroline Parker

Social Policy Institute Research

The 2021 expanded Child Tax Credit (CTC) provided temporary enhancements to the existing CTC for the tax years 2021 and 2022. Under the expanded credit, families with children under the age of 18 were eligible to receive a credit of up to $3,000 per child ($3,600 for children under the age of 6). In addition, half the credit was paid out on a monthly basis rather than as a one-time payment at tax time. This provision was designed to provide more immediate financial support to families with children during the COVID-19 pandemic. However, it also supported families who were at …

Double Burden Of Malnutrition Workshop Facilitation Manual: Iquitos, Peru, Carmen Quinteros-Reyes, Paraskevi Seferidi, Laura Guzman-Abello, Christopher Millett, Antonio Bernabé-Ortiz, Lindsey Pawloski, Ellis Ballard

Social System Design Lab

This is a facilitation manual for workshops in Lima, Peru as part of the project “Addressing the double burden of malnutrition in Peru: using a community-based system dynamics approach to improve food systems”. The project is a collaboration between investigators at the Center of Excellence in Chronic Diseases (CRONICAS) at the University of Peruana Cayetano Heredia, Universidad de los Andes in Bogota, Peru, the Social System Design Lab at Washington University in St. Louis, USA and Imperial College London funded by the Biotechnology and Biological Science Research Council (Grant Ref: BB/T009004/1). It is a supplemental document associated with the paper …

Double Burden Of Malnutrition Workshop Facilitation Manual: Lima, Peru, Carmen Quinteros-Reyes, Pavarskevi Seferidi, Laura Guzman-Abello, Christopher Millett, Antonio Bernabé-Ortiz, Lindsey Pawlowski, Ellis Ballard

Social System Design Lab

This is a facilitation manual for workshops in Lima, Peru as part of the project “Addressing the double burden of malnutrition in Peru: using a community-based system dynamics approach to improve food systems”. The project is a collaboration between investigators at the Center of Excellence in Chronic Diseases (CRONICAS) at the University of Peruana Cayetano Heredia, Universidad de los Andes in Bogota, Peru, the Social System Design Lab at Washington University in St. Louis, USA and Imperial College London funded by the Biotechnology and Biological Science Research Council (Grant Ref: BB/T009004/1). It is a supplemental document associated with the paper …

Financial Well-Being Of Frontline Healthcare Workers: The Importance Of Employer Benefits, Mathieu Despard, Sophia Fox-Dichter, Haotian Zheng, Grace Anderson, Olivia Borland, Kourtney Gilbert

Social Policy Institute Research

Frontline healthcare workers – especially direct care workers (DCWs), such as home health aides, struggle due to low pay, lack of benefits, and difficult working conditions. The need for these workers is growing. Unless frontline healthcare jobs improve, positions may be difficult to fill, and care for vulnerable members of society may be compromised.

In this study, we surveyed 2,321 frontline healthcare workers and conducted in-depth interviews with 30 of these workers concerning pay, benefits, work conditions, and financial well-being. Key survey findings included:

• Only 39% of workers were eligible for at least four out of five major benefits (e.g., …

Democratizing The Economy Or Introducing Economic Risk? Gig Work During The Covid-19 Pandemic, Daniel Auguste, Stephen Roll, Mathieu Despard

Social Policy Institute Research

Though the growth of the gig economy has coincided with increased economic precarity in the new economy, we know less about the extent to which gig work (compared with other self-employment arrangements and non-gig work) may fuel economic insecurity among American households. We fill this gap in the literature drawing on a sample of 4,756 workers from a unique national survey capturing economic hardships among non-standard workers like app-and platform-based gig and other self-employed workers during the COVID-19 pandemic. Results from generalized boosted regression modeling, utilizing machine learning to account for potential endogeneity, demonstrated that gig workers experienced significantly greater …

Usage And Impact Of Benefits Among Frontline Healthcare Workers, Mathieu Despard

Social Policy Institute Research

We completed a study about frontline healthcare workers – the benefits they get through work and how they are doing financially. This brief provides highlights from our survey to 2,321 workers and interviews with 30 workers.

Combatting Rising Healthcare Costs For Healthier Adults, Alejandra Muñoz-Rivera

Social Policy Institute Research

In 2020, healthcare expenditures averaged $12,530 per person, up 9.7% from 2019. In 2018, 19% of U.S. households had medical debt with $2,000 being the median amount owed. Over half of adults between 18 to 64 years of age are estimated to experience some form of medical financial hardship including medical bills or debt, stress about medical bills, and delaying or forgoing treatment specifically due to cost. In a 2022 survey of 140 Medicaid and Marketplace members by researchers from the Social Policy Institute (SPI) and the Centene Center of Health Transformation, one-third of respondents reported having unpaid medical bills. …

Experimental Evidence On Consumption, Saving, And Family Formation Responses To Student Debt Forgiveness, Jason Jabarri, Stephen Roll, Mathieu Despard, Leah Hamilton

Social Policy Institute Research

As policy-makers grapple with whether or not to forgive student debt, for who, and how much, it is important to explore how student debt forgiveness would relate to intended household decisions and behaviors. We conducted a survey experiment that asked participants with student debt to imagine a scenario in which the federal government forgave a certain amount of student debt. We then had these participants report on how this would affect their decisions and behaviors. 1,053 participants were randomly assigned to one of four conditions that offered $5,000, $10,000, $20,000, and complete debt forgiveness. Our results indicate that student debt …

Iceberg Del Pensamiento Sistémico: Buceando Bajo La Superficie, Clarissa Gaona Romero, Laura Guzmán Abello, Carmen Quinteros-Reyes, Paraskevi Seferidi, Antonio Bernabe-Ortiz, Lindsey Pawlowski, Ellis Ballard

Social System Design Lab

El iceberg es una metáfora clásica que se aplica en diversas disciplinas más allá del pensamientosistémico. La metáfora describe una situación en la cual solo se observa la punta del iceberg, es decir solouna pequeña parte de la totalidad que no se puede ver en la superficie (la gran masa de hielo escondidadebajo de la superficie). En el pensamiento sistémico, se usa la metáfora del iceberg para pensar sobre loque está “bajo la superficie” impulsando los eventos que observamos (punta del Iceberg): (1) Patrones decomportamiento a lo largo del tiempo, (2) Estructuras del sistema que dan lugar a estos patrones …

Modelos Mentales, Clarissa Gaona Romero, Katherine Curi-Quinto, Laura Guzmán Abello, Carmen Quinteros-Reyes, Paraskevi Seferidi, Antonio Bernabe-Ortiz, Lindsey Pawlowski, Ellis Ballard

Social System Design Lab

Un principio central de la perspectiva del pensamiento sistémico es que las estructuras del sistema están respaldadas y permanecen por nuestras creencias, formas de pensar, y objetivos subyacentes (Ver Serie de Informes de Métodos 1.08). Por lo tanto, para transformar y rediseñar los sistemas también debemos transformar nuestra mentalidad. El propósito de este breve documento es introducir el concepto de modelos mentales y discutir cómo las herramientas de dinámica de sistemas se pueden usar para identificarlos, negociarlos y transformarlos.

Acumulaciones Y Diagramas De Niveles Y Flujos, Clarissa Gaona Romero, Laura Guzmán Abello, Carmen Quinteros-Reyes, Paraskevi Seferidi, Antonio Bernabe-Ortiz, Lindsey Pawlowski, Ellis Ballard

Social System Design Lab

Existen varias características de los sistemas complejos que dificultan la creación de cambios en la salud de la comunidad, los cuales incluyen los siguientes: retrasos entre la intervención y el resultado, respuestas inesperadas o confusas a intervenciones, y diferencias en las formas en que los individuos y los grupos experimentan el mismo sistema. El concepto de “acumulación” brinda información importante sobre la forma en que se generan las percepciones erróneas, retrasos y respuestas contradictorias al sistema dentro de los esfuerzo de la salud que se llevan a cabo. Los diagramas de niveles y flujos son herramientas que sirven para identificar …

An Overview Of Platforms To Support Online Gmb, Lucy Chin, Min Hu, Allie Farrell, Lindsey Pawlowski, Ellis Ballard

Social System Design Lab

The COVID-19 pandemic ushered in the new reality of remote working and learning, forcing group model building practitioners to make an abrupt shift to online workshops. Like our peers, the Social System Design Lab (SSDL) at Washington University in St. Louis confronted this challenge by exploring what tools existed for adaptation and continued collaboration. The shift has not been easy, but it has revealed new insights that suggest areas to leverage the strengths of online GMB long after the pandemic comes to an end.

The purpose of this brief is to review a number of online platforms that group model …

Definición De La Dinámica De Problemas, Clarissa Gaona Romero, Katherine Curi-Quinto, Laura Guzmán Abello, Carmen Quinteros-Reyes, Paraskevi Seferidi, Antonio Bernabe-Ortiz, Lindsey Pawlowski, Ellis Ballard

Social System Design Lab

Las herramientas de dinámica de sistemas nos ayudan a descubrir las estructuras del sistema que producen los problemas que nos importan para que podamos identificar mejores soluciones.Como ilustra esta cita, el primer paso, y posiblemente el más importante, en cualquier proceso de resolución de problemas es definir claramente el problema que se desea resolver. En otras disciplinas científicas, esta definición de un problema puede ser estática, o instantánea, ya que analiza un problema particular en un momento dado. Esto puede parecer un único punto de datos, resultado o evento. En la dinámica de sistemas, sin embargo, definimos los problemas como …

Online Gmb: Challenges, Opportunities, And Barriers, Lucy Chin, Allie Farrell, Min Hu, Lindsey Pawlowski, Ellis Ballard

Social System Design Lab

The COVID-19 pandemic ushered in the new reality of remote working and learning, forcing group model building practitioners to make an abrupt shift to online workshops. Like our peers, the Social System Design Lab (SSDL) at Washington University in St. Louis confronted this challenge by exploring what tools existed for adaptation and continued collaboration. The shift has not been easy, but it has revealed new insights that suggest areas to leverage the strengths of online GMB long after the pandemic comes to an end.

The purpose of this brief is to provide some general points of comparison between in-person and …

Facilitation Team Roles In Online Gmb, Allie Farrell, Min Hu, Lucy Chin, Lindsey Pawlowski, Ellis Ballard

Social System Design Lab

The COVID-19 pandemic ushered in the new reality of remote working and learning, forcing group model building practitioners to make an abrupt shift to online workshops. Like our peers, the Social System Design Lab (SSDL) at Washington University in St. Louis confronted this challenge by exploring what tools existed for adaptation and continued collaboration. The shift has not been easy, but it has revealed new insights that suggest areas to leverage the strengths of online GMB long after the pandemic comes to an end.

The purpose of this brief is to compare facilitation team roles in traditional, in-person GMB sessions …

Disparate Financial Assistance Support For Small Business Owners, Sophia Fox-Dichter, Daniel Auguste, Mathieu Despard, Michal Grinstein-Weiss

Social Policy Institute Research

Small business owners experienced a drastic economic disruption caused by the COVID-19 pandemic. Government pandemic assistance failed to reach many small business owners, especially those historically underserved by financial institutions. Drawing on a 2021 survey of 246 small business owners, the Social Policy Institute at Washington University in St. Louis descriptively examined the extent to which small business owners sought and received business assistance, and whether applications and approval of government assistance varied by race and ethnicity. We find that though Hispanic and Black business owners applied for government assistance at a higher rate than white business owners, Black business …

Did Government Benefits Help Israeli Households Avoid Hardship During Covid-19? Evidence From A National Survey, Olga Kondratjeva, Talia Schwartz-Tayri, Sam Bufe, Stephen Roll, John Gal, Michal Grinstein-Weiss

Social Policy Institute Research

At the outset of the COVID-19 pandemic, the government of Israel quickly introduced aggressive social distancing measures to curb the virus spread and adapted its unemployment insurance program in response to rising unemployment rates. This study examines the relationship between household income and the experience of material hardship during the COVID-19 pandemic in Israel, and investigates how the receipt of unemployment benefits moderated the relationship between income and material hardship. Using data from a household survey, we find a negative association between household income and the experience of material hardship. Moreover, middle-income households receiving unemployment benefits were more likely to …

Vaccine Hesitance During Covid-19: Exploring Motivations And Incentives, Laura Brugger

Social Policy Institute Research

As rates of vaccination have slowed, concerns are growing about how to increase vaccine uptake among those who are vaccine hesitant, particularly with the emergence of new and contagious variants such as Delta. Using our national Socioeconomic Impacts of COVID-19 Survey, we examine the predictors of vaccine hesitance in the U.S. and report on findings from an experiment assessing the potential impacts of vaccine incentive schemes.

Our study points to the difficulties in overcoming vaccine hesitance among the unvaccinated. Vaccine hesitance was common across income levels, and experience with COVID-19-related hardships—such as knowing someone who died of the disease or …

Paid Sick Leave Heading Into Covid-19: A Descriptive Account Of Workers Who Lacked Paid Sick Leave, David Rothwell, Sophia Fox-Dichter, Mathieu Despard, Michal Grinstein-Weiss

Social Policy Institute Research

Paid sick leave is vital for controlling the spread of illness in the workplace and an invaluable public health tool, but too few workers have access to it. In this brief, we examine the beginning of the COVID-19 pandemic to assess paid sick leave coverage with a focus on the social and economic characteristics of workers without paid leave.

Using a nationally representative survey with roughly 4,000 working respondents, we found that a third lacked access to paid sick leave. Workers without paid leave were younger, more likely to be female, more likely to be white, and less likely to …

Expanded Child Tax Credit Payments Have Not Reduced Employment, Stephen Roll, Leah Hamilton, Yung Chun

Social Policy Institute Research

Approximately 60 million American children living in 35 million households are now receiving monthly payments from the federal government as part of the temporary Child Tax Credit (CTC) expansion. Recently, a debate has emerged over whether or not the expanded CTC will cause parents to leave the workforce. On one side of the debate, a large number of economists have argued that the CTC will not cause a reduction in employment. However, a recent study used a simulation approach to estimate that 2.6% of parents will exit the labor force as a result of the CTC.

The reports below address …

Housing Hardships During Covid-19, Sophia Fox-Dichter, Yung Chun, Stephen Roll, Katie Kristensen

Social Policy Institute Research

Even prior to the COVID-19 pandemic, U.S. households were burdened by the cost of rental and mortgage payments, burdens which disproportionately fell on Black and Hispanic families. Using a 5-wave survey, we examined whether disparities in housing cost burden continued throughout the pandemic and trends in how households fell behind on rent and mortgage payments. We found that more than a third of households experienced housing cost burdens during the pandemic, with a slightly higher percentage of households of color bearing cost burdens than white households. Renters had greater cost burdens than homeowners.

During the pandemic, significantly more Black and …

Employment, Financial And Well-Being Effects Of The 2021 Expanded Child Tax Credit: Wave 1 Executive Summary, Leah Hamilton, Stephen Roll, Mathieu Despard, Elaine Maag

Social Policy Institute Research

The 2021 temporary expansion of the Child Tax Credit (CTC) is unprecedented in its reach and is predicted to cut American child poverty by more than half. The expanded CTC provides families with $3,600 for every child in the household under the age of six, and $3,000 for every child between the ages of six and 17. Almost all middle- and low-income families with children are eligible for the CTC. Married parents making less than $150,000 and single parents making less than $112,500 per year will receive the full amount of the credit, which begins to phase out slowly after …

The Socioeconomic Impacts Of Covid-19 Study: Survey Methodology Report, Stephen Roll, Sam Bufe, Yung Chun, Michal Grinstein-Weiss

Social Policy Institute Research

The Socioeconomic Impacts of COVID-19 Survey uniquely documents the social and economic impacts of a global pandemic as people experienced the global pandemic. These findings can inform social, economic and health policies now and in the future. Though the data from the survey are not publicly available, they are freely available on a limited basis to interested researchers. If you or your organization are interested in accessing the cleaned and coded survey data, or would like more information about the survey, please reach out to the Social Policy Institute at.

The Relationships Between Stress, Psychosocial Resources, And Mental Health And Adherence Outcomes Among Perinatally Hiv-Infected Adolescents In South Africa, Thabani Nyoni

Brown School Theses and Dissertations

Adolescents living with perinatally acquired HIV (APHs) in sub-Saharan Africa (SSA) constitute a significant population group that is experiencing poor HIV treatment outcomes (CIPHER Global Cohort Collaboration, 2018). Compared to younger children and older adults within the SSA sub-region, APHs experience poorer health outcomes, including retention in care, virologic treatment failure, and mortality rates (Anderson et al., 2019). Among countries in the SSA sub-region, South Africa has 360,000 adolescents living with HIV (ages 10-19), a disproportionate burden, accounting for 20% of the global adolescents living with HIV (UNAIDS, 2019a). The public health costs of suboptimal antiretroviral treatment (ART) adherence in …

Systems Thinking Iceberg: Diving Beneath The Surface In Education Systems, Ebuwa I. Evbuoma, Min Hu, Allie Farrell, William Liem, Ellis Ballard

Social System Design Lab

The iceberg is a classic metaphor that is applied to many disciplines beyond systems thinking. The metaphor describes a situation in which what you see (the tip of the iceberg) is only a small portion of what you can’t see (a large, hidden mass of ice below the surface). In systems thinking, we use the iceberg metaphor to think about what is “under the surface” driving the individual events that we see: (1) Patterns of events over time, (2) System Structure that give rise to these patterns and, (3) Beliefs, Mindsets and Goals that inform the design of system structures. …

System Archetypes, Mikayla Branz, Allie Farrell, Min Hu, William Liem, Ellis Ballard

Social System Design Lab

K-12 education presents an incredibly complex system that makes solving problems challenging.

Often, we implement changes with the best of intentions, only to see problems get worse rather than better. Many of the structures that cause these patterns can be found all around us - in schools, in businesses, in non-profit organizations, in health systems, and in communities. By learning about these common structures or system archetypes, we can start to identify and anticipate them.

The purpose of this brief is to describe how education stakeholders can use system archetypes as a tool for recognizing, anticipating, and addressing the system …

Framing Dynamic Problems, Ebuwa I. Evbuoma, Allie Farrell, Min Hu, William Liem, Ellis Ballard

Social System Design Lab

No abstract provided.

Characteristics Of Complex Problems, Allie Farrell, Min Hu, Ebuwa I. Evbuoma, William Liem, Ellis Ballard

Social System Design Lab

Many of the social challenges we care about feel like messy, wicked knots (or a pile of tangled headphones). When we pull on a thread in one place, we create new, tighter knots elsewhere. The messy nature of these challenges is due to, among other things, their complexity. Understanding key features of complex problems helps us understand why problems in education can be especially resistant to change. The purpose of this brief is to share (some) characteristics of complex problems, and introduce system dynamics as a set of tools for managing this complexity.

Mental Models, Lucy Chin, Allie Farrell, Min Hu, William Liem, Ellis Ballard

Social System Design Lab

A central principle of the systems thinking perspective is that system structures are supported and held in place by our underlying beliefs, mindsets, and goals (See Brief 1.01 - Systems Thinking Iceberg). Therefore, in order to transform and redesign systems we must also transform our mindsets. The purpose of this brief is to introduce the concept of mental models, and to discuss how system dynamics tools can be used to elicit, negotiate, and transform them.