Social Welfare Commons^™

Can The Safety Net Support Families Through Childbirth?, Hyojeong Kim, Colleen Heflin, Taryn Morrissey

Center for Policy Research

Childbirth is a life event that often disrupts maternal employment and household earnings just as family expenses increase. In the United States, families do not have access to a national paid parental leave program and must rely on a patchwork of safety net programs that were not designed specifically to support households during pregnancy and the immediate postpartum period. This brief uses linked administrative data from the Virginia Longitudinal Data System (2016–2021) to describe changes in household earnings and social welfare benefits before and after childbirth among low-income mothers receiving the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for …

Why Aren’T More People Calling 988 For Mental Health Crises?, Michiko Ueda, Colleen M. Heflin, Yanhong Liu, Qingyi Yu, Seethalakshmi Ramanathan

Center for Policy Research

When someone is in a mental health crisis, calling 911 has long been the default response. However, 911 call centers are not well-equipped to handle mental health emergencies, and law enforcement dispatch can result in unnecessary arrests, hospitalizations, or crisis escalation. The 988 Suicide and Crisis Lifeline launched in 2022 is a free, confidential alternative, yet awareness remains low and misconceptions persist. Using data from a 2024 national online survey of nearly 1,900 U.S. adults ages 18-50, this brief summarizes findings about awareness of 988, willingness to use it, and concerns about the service. Results show that only 22% of …

Community-Based Food Program Limits In Reducing Older Adult Food Insecurity, Madonna Harrington Meyer, Colleen M. Heflin

Population Health Research Brief Series

Older adults who are grappling with food insecurity may enhance their food supply through community-based programs that provide free and subsidized food. This complicated system, categorized by group meal programs, home-delivered meals, and food provided to be eaten off-site, is complex, expensive, and may be difficult for older adults to use. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief describes three key limits of community-based food programs for older adults. First, the quantity and quality of community-based food programs vary markedly by where one lives. Second, the food may be of poor nutritional …

Why Aren't More People Calling 988 For Mental Health Crises, Michiko Ueda, Colleen M. Heflin, Yanhong Liu, Qingyi Yu

The Lender Center for Social Justice

In July 2022, the 988 Suicide and Crisis Lifeline was launched as a free, confidential alternative to calling 911. Yet a few years into its rollout, awareness of 988 remains low, and misconceptions persist. This brief summarizes findings from our recent study that conducted a national online survey of nearly 1,900 U.S. adults ages 18-50 to understand their awareness of 988, willingness to use it, and the types of concerns they have about 988.

The Limits Of Snap In Addressing Older Adult Food Insecurity, Colleen M. Heflin, Madonna Harrington Meyer

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is designed to address the economic roots of food insecurity. However, SNAP participation rates among older adults substantially lag behind those of other age groups. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief describes how SNAP is not well designed for older adults in three respects: (1) the high levels of administrative burden associated with eligibility, certification, and benefit-determination processes, (2) the low value of SNAP benefits compared with the high costs associated with redeeming them, and (3) the high levels of state variation in SNAP policies …

How Does Snap Access Prior To Pregnancy Affect Maternal And Infant Health Outcomes?, Sarah Hamersma, Mitch Mcfarlane

Center for Policy Research

Consistent access to healthy food even before pregnancy can play a role in maternal and child health. The Supplemental Nutrition Assistance Program (SNAP) provides food assistance to low-income individuals, including those who do not yet have children (often classified as Able-Bodied Adults Without Dependents, or ABAWDs). Our study uses ABAWD work requirement waivers – which vary within and across counties over a 15-year-period – as a measure of SNAP access for childless women. We use this variation to investigate pre-pregnancy SNAP access and the health of mothers and their infants. Using rich, population-wide Vital Statistics data combined with county-level SNAP …

How Does The Earned Income Tax Credit (Eitc) Impact Time Spent Assisting Adults?, Anna Wiersma Strauss

Population Health Research Brief Series

Unpaid caregiving for adults is crucial to maintaining health, independence, and well-being at older ages. In their working years, caregivers potentially face trade-offs between unpaid caregiving and paid work. Poor households face more costly tradeoffs between paid work and caregiving because the Earned Income Tax Credit (EITC) – one of the nation’s largest antipoverty programs for families with children – requires recipients to work and provides benefits based on the level of earnings. This brief summarizes the findings of a study that uses data from the 2003-2019 American Time Use Survey (ATUS) to examine the effect of the EITC on …

More Police Spending Is Linked To Higher Opioid Overdose Mortality Rates, Michah W. Rothbart, Zoe Lindenfeld, Amanda I. Mauri, Diana Silver

Population Health Research Brief Series

In the United States, over 100,000 people die from drug overdoses every year. County fiscal policies, particularly police spending and revenue generated from fines and forfeitures, not only shape the resources available for health interventions but may also influence how those resources are used to prevent overdoses. This brief highlights findings from a study that used data from the U.S. Census of Governments to examine how counties use of extractive policing practices (fines and forfeitures) as well as spending on health and policing were related to opioid overdose deaths from 2017 to 2020. Findings show that higher county-level police spending …

Waiving Physical Presence Requirements During The Covid-19 Pandemic Increased Wic Caseloads, Colleen Heflin, William Clay Fannin, Leonard M. Lopoo, Camille Barbin

Center for Policy Research

Following the onset of the COVID-19 pandemic, the federal government relaxed the physical presence requirements for applicants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) to reduce the associated health risks for pregnant women, new mothers, and young children. Experts consider in-person application requirements an administrative burden that can constrain access to social services, but the causality of specific burdens on WIC has not previously been shown. This brief summarizes findings from a study that compared WIC caseload data collected across 738 counties in 10 U.S. states between January 2019 and May 2021 to determine how …

How Does The Reauthorization Of The Farm Bill Impact Snap?, Colleen Heflin, Camille Barbin

Center for Policy Research

From 2021 to 2023, food insecurity in the United States increased from 10.2% to 13.5%, and food inflation rose to nearly 20%. The Supplemental Nutrition Assistance Program (SNAP) - the largest food assistance program, in the U.S. is funded and governed by the Farm Bill – a multi-year federal omnibus bill that provides agriculture and nutrition program funding. The 2018 Farm Bill expired on September 30, 2024, and while funding for SNAP has been extended through a Continuing Resolution, program reauthorization is needed. Negotiations on a new Farm Bill have included SNAP proposals to limit state discretion on work requirements …

Participating In Childcare Subsidy Programs Increases Employment And Annual Earnings For Working Parents, William Clay Fannin, Colleen Heflin, Taryn Morrissey, Siobhan O'Keefe

Center for Policy Research

Finding affordable childcare can be a struggle. Childcare subsidy programs help reduce barriers to stable childcare options and support parents’ employment, but due to administrative hurdles, such as recertification periods and income reporting requirements, many eligible parents are not using these programs. Using quarterly employment and earnings data from 2016-2019 Virginia administrative data, this brief describes associations between childcare subsidy program participation and household employment and earnings outcomes among low-income families in Virginia. Results show that, following initial childcare subsidy receipt, working parents increased their labor force participation, earned more money, and experienced more economic and employment stability compared to …

Adopting The Standard Medical Deduction Increased State Snap Enrollment And Benefits, Yuwei Zhang, Jun Li, Dongmei Zhu, Colleen Heflin

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is a critical safety net program that helps reduce food insecurity among low-income households in the United States. However, many eligible households do not participate in SNAP due to burdensome administrative requirements. To make it easier for more older adults and people with disabilities to participate in SNAP, many states have adopted the Standard Medical Deduction (SMD) to simplify administrative requirements. This brief summarizes findings from a study that examined the associations between state SMD adoption and SNAP participation and benefits from 2004 to 2019.

Waiving Snap Interviews During The Covid-19 Pandemic Increased Snap Caseloads, Colleen Heflin, William Fannin, Leonard M. Lopoo, Siobhan O'Keefe

Population Health Research Brief Series

Food insecurity in the United States reached historically high rates during the COVID-19 pandemic, thus substantially increasing demand for the Supplemental Nutrition Assistance Program (SNAP). To facilitate access to SNAP during the pandemic, the federal government granted state SNAP offices the option to waive the interview requirement – an administrative burden associated with the SNAP certification process. This brief summarizes findings from a recent study that used data from SNAP offices across 10 states to examine the impact of SNAP interview waivers on SNAP caseloads from January 5th to April 30th of 2021. Findings reveal that counties that implemented the …

Adopting The Standard Medical Deduction Increased State Snap Enrollment And Benefits, Yuwei Zhang, Jun Li, Dongmei Zuo, Colleen Heflin

Center for Policy Research

The Supplemental Nutrition Assistance Program (SNAP) is a critical safety net program that helps reduce food insecurity among low-income households in the United States. However, many eligible households do not participate in SNAP due to burdensome administrative requirements. To make it easier for more older adults and people with disabilities to participate in SNAP, many states have adopted the Standard Medical Deduction (SMD) to simplify administrative requirements. This brief summarizes findings from a study that examined the associations between state SMD adoption and SNAP participation and benefits from 2004 to 2019.

Waiving Snap Interviews During The Covid-19 Pandemic Increased Snap Caseloads, Colleen Heflin, William Clay Fannin, Leonard M. Lopoo, Siobhan O'Keefe

Center for Policy Research

Food insecurity in the United States reached historically high rates during the COVID-19 pandemic, thus substantially increasing demand for the Supplemental Nutrition Assistance Program (SNAP). To facilitate access to SNAP during the pandemic, the federal government granted state SNAP offices the option to waive the interview requirement – an administrative burden associated with the SNAP certification process. This brief summarizes findings from a recent study that used data from SNAP offices across 10 states to examine the impact of SNAP interview waivers on SNAP caseloads from January 5th to April 30th of 2021. Findings reveal that counties that implemented the …

Emotional Distress During Covid-19 By Mental Health Conditions And Economic Vulnerability: Retrospective Analysis Of Survey-Linked Twitter Data With A Semisupervised Machine Learning Algorithm, Michiko Ueda-Ballmer, Kohei Watanabe, Hajime Sueki

Center for Policy Design and Governance

The brief summarizes "Emotional Distress During COVID-19 by Mental Health Conditions and Economic Vulnerability: Retrospective Analysis of Survey-Linked Twitter Data With a Semisupervised Machine Learning Algorithm," co-authored by Michiko Ueda-Ballmer, Kohei Watanabe, and Hajime Sueki in the Journal of Medical Internet Research.

Medicaid-Insured Older Adults On Snap May Have Stronger Medication Adherence, Colleen Heflin, Chinedum O. Ojinnaka, Irma A. Arteaga, Leslie Hodges, Gabriella Alphonso

Center for Policy Research

For older adults with hypertension, medication adherence is critical to decreasing hospitalization, poor health outcomes, and healthcare costs. The Supplemental Nutrition Assistance Program (SNAP)—the largest food and nutrition assistance program in the United States—could protect against medication non-adherence. This brief summarizes the findings from a recent study, which linked Missouri Medicaid administrative claims data to SNAP data from 2006 to 2014. The findings suggest that longer and consistent receipt of SNAP benefits was associated with higher levels of antihypertensive medication adherence among Medicaid-insured individuals aged 60 years and older.

Medicaid-Insured Older Adults On Snap May Have Stronger Medication Adherence, Colleen Heflin, Chinedum O. Ojinnaka, Irma A. Arteaga, Leslie Hodges, Gabriella Alphonso

Population Health Research Brief Series

For older adults with hypertension, medication adherence is critical to decreasing hospitalization, poor health outcomes, and healthcare costs. The Supplemental Nutrition Assistance Program (SNAP)—the largest food and nutrition assistance program in the United States—could protect against medication non-adherence. This brief summarizes the findings from a recent study, which linked Missouri Medicaid administrative claims data to SNAP data from 2006 to 2014. The findings suggest that longer and consistent receipt of SNAP benefits was associated with higher levels of antihypertensive medication adherence among Medicaid-insured individuals aged 60 years and older.

Children In Economically Disadvantaged Households Have Lower Early Literacy Skills Than Their Higher-Income Peers, Michah W. Rothbart, Colleen Heflin, Gabriella Alphonso

Center for Policy Research

Literacy is critical for numerous developmental outcomes and wellbeing among children. Low literacy skills in childhood can also negatively affect individuals in adulthood. Using data from nearly 300,000 kindergarten students in Virginia (2014-2017), this study finds that children in households that participate in more than one social assistance program (such as Temporary Assistance for Needy Families, the Supplemental Nutrition Assistance Program, and Free or Reduced-Price Lunch) have lower literacy skills when they enter kindergarten than children whose households participate in fewer or no social programs.

How Has The Opioid Overdose Crisis Affected Child Maltreatment In The U.S.?, Alexander Chapman

Population Health Research Brief Series

This brief summarizes results from a study examining the association between U.S. county-level opioid mortality rates and child maltreatment rates from 2007 to 2017. Places with higher opioid overdose mortality rates have higher rates of child maltreatment. Poverty makes this problem worse - where the proportion of families in poverty increases, the association between fatal opioid overdose rates and child maltreatment also increases. Findings suggest that intervening in opioid use by reducing poverty has the potential to markedly decrease the incidence of child maltreatment.

Federal Medication-Assisted Treatment Expansion Grants Do Not Reduce Homelessness, Andrew Sullivan, Changwe Park

Population Health Research Brief Series

Medication-assisted treatment (MAT) is an evidence-based intervention that, combined with counseling and behavioral therapies, can effectively treat opioid use disorders. However, MAT is underused due to multiple barriers. To increase access to MAT, the U.S. government awarded grants to local governments and nonprofit organizations to increase and retain the number of people receiving MAT. This brief examined differences in homelessness and employment outcomes between places that received a MAT grant and those that did not. They found that these grants did not reduce homelessness or unemployment rates in the places that received funding and concluded that their effectiveness may have …

Children In Economically Disadvantaged Households Have Lower Early Literacy Skills Than Their Higher-Income Peers, Michah W. Rothbart, Colleen Heflin, Gabriella Alphonso

Population Health Research Brief Series

Literacy is critical for numerous developmental outcomes and wellbeing among children. Low literacy skills in childhood can also negatively affect individuals in adulthood. Using data from nearly 300,000 kindergarten students in Virginia (2014-2017), this study finds that children in households that participate in more than one social assistance program (such as Temporary Assistance for Needy Families, the Supplemental Nutrition Assistance Programs, and Free or Reduced-Price Lunch) have lower literacy skills when they enter kindergarten than children whose households participate in fewer or no social programs.

Older Adults On Snap Experience Gaps In Benefits, Colleen Heflin, Leslie Hodges, Irma A. Arteaga, Chinedum O. Ojinnaka, Gabriella Alphonso

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is the largest food and nutrition assistance program in the United States. Burdens associated with SNAP recertification often lead to administrative churn, when a household experiences a gap in SNAP benefit receipt. Older adults are at risk of experiencing benefit gaps, which may negatively impact their health and nutrition. This brief summarizes results of a recent study that examined administrative churn among Missouri SNAP participants aged 60 years and older. The authors call for program changes that reduce the frequency and duration of churn among older adults.

Limited Cognitive Ability May Reduce Snap Participation Among Older Adults, Colleen Heflin, Dongmei Zuo, Gabriella Alphonso

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is the largest food and nutrition assistance program in the U.S. For older adults currently on SNAP, meeting administrative requirements to remain on SNAP is difficult due to short recertification time frames, a lack of social support, and cognitive impairment. This brief summarizes results of a recent study examining the impact of cognitive decline on SNAP participation among adults aged 60 yrs. and older. Findings demonstrate that cognitive decline and living alone are associated with reduced SNAP participation, with older females being the most affected.

Expansions In The U.S. Child Care And Development Block Grant Improved Program Stability, Hyojeong Kim, Colleen Heflin, Taryn Morrissey

Population Health Research Brief Series

Child care is necessary for most parents to work and serves as an important developmental context for children. Yet many low-income families struggle with the high cost of child care. The child care subsidy program is designed to help low-income working families pay for child care. In 2018, Congress substantially increased funding for child care through the Child Care and Development Block Grant (CCDBG) to states, enabling them to make improvements to their child care subsidy programs. This brief summarizes the policy changes made in Virginia and describes how those changes improved child care subsidy stability and participation in that …

Opportunities For Positive Youth Development: The Organized Activity Participation And Educational Outcomes Of Adolescents In Adopted, Foster, And Kinship Care, Ryan D. Heath, Keunhye Park, Sarah Faith Millward

Falk College Research Center

Purpose: Children who grow up outside the care of their biological parents – e.g., those in adoptive, foster, or kinship (AFK) care – experience poorer educational outcomes than their peers. However, the protective factors that could mitigate any risks of AFK care have received less attention. One understudied area is the participation of AFK youth in organized activities (e.g., extracurricular or afterschool programs).

Method: Drawing on nationally representative data from the Education Longitudinal Study of 2002 (n=16,197), this study used multilevel modeling to (1) examine the association of AFK care status with organized activity participation and …

The U.S. Must Invest More In The Child Care Subsidy Program, Taryn Morrissey, Colleen Heflin, William Fannin

Population Health Research Brief Series

Compared to the Supplemental Nutrition Assistance Program (SNAP), child care subsidy programs like Temporary Assistance for Needy Families (TANF) are underused by families and children. This data slice analyzes 2019 administrative data from Virginia to examine gaps in child care subsidy receipts.

Strengthening Snap And Tanf Is Essential To Support Children In Early Childhood, Colleen Heflin, Michah W. Rothbart, Mattie Mackenzie-Liu

Population Health Research Brief Series

Although early childhood is considered a critical time for investment in a child’s life, the United States lacks many traditional family policy programs like paid family leave and widely subsidized daycare. Instead, the U.S. relies on means-tested programs such as the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF). This brief summarizes findings from a study examining participation in SNAP and TANF in early childhood in Virginia. Findings suggest that strengthening SNAP and TANF would provide significant benefit to Black and Hispanic children and those residing in rural areas.

Hip Hop Urbanist Reconstructions: Strategies & Tactics For Spatial Reparations, Isaac Howland

Architecture Senior Theses

No abstract provided.

Child Injuries And The Timing Of Snap Benefits Receipt, Colleen Heflin, Irma Arteaga, Jean Felix Ndashimye, Matthew P. Rabbitt

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is an important federal resource that provides nutritional assistance to low-income families. Timing of SNAP benefits can reduce childhood injuries.