PMID: 11605725Oct 19, 2001Paper

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

Maternal and Child Health Journal
D RomeroK VanLandeghem

Abstract

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...Continue Reading

Citations

Apr 4, 2013·Policy, Politics & Nursing Practice·Phyllis Raynor, Pamela Holtzclaw Williams
Jan 22, 2017·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Seth L WellesMariana Chilton
Aug 29, 2002·American Journal of Public Health·Wendy Chavkin, Paul H Wise
Oct 20, 2012·American Journal of Public Health·Jane L HollMin-Woong Sohn
Dec 25, 2008·PloS One·Michael A SchillaciSandra J Romain

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