Home Visiting and Coordinated and Integrated Early Childhood Systems
Funders at all levels are investing in programs to support expectant parents and families with young children. MDRC is conducting research in that field in three areas: integrating systems of services that work together, getting families and children the right services, and building evidence about promising models.
HomePath is a combined Housing First and shared-medical-appointments intervention. It aims to increase housing stability, improve treatment outcomes, and reduce returns to shelters, emergency rooms, and justice systems for people who have experienced homelessness and are struggling with opioid addiction.
Housing First is a person-centered approach to reducing...
Children’s life prospects are substantially shaped by their circumstances between birth and age 3, so the earliest years of life present promising opportunities to disrupt cycles of poverty. Children growing up in families with low incomes acutely experience the disadvantages of poverty, and they disproportionately remain at the bottom of the economic ladder as adults...
This program aimed to improve health care quality and reduce Medicaid costs for high-needs Medicaid recipients in New York by helping them use appropriate care that would reduce hospital admissions and emergency department visits. The program did not appear to reduce Medicaid costs or care from hospitals and emergency departments.
Managing Health Care for Medicaid Recipients with Disabilities
This program aimed to improve the quality of health care while reducing Medicaid costs by helping individuals use appropriate care that would reduce hospital admissions and emergency department visits. Like a similar pilot run by Colorado Access, which is described in a separate report, it had little effect on health care use.
Early Implementation of the Progressive Goal Attainment Program (PGAP) for Veterans Demonstration
This policy brief describes an innovative program designed to target the psychological and social behaviors that contribute to pain, disability, and inactivity among veterans with disabilities. The goal is to help these veterans resume daily activities and get on a path to work.
Final Report on the Colorado Access Coordinated Care Pilot Program
This pilot program aimed to improve the quality of health care while reducing Medicaid costs by helping individuals use appropriate care that would reduce hospital admissions and emergency department visits. The program had little effect on health care use, but the report suggests several ways to improve its design.
Using an alternative to classical statistics, this paper reanalyzes results from three published studies of interventions to increase employment and reduce welfare dependency. The analysis formally incorporates prior beliefs about the interventions, characterizing the results in terms of the distribution of possible effects, and generally confirms the earlier published findings.
Final Results of the Hard-to-Employ Demonstration and Evaluation Project and Selected Sites from the Employment Retention and Advancement Project
Impacts on Health and Employment at Twelve Months
This demonstration tested the effects of earlier access to health care coverage and related services for new Social Security Disability Insurance (SSDI) beneficiaries. After one year, the program increased health care use, reduced reported unmet medical needs, and modestly improved health and functioning. It also increased job prep and search activities but did not raise employment levels.
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