A telephonic care management program increased the use of mental health services by Medicaid recipients with depression, although that effect faded over time. The program did not reduce depression on average, but it did reduce the number of people who suffered from very severe depression.

An important first hurdle for voluntary programs is recruiting and retaining eligible participants. This report describes how ten Supporting Healthy Marriage programs focused on developing effective marketing strategies, keeping couples engaged in the program, and building management systems. These efforts resulted in encouraging early levels of participation by low-income couples.

Targeted toward low-income families in six high-poverty New York City communities, Opportunity NYC-Family Rewards offers cash payments tied to efforts and achievements in children’s education, family preventive health care practices, and parents’ employment. In its first two years, the program substantially reduced poverty and material hardship and had positive results in improving some education, health-related, and work-related outcomes.