The Breaking Barriers program, based in San Diego, provided employment services to lower-income individuals with disabilities. MDRC carried out a random assignment evaluation of the program. As part of the Building Evidence on Employment Strategies for Low-income Families project, MDRC is collecting additional administrative records to extend the original evaluation.
Implementing Individual Placement and Support in a Workforce Setting
Breaking Barriers was a San Diego-based program that provided employment services to low-income individuals with a range of disabilities or other health conditions. Preliminary analyses based on a survey found that the program did not have an impact on the primary outcomes measured — employment, length of employment, and total earnings — during a 15-month follow-up period.
MDRC is implementing and evaluating a range of projects that use various models of cognitive behavioral therapy (CBT) to reduce recidivism, promote employment, and foster trauma recovery in adults and children. This two-page issue focus offers background on CBT and brief summaries of the projects.
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.
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
This paper examines issues related to depression severity in this study of a one-year telephone care management intervention for depressed parents who were Medicaid recipients. The original study found effects on getting treatment during the intervention but no impacts on depression severity.
Telephone Care Management for Medicaid Recipients with Depression, Thirty-Six Months After Random Assignment
A telephonic care management program increased the use of mental health services by Medicaid recipients with depression while the program was running, but it did not help individuals sustain treatment after the intervention ended. The program did not reduce depression on average, nor did it have any effect on employment outcomes.
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.
Telephone Care Management for Medicaid Recipients with Depression, Eighteen Months After Random Assignment
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.