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.
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.
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.
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.
The Importance of Evidence
In this essay, adapted from remarks made to the Growth Philanthropy Network/Social Impact Exchange 2014 Conference on Scaling Impact, MDRC President Gordon Berlin explains why developing reliable evidence of effectiveness is critical when expanding programs to a large scale.
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.
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.
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.
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.
Six-Month Results from the Accelerated Benefits Demonstration
This policy brief offers early findings from a demonstration testing whether earlier access to health care and related services for new Social Security Disability Insurance (SSDI) beneficiaries who lack health care coverage would lead to improved outcomes. So far, the intervention has increased the use of health care services and reduced the reported unmet health care needs of the project participants.