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.
Welfare rolls declined after Temporary Assistance for Needy Families became law in 1996, and there was widespread consensus that its reforms were a bipartisan success story. But the onslaught of the Great Recession exposed serious flaws in the law. This memo describes a two-part solution based on experience and evidence.
Which Improves Welfare Recipients’ Earnings More in the Long Term?
Findings after 10-15 years from the National Evaluation of Welfare-to-Work Strategies suggest that while initially stressing job search for participants led to greater earnings in the short term than did initially stressing education and training, neither approach produced substantial effects past the five-year 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.
Designing Innovative Solutions for Programs Supported by the Administration for Children and Families
This report describes three sites in the Behavioral Interventions to Advance Self-Sufficiency project, which applies tools from behavioral economics to improve the well-being of low-income individuals and families — the Texas Office of the Attorney General’s Child Support Division, the Illinois Department of Human Services, and the National Domestic Violence Hotline.
A Technical Supplement to “Behavioral Economics and Social Policy”
This technical supplement to an introductory report for the Behavioral Interventions to Advance Self-Sufficiency (BIAS) project presents a description of behavioral interventions that have been commonly researched in studies.
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.
While we know how to help low-income individuals prepare for and find work, too many end up in low-wage jobs and never advance up the career ladder. This policy memo describes what we’ve learned about advancement strategies — both those that show promise and those that don’t work.