225283 Child Well-Being in the Early Years of Welfare Reform: What Really Mattered?

Monday, November 8, 2010 : 8:45 AM - 9:00 AM

Ramona Stone, PhD , Kent School of Social Work, University of Louisville, Louisville, KY
Dru Kemp, MSSW, PhD , Kent School of Social Work, Universityof Louisville, Louisville, KY
Gerard Barber, PhD , Kent School of Social Work, University of Louisville, Louisville, KY
This is a longitudinal study of the effect of welfare reform on children's wellbeing. The 974 children in study had mothers or caregivers enrolled in TANF, and who left during the three years of the study. Using a multi-level analysis to model the effect of time on child wellbeing, we identified the specific factors that explained changes in the health status of children. The research questions focused on the changes in child wellbeing in the context of specific social policy approaches considered to be most effective in influencing wellbeing of younger and older children. The results showed that welfare status had no relationship to the health status of children. Parental education influences the health status of children differently, by the child's age, with adolescents being significantly worse off. Of the social policies that guided welfare reform, the resources social policy approach was the most influential in affecting child wellbeing. Material resources of child support, Medicaid and secure food made a significant difference in child health status. The marital status of the parent was also associated with higher health status outcomes. The importance of social resources found by this study corroborate the Kamerman and Kahn's social exclusion theory, and suggests that there is a need for further research and innovations in case management to determine what and how particular aspects of resources can improve the lives of children living on welfare.

Learning Areas:
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the steps to develop a multilevel model/ individual growth moodel;

Keywords: Welfare Reform, Children's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: This analyses was conducted as part of a student (Dru Kemp) project; she did not have the expertise in multilevel analyses and I have worked with her on every step of the data analyses process. I wrote the multilevel analyses section.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.