Trauma-informed Temporary Assistance for Needy Families (TANF): A Randomized Controlled Trial with a Two-Generation Impact.

Autor: Booshehri LG; 1College of Nursing & Health Professions, Drexel University, 1601 Cherry Street, Philadelphia, PA 19102 USA., Dugan J; 1College of Nursing & Health Professions, Drexel University, 1601 Cherry Street, Philadelphia, PA 19102 USA., Patel F; 2Dornsife School of Public Health, Drexel University, 3600 Market Street, 7th Floor, Philadelphia, PA 19104 USA., Bloom S; 2Dornsife School of Public Health, Drexel University, 3600 Market Street, 7th Floor, Philadelphia, PA 19104 USA., Chilton M; 2Dornsife School of Public Health, Drexel University, 3600 Market Street, 7th Floor, Philadelphia, PA 19104 USA.
Jazyk: angličtina
Zdroj: Journal of child and family studies [J Child Fam Stud] 2018; Vol. 27 (5), pp. 1594-1604. Date of Electronic Publication: 2018 Jan 01.
DOI: 10.1007/s10826-017-0987-y
Abstrakt: Temporary Assistance for Needy Families (TANF) has limited success in building self-sufficiency, and rarely addresses exposure to trauma as a barrier to employment. The objective of the Building Wealth and Health Network randomized controlled trial was to test effectiveness of financial empowerment combined with trauma-informed peer support against standard TANF programming. Through the method of single-blind randomization we assigned 103 caregivers of children under age six into three groups: control (standard TANF programming), partial (28-weeks financial education), and full (same as partial with simultaneous 28-weeks of trauma-informed peer support). Participants completed baseline and follow-up surveys every 3 months over 15 months. Group response rates were equivalent throughout. With mixed effects analysis we compared post-program outcomes at months 9, 12, and 15 to baseline. We modeled the impact of amount of participation in group classes on participant outcomes. Despite high exposure to trauma and adversity results demonstrate that, compared to the other groups, caregivers in the full intervention reported improved self-efficacy and depressive symptoms, and reduced economic hardship. Unlike the intervention groups, the control group reported increased developmental risk among their children. Although the control group showed higher levels of employment, the full intervention group reported greater earnings. The partial intervention group showed little to no differences compared with the control group. We conclude that financial empowerment education with trauma-informed peer support is more effective than standard TANF programming at improving behavioral health, reducing hardship, and increasing income. Policymakers may consider adapting TANF to include trauma-informed programming.
Competing Interests: Compliance with Ethical StandardsThe authors declare that they have no competing interests.All procedures in this study were approved by the Drexel University Institutional Review Board.Informed consent was obtained from all individual participants in this study.
Databáze: MEDLINE
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