Suchergebnisse

AbstractI estimate whether the ability to anonymously surrender an infant to a safe haven site such as a hospital, police station, or fire station in the United States affects child well‐being. By analyzing variation in state safe haven policies, I find safe haven laws significantly increase infant foster care entrance. I further find suggestive evidence of safe havens reducing infant deaths. The mortality effects are immediate but subside over time, implying infants have been relinquished when their alternative was not death from abuse or abandonment. Robustness checks and falsification tests support these findings.

AbstractA quickly developing literature has shown that the Affordable Care Act's (ACA) Medicaid expansions have improved health insurance coverage, health, and financial well‐being among low‐income adults without dependent children. This population includes noncustodial parents. With substantial overlap in the population that is typically obligated to pay child support and the population that has strongly benefited from the expansions, there may be potential implications for child support enforcement. In this paper, I examine the effect of public health insurance eligibility to low‐income adults on child support outcomes. I find that the ACA Medicaid expansions increased child support distributed to custodial families as arrears by 8.5 percent. Evidence also suggests current support distributions increased by about 2 percent. There were no significant effects on paying toward a child support order. Among unmarried mothers, the likelihood of child support receipt increased by 8 percent. These results imply that access to public health insurance can increase the ability of noncustodial parents to pay child support.

AbstractWe study the relationship between opioid use and child well‐being. We combine data on legal opioid prescriptions, opioid‐related emergency department visits, and opioid‐involved mortality with foster care entrance records and child maltreatment reports. We find that increases in opioid‐related mortality and emergency department visits are associated with increased foster care entry, particularly among young children. We find no significant relationship between legal opioid distribution quantities and home removals. Finally, we examine the relationship between opioid‐related public policies and child welfare outcomes, finding mixed relationships between various policies and removal from the home.

AbstractWe examine the effects of the Women, Infants, and Children (WIC) Program on breastfeeding outcomes and maternal employment decisions. This research expands the existing literature using an alternative identification strategy and a broader set of outcomes. Using data from the Infant Feeding Practices Study II, we control for selection bias into WIC using the variation in food prices as an instrumental variable. The results of this study are robust to a number of specification and falsification tests. We find WIC decreases exclusive breastfeeding by nearly 50% and increases work leave duration by over 20%. (JEL I18, I38)

Children exposed to parental opioid use disorder are at an elevated risk of maltreatment. We study whether parents' access to medication-assisted opioid treatment programs (OTPs) affects the well-being of their children. An administrative decision to lift a moratorium on access to these programs in Indiana created the opportunity for this study. We show that after a county opened an OTP, methadone dispensing increased and emergency department visits related to opioid overdose decreased there, offering evidence of the success of these programs. We also show that the opening of these OTPs did not have significant effects on reports of child maltreatment, but that out-of-home foster care placements were reduced by 22 percent. Our findings are consistent with past research showing that child welfare cases involving parental substance use tend to be complex and tend to have longer times to parent/child reunification than child welfare cases in which substance use is not present. We argue that expanding access to opioid treatment programs may help reduce foster care placements.

Contemporary child welfare policies in the United States are well-suited for prevention of child abuse but fail to account for the relationship between family financial hardship and neglect, that is, the lack of safe and consistent care. We argue that rates of child neglect have been stagnant because of two failures: (1) lack of recognition of financial hardship as a causal mechanism of neglect and (2) federal policy that purposefully omits alleviation of financial hardship as a solution to the occurrence of neglect. Because U.S. antipoverty programs operate independently of one another, our siloed policy structure misses opportunities for the alleviation of child maltreatment and, worse, creates negative and unintended consequences in child welfare. We present a model for change: systems synergy for the promotion of safe and consistent care that makes reduction of child maltreatment the responsibility of every social service program in the United States.