Constructing Deservingness

Abstract

This study examines the influence of financial incentives and the racial status of the patient on the use of extended care following an episode of hospitalization. Post-hospital care (PHC) is defined as the services provided by a skilled nursing facility (SNF) or intermediate care facility (ICF) following discharge. The focus of the analysis is on the use or nonuse of PHC, the presence or absence of a delay in transfer to an ICF or SNF and, limited to those who experienced a postponement, the length of the delayed discharge. After controlling for multiple factors, the results indicate that Medicare beneficiaries were more likely to use PHC, less likely to experience a delay in discharge, and used fewer days of prolonged care. Medicaid recipients and uninsured patients experienced reduced access to PHC. The results also indicated that the access of Native Americans and Americans to PHC was impeded.     

Welfare reform's ineligible immigrant parents: Program reach and enrollment barriers

Since the implementation of the 1996 welfare reform act, the child-only Temporary Assistance for Needy Families (TANF) caseload has increased dramatically. Perhaps the least understood child-only population is that of ineligible immigrant parents (IIPs), who are ineligible for TANF because of their citizenship or immigration status. Using data collected through in-depth interviews and focus groups in Stanislaus County, California, this study examines how well California's TANF program serves this at-risk group. We analyze the factors that lead IIPs to seek aid for their children, the enrollment obstacles they face, and TANF's ability to meet their needs. Our results demonstrate that immigration-related fears as well as concerns about caseworkers, stigma, and future government sanctions heighten these parents' reluctance to seek aid. They also create multiple and often population-specific barriers to TANF enrollment. We close with research and policy recommendations for serving this vulnerable population.     

Moving Up and Down the Ladder: Perceived Social Mobility and Emotional Dispositions Among South Florida's Immigrants

Migrating to a new country is often associated with difficulties such as social isolation, financial strain, language barriers, and cultural differences. Less is known about how social mobility brought about by migration may be related to the emotional dispositions of immigrants (also referred to as subjective well‐being). To examine this relationship, we utilize data from a representative sample of 1,268 first‐generation immigrants from 80 different countries living in South Florida. Changes in perceived social mobility between the homeland and the United States—moving up and down the socioeconomic ladder—are indeed associated with differences in immigrants' negative dispositions. We draw from literature on expectations, social comparisons, and subjective class status to explain these findings. We do not find a statistically significant association between changes in socioeconomic status and positive dispositions, which may suggest that losses outweigh migration‐related gains. Additionally, findings reveal that nondominant groups fare worse than Cubans (the dominant group in the region) with regard to dispositions. Social comparisons to the dominant ethnic group may explain this, as well as perceptions of relative deprivation experienced by groups not favored by immigration policies and underrepresented in social and economic institutions. We conclude by discussing implications on how negative emotional dispositions represent risk factors that could affect immigrants' mental health.     

Unintended Consequences: The Impact of Welfare Reform in the United States on NGOs

The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 dramatically transformed the structure and goals of the public welfare system in the United States. The vast body of research and evaluation generated by the 1996 welfare reforms largely overlooked nongovernmental organizations (NGOs) despite their substantial historical and contemporary involvement in the delivery of social services to low-income populations. Therefore, this paper presents a unique assessment of PRWORA's implications based on the perspective of 90 social service NGOs operating in the Detroit metropolitan area. Examination of their services, staffing, budgets, and clients reveals many changes experienced by NGOs between 1996 and 2000 related to the welfare reforms. Overall, the findings suggest an increased role for social service NGOs in the public welfare system as well as concerns regarding their capacity to adequately fulfill this growing responsibility in the future.     

The Potential of the SSI Program to Reduce Poverty Among the Elderly

Abstract

Despite large public policy efforts over the past 30 years, a large minority of households remains consistently inadequately prepared for retirement. If policymakers want to address this shortcoming, public policy has to change from its current path. This paper suggests a system of mandatory private pensions funded by a minimum mandatory contribution of 3% of payroll. In addition, a number of institutional changes are suggested to reduce the costs and risks of individual accounts.     

The Perceptions of Welfare Reform by Michigan Families Whose Children Have Disabilities and Welfare Caseworkers

Abstract

This article examines family and caseworker perceptions of welfare reform and services as they relate to families who have a child with a disability. Interviews were conducted with 39 families and 77 caseworkers. Family questions addressed their perceptions of the welfare system, factors impacting their self-sufficiency, and their perceptions of needed program changes. Caseworker questions addressed their perceptions of welfare practices and policies and their education needs related to serving families who have children with disabilities. Familial perceptions of the welfare system were validated by caseworker reports. Implications for service improvement are discussed.     

Falling Through The Cracks: Gaps In Child Support Among Welfare Recipients

This article examines gaps in child support among welfare recipients in Wisconsin. Documented is the extent to which breakdowns at various stages—including paternity establishment, support orders, and payments—contribute to the low rate of child support receipt. Children were tracked over a 2‐year period to assess their progress through the child support system over time. Few welfare recipients are able to successfully negotiate the child support system, and mothers frequently achieve different degrees of success with different children. The characteristics of children who drop out prior to obtaining a support order suggest that, with an order in place, they would be as likely to receive support as are those children who already have orders.     

Employment Among Current and Former Welfare Recipients: A Literature Review

ABSTRACT

The primary goal of welfare reform is to move recipients from welfare to work. Several factors influence the employment of welfare recipients. The purpose of this content analysis is to offer a comprehensive understanding of employment characteristics and important personal, family, and employment characteristics that either promote or deter employment among current and former welfare recipients. Social workers need a comprehensive understanding of these factors in order to design policy and social work interventions. This article is a content analysis of the results of empirical research studies. Implications and recommendations are offered based on the review of empirical research on current and former welfare recipients.     

Teen Mothers and Welfare Reform: Challenging the Boundaries of Risk

A major component of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) included policies directed to encouraging marriage while discouraging nonmarital births. Teen mothers were of particular concern as policymakers argued that there is a link between teenage childbearing and welfare receipt. This paper seeks to reframe the concept of at-risk teen mothers by looking to the socially construction of boundaries—an imagery that brings to the forefront the complex relations between young mothers and welfare reform policy. From this standpoint, we discuss how welfare reform might address the multiple issues facing teen mothers including housing, education and training, child care, transportation, health, healthy relationships and parenting skills.     

De‐Romanticizing Black Intergenerational Support: The Questionable Expectations of Welfare Reform

Past research suggests that despite the substantial strengths of Black kin networks, they are not always up to the task of supporting young mothers. This study is an analysis of potential barriers to women‐centered kin support for present‐day urban Black teen mothers and possible implications for kin support mandates specified in the 1996 federal welfare reforms. In‐depth interviews with African American midlife women, who themselves were teen mothers, shed light on their attitudes and perceptions about Black kinship systems and teen childbearing. Study results suggest that these women perceive governmental intervention, age‐condensation among urban Black families, and urban “underclass” culture to have undermined traditional Black intergenerational support.     

Deniable Degradation: The Finger-Imaging of Welfare Recipients

Using finger-imaging of welfare recipients as an example, the concept of deniable degradation is delineated as a counterpoint to Garfinkel's notion of degradation ceremonies. Deniable degradation involves the use of procedures that can be legitimated in instrumental terms, but that also evoke cultural symbols of humiliation and degradation. Responses of welfare recipients to finger-imaging, drawn from interviews and other qualitative sources, reveal a mixture of themes, ranging from approval of finger-imaging because it enables them to distance themselves from welfare fraud to outrage at a procedure that is viewed as criminalizing welfare receipt.     

Social Changes and Welfare Reform in South Korea: In the Context of the Late-coming Welfare State

The Korean welfare state is facing diverse pressures and challenges due to changing economic, social, and demographic circumstances: prevalence of the service economy, labor market flexibility, weakened family function and increase of untraditional families, lowest fertility rate and the most rapid ageing of the population among OECD countries, and so forth. These challenges, which indicate new types of social risks, have been stimulating a series of discussions on welfare reform in Korea. The old social risks such as retirement, ill health, poverty, and unemployment have not disappeared because of insecure or inadequate welfare, and now these risks are even intertwined with the so-called new social risks. Thereby the Korean welfare state is facing complicated reform tasks. This study attempts to analyze the structure and context of these challenges in Korea, and to explore the various driving forces that have formulated Korean welfare reform in recent decades. Through the above analyses, this study will shed light the characteristics of welfare reform in Korea as a late-coming welfare state.     

Meeting Family Housing Needs: Experiences of Rural Women in the Midst of Welfare Reform

Though sometimes overlooked, the availability, affordability, and quality of housing in rural communities are a potential barrier to transitioning from welfare to work. In this investigation we examine housing issues confronting 17 rural women and their families who were recipients of welfare benefits in 1997. Respondents' housing accounts illustrate the significance of reliance on both government housing subsidies and informal subsidies supplied by friends, family, and more distant relatives. The study focuses on concerns women have in meeting their families shelter needs and the complexities involved in doing so. The findings of the research suggest that additional housing policy initiatives, as well as a targeted research agenda are needed, especially for families whose welfare benefits are nearing termination.     

Perceived Economic Uncertainty and Fertility: Evidence From a Labor Market Reform

Whereas in theory individuals tend to postpone fertility decisions in times of economic uncertainty, empirical evidence on that question is scarce. Using data from the German Socio‐Economic Panel (N = 4,548), the authors estimated the effect of economic concerns on the probability of becoming pregnant in the next year. They exploited exogenous variation in economic concerns induced by the announcement of a major German unemployment benefit reform as an instrumental variable and found that strong economic concerns were significantly related to lower fertility of women between ages 26 and 44 years cohabiting with a male partner. Jointly estimating the impact of male and female concerns in a model that allows for endogeneity of perceived economic uncertainty revealed that it was strong economic concerns perceived by the women that reduced fertility. The effect was driven by male main breadwinner couples, by couples with a medium household income, and by couples who already had children.     

Protecting Older People From Burglary: Prevalence of Security Devices in the Homes of Older Adults in Perth,Western Australia

ABSTRACT

Fear restricts the activity of older adults, potentially leading to social isolation and unhealthy life styles. Consequently, this population remains a priority for home security research and intervention. One option is to increase home security by installing security devices. However, little is known about how older adults protect their homes. In this study, 5,582 community-dwelling older people completed a cross-sectional survey. The survey was able to document the prevalence of security measures taken by older adults. More than 70% of the respondents had security screens and key-operated deadlocks and 148 (2.7%) respondents reported no security features. Respondents living alone had the lowest prevalence of home security devices. Female living alone protected their home differently from male living alone by installing different security devices. Logistic regression analysis indicated that older adults living in detached houses feel particularly vulnerable to burglary (p < .001). These survey findings have practical implication for burglary prevention.     

Reforming Poor Women: The Cultural Politics and Practices of Welfare Reform

This article employs participant observation and interviewing at a community-based job readiness program operating under welfare reform to explore how attempts at cultural retraining (that is, bringing presumably deviant behavior in line with dominant cultural norms) are delivered, received, and interpreted by welfare-reliant women. This study finds that poor women—the targets of these reforms—largely resist cultural retraining, but, ironically, assert its usefulness for welfare-reliant women generally. These ethnographic data support and expand upon previous interview and focus group studies that have encountered the same attribution paradox among welfare-reliant women.     

Ethnic Organizations and the Welfare State: The Impact of Social Welfare Programs on the Formation of Indochinese Refugee Associations

The expansion of the welfare state during the 20th century has altered the conditions shaping the formation of ethnic organizations. Drawing upon research in the divergent fields of social policy, immigrant communities, and social movements, this article argues that social welfare programs promote or suppress ethnic organizations depending on how they affect an ethnic community's institutional completeness. This welfare state channeling theory is contrasted with ethnic competition and resource mobilization explanations for the formation of ethnic organizations. An analysis of 800 Indochinese refugee associations finds that public assistance has no effect on the prevalence of these organizations, but that privatization of federal social service expenditures does, thus partially supporting the welfare state channeling theory.     

The Volunteer Citizen After Welfare Reform in the United States: An Ethnographic Study of Volunteerism in Action

In the United States, neoliberal strategies for social, economic, and state organization have been accompanied by frequent calls for volunteers to solve serious social problems. A case study of a community mobilization of middle-class volunteers to provide one-on-one support to families in poverty shows both possibilities and limitations. Volunteers provide social support to families in poverty, thus alleviating social isolation. Volunteers learn about systemic forces that cause poverty, its effects on families and communities, and about themselves and their capacities to engage in poverty work. However, social isolation is but one of many problems associated with poverty, and even a more knowledgeable amateur volunteer corps cannot take the place of substantial social, economic, and political change.     

The Prevalence and Types of Gambling Among Undocumented Mexican Immigrants in New York City

Objectives To examine the prevalence of gambling and types of gambling activities in a sample of undocumented Mexican immigrants. Design Non-probability cross-sectional design. Setting New York City. Sample The 431 respondents ranged in age from 18 to 80 (mean age 32), 69.7% were male. Results More than half (53.8%) reported gambling in their lifetime and of those most (43.9%) played scratch and win tickets or the lottery. In multivariate analyses men reported gambling more than women [2.13, 95% CI = (1.03, 4.38)]. The odds of gambling in their lifetime were higher among those reporting sending money to family or friends in the home country [2.65, 95% CI = 1.10, 6.38)], and those who reported 1–5 days as compared to no days of poor mental health in the past 30 days [2.44, 95% CI = 1.22, 4.89)]. Conversely, those who reported entering the U.S. to live after 1996 were less likely to report gambling [0.44, 95% CI = (0.22, 0.89)] as compared to those who had lived in the U.S. longer. Conclusion There is a need to further explore both the prevalence and the severity of gambling amongst the growing population of undocumented Mexican immigrants in the U.S.