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Consequences of Administrative Burden for Social Safety Nets that Support the Healthy Development of Children

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  • Carolyn J. Heinrich
  • Sayil Camacho
  • Sarah Clark Henderson
  • Mónica Hernández
  • Ela Joshi

Abstract

Through the lens of administrative burden and ordeals, we investigate challenges that low‐income families face in accessing health and human services critical for their children's healthy development. We employ a mixed methods approach—drawing on administrative data on economically disadvantaged children in Tennessee, publicly available data on resource allocations and expenditures, and data collected in purposive and randomly sampled interviews with public and nonprofit agencies across the state—to analyze the distribution of resources relative to children's needs and provide rich descriptions of the experiences of organizations striving to overcome administrative burdens and support families. We also scrutinize the place‐based resource deserts and environmental contexts of resource gaps and deficiencies in public policies governing the distribution of public resources that exacerbate administrative burdens and inequities in access to public resources. Our insights into the costs imposed on individuals and organizations and how they impede or spill over into other aspects of organizational work point to specific state and local program and policy changes that could be implemented to address resource constraints and alleviate burdens on organizations and poor families.

Suggested Citation

  • Carolyn J. Heinrich & Sayil Camacho & Sarah Clark Henderson & Mónica Hernández & Ela Joshi, 2022. "Consequences of Administrative Burden for Social Safety Nets that Support the Healthy Development of Children," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 41(1), pages 11-44, January.
  • Handle: RePEc:wly:jpamgt:v:41:y:2022:i:1:p:11-44
    DOI: 10.1002/pam.22324
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    References listed on IDEAS

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    1. Heinrich, Carolyn J. & Brill, Robert, 2015. "Stopped in the Name of the Law: Administrative Burden and its Implications for Cash Transfer Program Effectiveness," World Development, Elsevier, vol. 72(C), pages 277-295.
    2. Manasi Deshpande & Yue Li, 2019. "Who Is Screened Out? Application Costs and the Targeting of Disability Programs," American Economic Journal: Economic Policy, American Economic Association, vol. 11(4), pages 213-248, November.
    3. Carolyn J. Heinrich, 2018. "Presidential Address: “A Thousand Petty Fortresses”: Administrative Burden in U.S. Immigration Policies and Its Consequences," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 37(2), pages 211-239, March.
    4. Tara Watson, 2014. "Inside the Refrigerator: Immigration Enforcement and Chilling Effects in Medicaid Participation," American Economic Journal: Economic Policy, American Economic Association, vol. 6(3), pages 313-338, August.
    5. Nichols, Albert L & Zeckhauser, Richard J, 1982. "Targeting Transfers through Restrictions on Recipients," American Economic Review, American Economic Association, vol. 72(2), pages 372-377, May.
    6. Levine Phillip B & Schanzenbach Diane, 2009. "The Impact of Children's Public Health Insurance Expansions on Educational Outcomes," Forum for Health Economics & Policy, De Gruyter, vol. 12(1), pages 1-28, May.
    7. Álvarez, Carola & Devoto, Florencia & Winters, Paul, 2008. "Why do Beneficiaries Leave the Safety Net in Mexico? A Study of the Effects of Conditionality on Dropouts," World Development, Elsevier, vol. 36(4), pages 641-658, April.
    8. Lee, Bong Joo & Mackey-Bilaver, Lucy, 2007. "Effects of WIC and Food Stamp Program participation on child outcomes," Children and Youth Services Review, Elsevier, vol. 29(4), pages 501-517, April.
    9. Moffitt, Robert, 1983. "An Economic Model of Welfare Stigma," American Economic Review, American Economic Association, vol. 73(5), pages 1023-1035, December.
    10. David W Brown & Amanda E Kowalski & Ithai Z Lurie, 2020. "Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 87(2), pages 792-821.
    11. Saurabh Bhargava & Dayanand Manoli, 2015. "Psychological Frictions and the Incomplete Take-Up of Social Benefits: Evidence from an IRS Field Experiment," American Economic Review, American Economic Association, vol. 105(11), pages 3489-3529, November.
    12. Marianne Bertrand & Sendhil Mullainathan & Eldar Shafir, 2004. "A Behavioral-Economics View of Poverty," American Economic Review, American Economic Association, vol. 94(2), pages 419-423, May.
    13. Sarah R. Cohodes & Daniel S. Grossman & Samuel A. Kleiner & Michael F. Lovenheim, 2016. "The Effect of Child Health Insurance Access on Schooling: Evidence from Public Insurance Expansions," Journal of Human Resources, University of Wisconsin Press, vol. 51(3), pages 727-759.
    14. Sarah-Jo Sinnott & Claire Buckley & David O′Riordan & Colin Bradley & Helen Whelton, 2013. "The Effect of Copayments for Prescriptions on Adherence to Prescription Medicines in Publicly Insured Populations; A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-11, May.
    15. Edward D. Vargas & Maureen A. Pirog, 2016. "Mixed-Status Families and WIC Uptake: The Effects of Risk of Deportation on Program Use," Social Science Quarterly, Southwestern Social Science Association, vol. 97(3), pages 555-572, September.
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    Cited by:

    1. Carolyn Heinrich & Mónica Hernández & Mason Shero, 2023. "Repercussions of a Raid: Health and Education Outcomes of Children Entangled in Immigration Enforcement," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 42(2), pages 350-392, March.
    2. Reanos, Miguel Tovar & Curtis, John & Pillai, Arya & Meier, David, 2023. "Fuel poverty and financial literacy: Evidence from Irish home owners," Papers WP751, Economic and Social Research Institute (ESRI).

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