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Clinical Trials/NCT05857553
NCT05857553CompletedNot Applicable

Unconditional Cash Transfers to Address Poverty as a Fundamental Cause of Child Welfare Involvement

University of Pennsylvania1 site in 1 country450 target enrollmentStarted: June 1, 2023Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
450
Locations
1
Primary Endpoint
Substantiated reports to CPS

Study Overview

Brief Summary

In partnership with New York Office of Child and Family Services (OCFS), investigators will execute a randomized controlled trial to determine the impacts of unconditional cash transfers of $500 per month for 12 months. Investigators will measure the impacts of the unconditional cash transfers on parental physical and mental health, child health and healthcare utilization, financial stability, and interactions with the child welfare system.

Detailed Description

Poverty has been identified as a powerful predictor of child maltreatment and child welfare involvement. Recent research shows that even modest economic and concrete supports are associated with reduced child maltreatment and involvement with child welfare. Toward that end, the New York State Office of Children and Family Services (OCFS), in partnership with the Office of Temporary Disability Assistance (OTDA) and the Center for Guaranteed Income Research (CGIR), University of Pennsylvania is conducting on randomized controlled trial of unconditional cash transfers among families with prior child welfare referrals in three New York counties in 2023.

The project will enroll approximately 150 households in Monroe, Onondaga, and Westchester counties to receive $500 per month, unconditionally, over a one-year period, totaling $6,000 per family. Another 300 will be assigned to the control group and will not receive the unconditional cash transfers but will be eligible to participate in research activities. Families will be eligible if they were served through differential response, called Family Assessment Response (FAR) in New York State. FAR is used for CPS reports that have been accepted by the New York State Central Register for Child Abuse and Maltreatment (SCR) where there is no safety concern that rises to the level of immediate or impending danger for the child and/or family. Often, families served in the FAR track have been referred for poverty-related social needs.

Randomized Controlled Trial Design: Households referred and determined eligible for Family Assessment Response (FAR) will be invited to participate in a randomized controlled trial of unconditional cash transfers. Approximately 150 individuals will be randomly assigned to the treatment group and will receive the $500 unconditional cash transfers for one year. Another 300 will be assigned to the control group and will not receive the unconditional cash transfers but will be eligible to participate in research activities. Youth Research Inc. (YRI), an agency contracted by the New York Office of Child and Family Services (OCFS), will disburse funds on a debit card. me but will be invited to participate in compensated research activities. Longitudinal repeated measures will be utilized through surveys conducted at baseline, 6 months, 12 months, and 18 months. Future involvement with child welfare will be measured using linked administrative data from OCFS.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Other
Masking
None

Eligibility Criteria

Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •To participate in this pilot, caregivers must meet the following eligibility criteria:
  • •Received an invitation from an OCFS caseworker to apply
  • •Have met the state eligibility requirements for the Family Assessment Response (FAR) within the previous six months
  • •Live in Monroe, Onondaga, or Westchester County, New York
  • •Be 18 years of age or older at the time of application.

Exclusion Criteria

  • •● Self-reported enrollment in another cash transfer study

Arms & Interventions

Treatment Group

Experimental

Participants in the treatment group will receive $500 per month for 12 months

Intervention: Unconditional Cash Transfer (Other)

Control Group

Active Comparator

Participants in the control group will not receive monthly cash benefits.

Intervention: No Direct Cash Transfer (Other)

Outcomes

Primary Outcomes

Substantiated reports to CPS

Time Frame: 18 Months

Count of Substantiated reports using CPS administrative data

Foster care placements

Time Frame: 18 months

Count of Foster care placements using CPS administrative data

Unsubstantiated reports to CPS

Time Frame: 18 months

Count of Unsubstantiated reports using CPS administrative data

Family Assessment Response (FAR) track reports to CPS

Time Frame: 18 months

Count of Family Assessment Response (FAR) track reports using CPS administrative dat

Unfounded reports to CPS

Time Frame: 18 months

Count of unfounded reports using CPS administrative data

Investigative Track reports to CPS

Time Frame: 18 months

Count of Investigative Track using CPS administrative data

Indicated reports to CPS

Time Frame: 18 Months

Count of Indicated reports using CPS administrative data

Secondary Outcomes

  • Family dynamics and parenting (CHAOS)(12 months)
  • Financial-well being (CFPB Financial Well-Being Scale(12 months)
  • Parental self-reported general health (SF-36)(12 months)
  • Stress and coping (Perceived Stress Scale - 4)(12 months)
  • Food insecurity(12 months)
  • Hours per week of non-relative childcare(12 hours)
  • Hours per week of formal childcare(12 months)
  • Mental health (Kessler 10)(12 months)
  • Parental Stress Sale(12 months)
  • Child missed medical care(12 months)
  • Child school truancy(12 months)
  • Hours per week of relative childcare(12 months)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Stacia West

Associate Professor & Co-Founding Director of the Center for Guaranteed Income Research

University of Pennsylvania

Study Sites (1)

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