The Public Health Nursing program provided unemployed, female Temporary Assistance for Needy Families (TANF) recipients with at least one chronic health condition with access to a nurse to help address chronic health needs and improve employment outcomes.

The Public Health Nursing program provided unemployed, female Temporary Assistance for Needy Families (TANF) recipients with at least one chronic health condition with access to a nurse to help address chronic health needs and improve employment outcomes.

Participants met with a public health nurse when they started the program to receive a comprehensive health assessment. The nurse also acted as a case manager to support and coordinate access to care, as well as to help participants manage and prevent diseases through primary care or referrals and health education. Participants were also given the opportunity to attend a two-hour information session about Medicaid. The program lasted nine months, and participants checked in with the nurse after three, six, and nine months.

The target population included unemployed female TANF recipients between 18 and 60 years of age with at least one chronic health condition.  Most participants were unmarried and had previously received TANF cash assistance. The program took place in two counties, one urban and one rural, in north-central Florida.

Year evaluation began: 2007
Populations and employment barriers: Female, Parents, Chronic illness
Intervention services: Case management, Health services, Substance use disorder treatment and mental health services
Setting(s): Tested in multiple settings

Effectiveness Rating and Effect By Outcome Domain

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Outcome domain Term Effectiveness rating Effect in 2018 dollars and percentages Effect in standard deviations Sample size
Increase earnings Short-term No evidence to assess support
Long-term No evidence to assess support
Very long-term No evidence to assess support
Increase employment Short-term Little evidence to assess support favorable 8% (in percentage points) 0.20 352
Long-term No evidence to assess support
Very long-term No evidence to assess support
Decrease benefit receipt Short-term No evidence to assess support
Long-term No evidence to assess support
Very long-term No evidence to assess support
Increase education and training All measurement periods No evidence to assess support

Studies of this Intervention

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Study Quality Rating Study Counts per Rating
High High 1