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Summary

HPOG 1.0 provided education and training to people participating in Temporary Assistance for Needy Families (TANF)  and other people with low income for occupations in the health care field.

HPOG aimed to prepare participants for careers in health care occupations that paid well and were expected to experience labor shortages or increased demand. HPOG 1.0 refers to the first round of five-year HPOG grants that ACF awarded in 2010.HPOG 1.0 funded grantees that were required to (1) help participants develop skills relevant to the health care industry; (2) support career pathways that allowed participants to build a career by advancing through successively higher levels of education and training and to exit into employment at multiple possible points; (3) provide training leading to credentials recognized by employers and the health care industry; (4) provide supportive services, such as financial counseling or job retention services, to help participants overcome barriers to training participation and employment; and (5) provide training at accessible times and locations. The most common occupational training programs were six-to-eight week courses to become a nursing aide, orderly, or attendant; some registered nursing programs could last up to four years. As of 2020, HPOG continues to offer similar services to eligible participants through a second round of grants awarded in 2015 (referred to as HPOG 2.0).

All HPOG 1.0 programs served people participating in TANF and other people with low income, but programs set different financial, academic, and behavioral criteria to determine whether applicants were eligible. HPOG 1.0 was implemented in 42 programs across 19 states. The evaluation of HPOG 1.0 also examined the effectiveness of three specific program enhancements: HPOG 1.0—Emergency Assistance, HPOG 1.0—Noncash Incentives, and HPOG 1.0—Facilitated Peer Support.

Populations and employment barriers:

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 Little evidence to assess support favorable $272 per year 0.013 13717
Long-term Little evidence to assess support unfavorable $-209 per year -0.010 13716
Very long-term Little evidence to assess support unfavorable $-565 per year -0.027 13716
Increase employment Short-term Little evidence to assess support unfavorable -1% (in percentage points) -0.029 13716
Long-term Little evidence to assess support favorable 0% (in percentage points) 0.002 13716
Very long-term Little evidence to assess support unfavorable 0% (in percentage points) -0.011 13716
Decrease benefit receipt Short-term Little evidence to assess support favorable $-44 per year -0.016 13716
Long-term Little evidence to assess support unfavorable $22 per year 0.008 13716
Very long-term Little evidence to assess support unfavorable $39 per year 0.014 13716
Increase education and training All measurement periods No evidence to assess support

Studies of this intervention

Study quality rating Study counts per rating
High High 1

Implementation details

Characteristics of research participants
Black or African American
34%
White, not Hispanic
36%
Another race
7%
Hispanic or Latino of any race
24%

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