Research by Author & Topic

Publications by Pamela J. Loprest on Disabilities and Employment

This project uses data from the 2005/2006 National Health Interview Survey to provide a profile of the prevalence of different types of disability and employment among TANF recipients. We find that prevalence of disability varies widely depending on the specific measure used. Using narrow and broad composite disability measures, anywhere from 10 to 40 percent of TANF recipients have a disability and almost one-fifth have a family member with a disability. Disability prevalence among Food Stamp recipients is similar to TANF but low-income mothers have lower prevalence on almost all measures. Employment among TANF recipients with disabilities is considerably lower than among recipients without disabilities.

Welfare programs require people to work, but some low-income adults struggle with major personal challenges that make it hard to find or hold down a job. In this essay, Loprest and Martinson recommend both short term changes to current programs and longer term efforts through a program for competitive federal matching block grants to states. These grants would support efforts to integrate programs that alleviate barriers to work with employment services and to evaluate these initiatives so policymakers can better understand what works.

Welfare programs require people to work, but some low-income adults struggle with major personal challenges that make it hard to find or hold down a job. In this summary, Loprest and Martinson recommend both short-term changes to current programs and longer-term efforts through a program for competitive federal matching block grants to states. These grants would support efforts to integrate programs that alleviate barriers to work with employment services and to evaluate these initiatives so policymakers can better understand what works.

This paper analyzes how mental health problems impede low-income mothers' ability to work and how health insurance improves access to mental health treatment services. According to data from the 2002 National Survey of America's Families, low-income mothers in poor mental health are significantly less likely to work and to work full time than those without these problems. Low-income mothers with public or private health insurance are significantly more likely to receive treatment than those without insurance. Mental health problems are an important barrier to work among low-income women, and access to treatment could be improved through increased health insurance coverage.

This report provides a systematic review of recent research (primarily since 2002) related to employment of people with disabilities. It also identifies limitations and gaps in this research. The report reviews research in a variety of areas including supply-side factors influencing employment, employer attitudes and practices, labor market organization, work accommodations, progression of disability benefits and disability management, impact of public policy on employment, and vocational services interventions.

Many low-income parents with personal challenges that make work difficult (sometimes called the "hard to employ") seek help from the Temporary Assistance for Needy Families (TANF) program, but many do not. The most effective TANF programs offer cash assistance along with services that alleviate barriers and help clients find jobs. Other federal-state programs offer help by providing either generic employment services or specialized services that address particular challenges. Hard-to-employ parents probably fare best when they enroll in TANF and receive a holistic set of supports. A redesigned system should marshal all program resources to provide an integrated system that addresses barriers and supports work simultaneously.

This study examines states approaches to serving TANF recipients facing multiple barriers to work in fall 2006. It also describes changes states anticipate (partly in response to TANF reauthorization) in the near future to help these recipients move into work and off the caseload. Study results are based primarily on structured interviews with state TANF program officials in 17 states including the states with the largest TANF caseloads. The findings highlight the different approaches taken by state TANF programs on how to best help recipients with serious barriers and provide early information on states’ thinking on how their approach may change for this group in the future.

This paper examines the transition experiences of child Supplemental Security Income (SSI) recipients just prior to and after age 18. We find that only a minority of pre-transition SSI recipients, ages 14 to 17, participated in training or rehabilitation activities and many had never heard of SSI work incentive provisions. Among post-transition young people ages 19 to 23, those off SSI are in better health and more likely to be working than those on SSI. However, many are struggling with incomes below poverty, about half have dropped out of school, and a third have been arrested.

This paper presents options for incorporating a strong return-to-work focus in the disability eligibility requirements for the Social Security Administration's (SSA) disability programs. In developing options, we first review alternative disability concepts from other private and public disability programs that focus on an individual's residual capacity to work, rather than an inability to work. We then examine the potential implications of applying different components of these alternative conceptualizations to the current disability eligibility requirements. Our analysis illustrates that policymakers must weigh the real costs of creating a more expansive set of disability eligibility criteria that focus on work (which will significantly increase the size of the caseload) against the current costs of having an all-or-nothing disability definition.

The transition process for a child Supplemental Security Income (SSI) recipient nearing the age of 18 can be quite complicated. From a programmatic standpoint, all child SSI recipients have their eligibility redetermined under the adult SSI disability requirements at age 18. Potentially more important, many child SSI recipients are also at the age when they must prepare for life beyond secondary school. The choices made during this important transition could have long-term implications for a child's future employment prospects, particularly given the typically long durations of participation and strong work disincentives associated with SSI participation. The purpose of our analysis is to examine concerns related to this transition process and suggest policy options for consideration by the Social Security Administration's (SSA) Ticket Advisory Panel.