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Completed

NCT Number: NCT05857553

Cash Transfers to Address Child Welfare Involvement

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.

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Key information

Conditions

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Pennsylvania

Philadelphia, Pennsylvania, 19106, United States

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Unconditional Cash Transfer

Other

Unconditional monthly transfer of $500 to household

Other names: Direct Cash Transfer, Guaranteed Income

No Direct Cash Transfer

Other

No intervention

Primary outcomes

  1. Unfounded reports to CPS

    Time frame: 18 months

    Count of unfounded reports using CPS administrative data

  2. Investigative Track reports to CPS

    Time frame: 18 months

    Count of Investigative Track using CPS administrative data

  3. Indicated reports to CPS

    Time frame: 18 Months

    Count of Indicated reports using CPS administrative data

  4. Substantiated reports to CPS

    Time frame: 18 Months

    Count of Substantiated reports using CPS administrative data

  5. Family Assessment Response (FAR) track reports to CPS

    Time frame: 18 months

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

  6. Unsubstantiated reports to CPS

    Time frame: 18 months

    Count of Unsubstantiated reports using CPS administrative data

  7. Foster care placements

    Time frame: 18 months

    Count of Foster care placements using CPS administrative data

Secondary outcomes

  1. Parental self-reported general health (SF-36)

    Time frame: 12 months

    Average of 5-point likert scale score on 5 questions

  2. Mental health (Kessler 10)

    Time frame: 12 months

    Each item is scored from one 'none of the time' to five 'all of the time'. Scores of the 10 items are then summed, yielding a minimum score of 10 and a maximum score of 50. Low scores indicate low levels of psychological distress and high scores indicate high levels of psychological distress.

  3. Stress and coping (Perceived Stress Scale - 4)

    Time frame: 12 months

    Each item is scored from "never" to "all of the time" on a 5-point scale. Scores of 4 items are then summed, yielding a minimum score of 0 and a highest score of 16. Higher scores are correlated to more stress

  4. Family dynamics and parenting (CHAOS)

    Time frame: 12 months

    Each item is scored "yes" or "no". Scores of the items are then summed. The higher the score the higher the level of environmental chaos in the home.

  5. Parental Stress Sale

    Time frame: 12 months

    18-item questionnaire assessing parents' feelings about their parenting role, exploring both positive aspects (e.g. emotional benefits, personal development) and negative aspects of parenthood (e.g. demands on resources, feelings of stress). Each item is scored on a 5-point Likert scale. Parental stress scores range from 18 to 90, with lower scores indicating lower levels of parental stress.

  6. Food insecurity

    Time frame: 12 months

    Answer to single item question "In the past four weeks, did you worry that your household would not have enough food?"

  7. Child missed medical care

    Time frame: 12 months

    Parental yes/no report of any child in home with missed medical care in preceding 6 months

  8. Child school truancy

    Time frame: 12 months

    Parental report of day of missed school for each child in the home aged 6-17 in the preceding 6 months

  9. Hours per week of relative childcare

    Time frame: 12 months

    Parent-reported number of hours each week each child 0-5 spends receiving care from a relative other than a parent or guardian

  10. Hours per week of non-relative childcare

    Time frame: 12 hours

    Parent-reported number of hours each week each child 0-5 spends receiving care from a non-relative

  11. Hours per week of formal childcare

    Time frame: 12 months

    Parent-reported number of hours each week each child 0-5 spends receiving care in a day care center, preschool, or prekindergarten

  12. Financial-well being (CFPB Financial Well-Being Scale

    Time frame: 12 months

    Each item is scored 0 to 4 and summed to a total. The sum total is then converted to a total response value on the CFPB Financial Well-Being Scale score from 0-100.

Sponsors and collaborators

Lead sponsor

University of Pennsylvania

Other

Collaborators

  • Children's Hospital of Philadelphia
  • Redlich Horwitz Foundation
  • Rutgers University

Registry information

Official study title

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

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
May 12, 2023
Registry last updated
Jan 28, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.