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Proximity to service providers and service utilization among welfare recipients: The interaction of place and race


Author Info

  • Scott W. Allard

    (Brown University)

  • Richard M. Tolman

    (School of Social Work, University of Michigan)

  • Daniel Rosen

    (School of Social Work, University of Pittsburgh)

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    Currently, welfare programs coordinate a range of services to support work among welfare recipients and help them overcome barriers to employment. This paper considers the relationship between spatial proximity to and utilization of support services among welfare recipients. Accessibility of mental health and substance abuse service providers among welfare recipients is examined in the three-county Detroit metropolitan area and the relationship between mental health service accessibility and mental health service utilization among welfare recipients considered. Not only does access to service providers vary significantly across the metropolitan area by race and place, but these analyses reveal that greater spatial proximity to service providers increases the probability that welfare recipients will receive services. When controlling for access to providers and individual-level characteristics, we also find that African American welfare recipients are about half as likely to use mental health services as white recipients. © 2003 by the Association for Public Policy Analysis and Management.

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    Bibliographic Info

    Article provided by John Wiley & Sons, Ltd. in its journal Journal of Policy Analysis and Management.

    Volume (Year): 22 (2003)
    Issue (Month): 4 ()
    Pages: 599-613

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    Handle: RePEc:wly:jpamgt:v:22:y:2003:i:4:p:599-613

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    1. Demetra Smith Nightingale, 2001. "Program Structure and Service Delivery in Eleven Welfare-to-Work Grant Programs," Mathematica Policy Research Reports 2833, Mathematica Policy Research.
    2. Scott W. Allard, 2002. "The Urban Geography of Welfare Reform: Spatial Patterns of Caseload Dynamics in Detroit," Social Science Quarterly, Southwestern Social Science Association, vol. 83(4), pages 1044-1062.
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    Cited by:
    1. Cook, Benjamin Lê & Doksum, Teresa & Chen, Chih-nan & Carle, Adam & Alegría, Margarita, 2013. "The role of provider supply and organization in reducing racial/ethnic disparities in mental health care in the U.S," Social Science & Medicine, Elsevier, vol. 84(C), pages 102-109.
    2. Chris M. Herbst & Erdal Tekin, 2010. "The Impact of Child Care Subsidies on Child Well-Being: Evidence from Geographic Variation in the Distance to Social Service Agencies," Working Papers id:2739, eSocialSciences.
    3. Chris Herbst & Erdal Tekin, 2012. "Child Care Subsidies, Maternal Well-Being, and Child-Parent Interactions: Evidence from Three Nationally Representative Datasets," Working Papers 1368, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Research on Child Wellbeing..
    4. Herbst, Chris M. & Tekin, Erdal, 2011. "The Geographic Accessibility of Child Care Subsidies and Evidence on the Impact of Subsidy Receipt on Childhood Obesity," IZA Discussion Papers 6025, Institute for the Study of Labor (IZA).
    5. Vondolia, Godwin Kofi & Eggert, Håkan & Stage, Jesper, . "Nudging Boserup? The Impact of Fertilizer Subsidies on Investment in Soil and Water Conservation," Discussion Papers dp-12-08-efd, Resources For the Future.


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