Advancing Health Equity Via Basic Income + Early Childhood Systems Integration: An RCT of the Baby Bonus Program
Stanford University
Summary
Early childhood is a critical period, laying the foundation for future growth and deveopment. This foundational period has an outsized effect, impacting health, well-being and achievement across one's lifespan. The U.S. lacks a cohesive early childhood system to support families with young children ages 0-5. The goal of this randomized controlled trial(RCT) is to test if community-based support via community health workers(CHWs) improves social and health services utilization, and child development. Furthermore, the trial will examine if income support enhances the impact of a CHW integrated system. Participants are English and Spanish speaking families with healthy newborns. This RCT was designed based on family priorities, community capacity and needs in a collective impact model. This trial is anchored at a university based children's hospital and involves many partners: families, county health, county leadership, a leading early childhood non-profit organization, the county's Medicaid managed care organization.
Eligibility
- Age range
- 0+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: Caregiver Eligibility Criteria * 18 and Older * Family plans to reside in San Mateo County * Does not plan to move from the County in the next year * Speaks English and/or Spanish * Cared for in Postpartum Maternity unit Child Eligibility Criteria * Baby is being cared for in well newborn nursery * Child is enrolled in Medicaid * 36 weeks or older * To be discharged home in the custody of the caregiver Exclusion Criteria: Caregiver Exclusion Criteria * Will not consent to share data via Epic/Study * Caregiver has significant cognitive impairment * Caregiver under con…