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�Capping� Families: What Do We Know?

David Murray

            Compelling reasons exist for caring about what happened in New Jersey under the Family Development Program (FDP), which was implemented in October 1992.  The program is New Jersey�s effort to experiment with welfare reform under Section 1115 of the Social Security Act. At issue is the capacity of public policy to alter fundamental behavior through economic incentives. Whether this behavior could be shaped by moral incentives as well was not deliberately tested, although this prospect cannot be dismissed. 

The provision of greatest interest is that which precludes a recipient of Aid to Families with Dependent Children (as it was then termed) from receiving additional cash benefits for a child  conceived while the recipient was on welfare, resulting in a loss of cash benefits totaling $102 per month for the second child and $64 per month for any additional children.  The impact of this alteration seems modest, because numerous other benefits for the child remained intact, and alternative benefits to the parent were instituted that served to offset the direct loss of cash benefits.  If the point was to test the effect of an economic message, the �signal� was hardly robust.

Nevertheless, a material incentive was applied to fertility decisions. Gaining a clear picture of reproductive behavior and its determinants is arduous under the best of circumstances. Reproduction is not only private and subject to multiple layers of rationalization, it also is subject to multiple intentions, forces, and evasions that are both individual and social in character.

Whether reproduction is determined (or at least conditioned in its timing, frequency, and ultimate disposition) by a rational calculus sufficient for it to be apprehended by an econometric analysis is contestable.  Becoming pregnant is, needless to say, a complicated enterprise, involving in its most common form at least two actors and originating in a social interaction not always volitional and rarely free from pressures beyond the material.  Moreover, the subsequent disposition of the reproductive product may take several turnings, only some of which are driven by deliberation, and only some of which result in a live child.

Were fertility decisions to be in no measure amenable to rational shaping, public policy would be forced to confront the disarray of increasingly unconnected thrusts and parries between citizens and the state, which seeks to apply sanctions. There are, nevertheless, grounds for regarding an economic approach to the matter as potentially insightful. Importantly, evidence does exist concerning whether and to what extent reproduction is �rational� and may be conditioned by incentive pressures. Hence, if a cost-benefit calculus enters into this complex dynamic, it may well be possible to condition reproductive behavior by imposing gradients of self-interest through the instrument of public policy.

Given that public policy decision makers may well find the New Jersey results instructive, it seems prudent to stress for a moment the impediments to our hope for conclusiveness.  Social science, though inherently inexact, may be arranged into evaluative formats of various rigor and lucidity, a randomized case-control study with true experimental design being regarded as a highly exacting approach.  A similar method was originally (but unsuccessfully) brought to bear on the New Jersey question. Eventually, two separate efforts were made to evaluate the effectiveness of the program: A randomized experiment (with a treatment group subject to the new provisions and a control) and a multivariate statistical analysis constructed as a pre- and post-evaluation of the study population (Camasso 1998a,b). The researchers had to resort to the less methodologically precise multivariate analysis because of manifest limitations in the implementation of the original experimental design.

Such studies can yield insight under any number of minimal methodological requirements. To disconfirm with confidence the null hypothesis, two groups of well-matched subjects must exist, such that potential confounders are held constant across the divide that segregates the groups. The experimental group receiving the treatment and the matched control group from which treatment is withheld must be maintained with a clear distinction.  Attrition must be minimized, and other alterations in the composition of the groups must be severely restricted or controlled for.  If the study is to provide a measure of change in conscious behavior under treatment, then the experimental format must be clearly communicated to participants, and they should be sequestered from influence external to the treatment itself.  Clearly, material incentives cannot affect people who do not know  what the incentives are, nor can the features of behavioral modification be understood if the conditions and consequences of that behavior are ambiguous or overdetermined. 

Moreover, even if the data do reveal disparities in the direction sought (either between the experimental and control groups under one model or between a pre- and post- evaluation of a population under the other), isolating the specific cause requires careful analysis to determine the particular effect attributed to the treatment itself.  Data derived from the exercise must be analyzed by statistical techniques appropriate to the problem set, and we must ensure that differences between groups reach significance.

Even when such minimal conditions are met, there is no assurance that a particular thesis demonstrates external validity, nor can one move with assurance from association to causation.  The best that can be said is that results were obtained that were not inconsistent with a certain hypothesis and that the statistical analysis shows that the results were not caused by random error under a certain probability.  That is, successfully carrying out all of the above steps satisfies the minimally necessary, but by no means sufficient, conditions for being able to declare an advance in our social knowledge. 

Inevitably, claims regarding the New Jersey research will find their way to the media and to policy decision makers. These claims should be regarded with caution. In the absence of successfully satisfying the minimally necessary methodological  conditions, however, to proclaim any finding would be to threaten the commission of a Type I error. A Type I error, which concludes that an association exists�in this case, between a treatment and a change in fertility�when in fact it does not, should be regarded as a scientific failing more pernicious than its counterpart, the Type II error, which is failing to note an actually existing association. An improperly postulated association can mislead all subsequent investigation and obscure genuine causes and effects, which might otherwise be pursued were it not for the false lead.

We can now ask more specifically, what do we know with certainty about the New Jersey outcome?  Unfortunately, little; by the minimal criteria outlined above, the New Jersey experiment was deficient in nearly every regard.  What we seem to have is an inconclusive addendum to an already inconclusive literature regarding welfare, fertility, and behavioral change.  As the critique by Rossi (see chapter X) and an earlier analysis performed by the Congressional Research Service (CRS; Falk and Devere 1998) ruefully conclude, both research designs brought to bear on the New Jersey data failed to maintain fidelity to their internal principles.  The randomized experiment suffered from contamination in the separation of the treatment group and the control group, whereas the multivariate statistical analysis was unable to purge artifacts of statistical modeling (if not incompatibilities between the form of the data and the capabilities of the analytic instruments).

In any event, one may question whether family-cap proposals have been fairly tested. In circumstances in which the minimal methodological conditions are not met, as we appear to have in the New Jersey situation, the result is worse than mere confusion.  We risk an active misleading of understanding, a condition to which we should apply Wittgenstein�s remonstrance found in the preface to the Tractatus: �Whereof one cannot speak, thereof one must be silent.� (Wittgenstein 1922).

Limitations notwithstanding, lessons can be salvaged from the attempt.  We observe that fertility rates and sexual behavior rates declined nationwide during the study period, independent of experimental intervention.  Moreover, trends in welfare participation and fertility preceded in many instances the implementation of policy measures and are not adequately explained simply by association with robust economic growth (Rector and Youssef 1999). It appears that social expectations, moral remonstrances, and intangible cultural atmospherics all exercised some effect.  Declines in fertility seem affected both by contraceptive changes and by a diminished number of sexual performances on the part of males as well as females.  (It is odd that the analysis to date has neglected the behavior of males as actors in the fertility arena.)  The suggestion is that the meaning of fertility behavior was being reformulated in certain populations.

If so, the literature offers support for a new approach.  The role of caseworkers in the New Jersey experiment should not be overlooked.  They provided, in some instances, faulty information or used inappropriate discretion in assignment to experimental groups, contaminating the experimental outcome.  This flaw suggests a wider challenge for reform efforts. 

Welfare as an institution should be envisioned as both a policy and a structured set of social relationships through which that policy is realized.  Under any particular policy there will be specific terms and procedures, requirements, expectations, and stipulations, all of which may be thought of as a content that may indeed shift over time. The structure, on the other hand, is a specific kind of social relationship or set of relationships nested within each other. That is, there are regularized and ongoing social interactions in a welfare relationship that are both the outcome of particular policies as well as the a priori frames through which policies are realized. Thus, what New Jersey may well have demonstrated is that changing the one while leaving the other unaffected is futile.  In particular, it appears that �reforming� welfare policy as a content while leaving intact the sedimented structures of the previous welfare relationships impedes reformation.

It therefore seems valuable to examine lessons from a separate reform program constructed around home visitation by nurses, where we may view the interactions as reflecting not only a distinctive policy but a novel structure of relationships as well. As Loury argues (see chapter X), �of all the programs reviewed in this chapter, home visitation by nurses is the only effort that showed consistently significant success at reducing subsequent births to participating welfare mothers.�

What worked?  In keeping with the approach of �human ecology� advanced by Olds and Kitzman (1993), nurse visitors are encouraged to develop an empathic relationship with the mother and other family members.  The qualitative aspects of the relationship with the visiting nurse differ from those characteristic of a social welfare worker.  In Loury�s words, �the intervention is more intrusive, more directive, and more unequivocal in the value judgments being communicated.  The authority of the health professional is invoked on behalf of the clearly stated end of avoiding a repeat pregnancy . . . . The home-visitation programs provided a greater number of unambiguous, normative messages that becoming pregnant again is not desirable. . . . The directive approach says, �You shouldn�t have another baby, and here are ways to prevent it��

As Loury concludes, �a pedagogic function in public policy�showing citizens how to lead their lives better �may need to be invoked.� Such an approach need not be exclusive of other incentives and sanctions, nor should the qualitative and cultural dimensions of the welfare relationship be dismissed.

 

References

Camasso, M. J.; Harvey, C.; Jagannathan, R.; and Killingsworth, M. 1998a. A final report on the impact of New Jersey�s Family Development Program. New Brunswick, NJ: Rutgers University.

 Camasso, M. J.; Harvey, C.; Jagannathan, R.; and Killingsworth, M. 1998b. A final report on the impact of New Jersey�s Family Development Program. Results from a pre-post analysis of AFDC case heads from 1990 to 1996. New Brunswick, NJ: Rutgers University.

 Falk, G., and Devere, C. 1998. Analysis of evaluations of the New Jersey Family Development Program. Washington, DC: Congressional Research Service.  

 Olds, D., and Kitzman, H. 1993.  Review of research on home visiting for pregnant women and parent of young children.  Home Visiting 3: 53-92.

 Rector, R., and Youssef, S. E.  1999.  The Determinants of Welfare Caseload Decline. Washington, DC: Heritage Foundation.

 Wittgenstein, L. 1922. Tractatus Logico-Philosophicus, London: Routledge & Kegan Paul.


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