What is the role of data in improving impact? And why is this a matter of equity? St. Louis social sector leaders addressed these questions in a panel discussion at STL DataFest 2024 titled Power in Numbers: How Data for Social Impact Cultivates Inclusive Growth on Friday, May 17, 2024. The panel was moderated by Simon Huang, Chief Technology Officer […]
Author: Social Policy Institute
Expanded Child Tax Credit Payments Supported Families Raising Children with Disabilities
Summary The 2021 expanded Child Tax Credit (CTC) provided temporary enhancements to the existing CTC for the tax years 2021 and 2022. Under the expanded credit, families with children under the age of 18 were eligible to receive a credit of up to $3,000 per child ($3,600 for children under the age of 6). In […]
Data for Social Impact Summit [Five Key Takeaways]
In November 2022, the Social Policy Institute at Washington University in St. Louis hosted Data is for Everyone: A Data for Social Impact Summit. The summit’s goal was to build connection and capacity among social sector organizations to cultivate equitable, community-centered data practices. The event featured 21 local and national speakers across five panels. Each […]
Financial Well-Being of Frontline Healthcare Workers: The Importance of Employer Benefits
Despard, M., Fox-Dichter, S., Zheng, H., Anderson, G., Borland, O., & Gilbert, K. (2022). Financial well-being of frontline healthcare workers: The importance of employer benefits (Social Policy Institute Research Report). Washington University, Social Policy Institute. https://doi.org/10.7936/64m8-v455
Male Caregivers and Engagement in a Family Strengthening Program for Child Disruptive Behavior Disorders
Abstract Awareness and interest in involving male caregivers in child mental health treatment has grown, especially for youth with disruptive behavior disorders like oppositional defiant disorder (ODD). The purpose of this study was to examine the relationship between male caregiver involvement and treatment engagement for child ODD. Children (n = 122) ages 7–11 and their caregivers participated […]
Prevalence of Long-COVID Among Low-Income and Marginalized Groups: Evidence From Israel
Abstract Objective: To identify the socioeconomic and demographic factors associated with the prevalence of self-reported long-COVID symptoms. Method: We examined the association between acute-COVID (SARS-CoV-2) and long-COVID symptoms, by a cross-sectional analysis of data obtained on a prospective online-survey, conducted from November to December 2021 on a nationally-representative sample of the Israeli population (N = 2,246). Results: Findings […]
Predictors of and Barriers to Receipt of Advance Premium Tax Credits
Abstract Objectives: The Advance Premium Tax Credit (APTC) is designed to remedy lack of health insurance due to cost; however, approximately 30 million Americans remain without health insurance, and millions of households leave billions in tax credits unclaimed each year. A prerequisite of APTC is to file one’s taxes; however, few studies have examined tax filing […]
All over the Map: A Systematic Literature Review and State Policy Scan of Medicaid Buy-In Programs for Working Individuals with Disabilities
Abstract While supports for people with disabilities have increased, significant healthcare and financial barriers persist. State-administered Medicaid Buy-In programs for working people with disabilities, distinct from broader buy-in discussions that have emerged as some states consider expanding access to health insurance, are intended to incentivize employment and protect against a loss of Long-Term Services and […]
Combatting Rising Healthcare Costs for Healthier Adults
Summary In 2020, healthcare expenditures averaged $12,530 per person, up 9.7% from 2019. In 2018, 19% of U.S. households had medical debt with $2,000 being the median amount owed. Over half of adults between 18 to 64 years of age are estimated to experience some form of medical financial hardship including medical bills or debt, […]
Improving perinatal outcomes for mother and child through Fresh Rx: Nourishing Health Starts
Dan Ferris, associate director of education and training for SPI, along with co-authors, recently published, “Does a food insecurity intervention improve perinatal outcomes for mother and child? A randomized control study protocol of the Fresh Rx: Nourishing Healthy Starts program,” in the Journal of Public Health Research.
Tighter school security leads to lower test scores, study finds (Links to an external site)
As schools around the country have ramped up security efforts in response to recent school shootings, a new study from the Brown School at Washington University in St. Louis suggests that increased surveillance is having a detrimental impact on academic performance.
W.T. Grant Foundation awards $512k to study impact of Choice Neighborhood Initiative
Press release: June 8, 2022 Jason Jabbari, research assistant professor with the Social Policy Institute at Washington University in St. Louis, received a $512k grant from The William T. Grant Foundation to understand if and how the Choice Neighborhood Initiative (CNI) reduces racial inequalities in academic outcomes for children and youth. Alongside Jabbari, co-principal investigators […]
Nothing to show for it: Distress among non-degree earners with debt
Press release: May 11, 2022 According to a study by the Social Policy Institute at Washington University in St. Louis, the convergence of college non-completion and student debt among borrowers lead to higher rates of material hardship, healthcare hardship, and financial difficulties than those with a high school degree, those with a college degree, and […]
Expanded Child Tax Credit payments have not reduced employment
Approximately 60 million American children living in 35 million households received monthly payments from the federal government as part of the temporary Child Tax Credit (CTC) expansion. Discourse over whether or not the expanded CTC caused parents to leave the workforce emerged during the period of the expanded credit. On one side, a large number […]
Celebrating the Inclusive Growth in St. Louis Advisory Committee
After an incredible 18-month engagement and 6-part event series, the Social Policy Institute and the Mastercard Center for Inclusive Growth honored the Inclusive Growth in St. Louis advisory committee on Dec. 7, 2021, at Justine Petersen’s Greencubator.
Financial Shocks and Financial Well-Being: What Builds Resiliency in Lower-Income Households?
Households in the U.S. regularly experience unexpected negative income or expense shocks, and low- and moderate-income households experience these shocks at disproportionately high rates. Relatively little is known about the impact these shocks have on households’ subjective sense of financial well-being, and how access to different types of liquidity (e.g., liquid assets, credit cards, social […]
Did government benefits help Israeli households avoid hardship during COVID-19? Evidence from a national survey
At the outset of the COVID-19 pandemic, the government of Israel quickly introduced aggressive social distancing measures to curb the virus spread and adapted its unemployment insurance program in response to rising unemployment rates. This study examines the relationship between household income and the experience of material hardship during the COVID-19 pandemic in Israel and […]
Pandemic isolation increasing negative behaviors among children in Israel
Isolation as a result of COVID-19 exposure is a key public health protocol to mitigate the spread of the virus; however, new survey results indicate increased isolations are associated with anger, violence, difficulties sleeping, and prolonged screen time.
15 Actionable Strategies to Embrace Inclusive Leadership
Speakers at the Inclusive Growth in St. Louis event series on Sept. 23 identified 15 strategies to proactively support and amplify diverse voices and perspectives as discussed by the speakers at the event.
Employment, Financial and Well-being Effects of the 2021 Expanded Child Tax Credit: Wave 1 Executive Summary
The 2021 temporary expansion of the Child Tax Credit (CTC) is unprecedented in its reach and is predicted to cut American child poverty by more than half. The expanded CTC provides families with $3,600 for every child in the household under the age of six and $3,000 for every child between the ages of six […]
Use of Public Benefits Over the First Year of Pandemic: Exploring Access, Delays, and Outcomes
Bufe, S., Roll, S., Kristensen, K., Zhao, D., & Grinstein-Weiss, M. (2021). Use of public benefits over the first year of pandemic: Exploring access, delays and outcomes (Social Policy Institute Research Report). Washington University, Social Policy Institute. https://doi.org/10.7936/h45c-kc86
Impact of COVID-19 on Households with Children
The COVID-19 pandemic caused major disruptions in employment, child care and education. As a result, both parents and children experienced a variety of hardships in their work and education. While these hardships had reverberating effects throughout households, they were not equally distributed across families with children. In this brief, we explore the effects of COVID-19 […]
Employment Changes During COVID-19
Early in the COVID-19 pandemic, U.S. unemployment peaked at 14.4%. While some workers have returned to payrolls, others have been left behind. This brief examines the nuances of employment changes over the course of the pandemic and the impact of those changes on household financial well-being. Our study finds that the proportion of employees who […]
Housing Hardships During COVID-19
Even prior to the COVID-19 pandemic, U.S. households were burdened by the cost of rental and mortgage payments, burdens which disproportionately fell on Black and Hispanic families. Using a 5-wave survey, we examined whether disparities in housing cost burden continued throughout the pandemic and trends in how households fell behind on rent and mortgage payments. […]
How are families in the U.S. using their Child Tax Credit payments? A 50 state analysis
The temporary expansion of the Child Tax Credit (CTC) is projected to cut American child poverty by more than half. The CTC expansion provides families with $3,600 for every child in the household under the age of six and $3,000 for every child between the ages of six and 17. The vast majority of U.S. […]
New longitudinal Socioeconomic Impacts of COVID-19 Survey calls for sustained public benefit support
The Social Policy Institute at Washington University in St. Louis (SPI) released new findings on the impact of COVID-19 on housing hardship, the importance of employment and associated benefits, such as the Payment Protection Program, family hardships, and efficiency of public benefits designed to support households in need, such as SNAP, TANF, and unemployment insurance benefits.
Embracing Inclusive Leadership

Join us at 12:30 p.m. CT on Thursday, Sept. 23 for an event discussing strategies to create inclusive leadership.
The Socioeconomic Impacts of COVID-19 Study: Survey Methodology Report
Roll, S., Bufe, S.., Chun, Y., & Grinstein-Weiss, M. (2021). The Socioeconomic Impacts of COVID-19 Study: Survey methodology report (Social Policy Institute Research Report). Washington University, Social Policy Institute. https://doi.org/10.7936/r4cj-5041
Pinching pennies or money to burn? The role of grit in financial behaviors
We explore whether gritty individuals are better savers by virtue of their wealth or due to diligent choices that benefit their long-term economic health. We test these competing hypotheses by examining the ways in which grit influences how LMI tax filers report spending or saving their tax refund in the months following tax filing. We […]
Impact of COVID-19 on Households With Children: Family Hardships and Policy Insights
Muñoz-Rivera, A., Jabbari, J., Roll, S., & Grinstein-Weiss, M. (2021). Impact of COVID-19 on households with children: Family hardships and policy insights (Social Policy Institute Research Report). Washington University, Social Policy Institute. https://doi.org/10.7936/1m6t-7y41
Housing Hardships During COVID-19: Disparities Increased by Race/Ethnicity and Homeowner Status
Fox-Dichter, S., Chun, Y., Roll, S., Kristensen, K., & Grinstein-Weiss, M. (2021). Housing hardships during COVID-19: Disparities increased by race/ethnicity and homeowner status (Social Policy Institute Research Report). Washington University, Social Policy Institute. https://doi.org/10.7936/52dc-wx52
Timely and Well-Targeted Financial Assistance during Covid-19
The Social Policy Institute (SPI) at Washington University in St. Louis partnered with PerkUp Financial Health LLC, a financial services technology company, to study an emergency financial assistance program offered to employees of three hotels in New Orleans, LA who have been affected by the COVID-19 pandemic. PerkUp serves as a technology hub for a […]
The Impact of State Earned Income Tax Credit Increases on Material and Medical Hardship
The federal Earned Income Tax Credit (EITC) provides substantial financial assistance to low- and moderate-income workers and has been shown to reduce poverty and encourage employment. Many U.S. states have also implemented their own EITCs to supplement the federal tax credits. Leveraging unique administrative and survey data and employing a difference-in-differences approach, this study investigates […]
Material hardship among lower-income households: The role of liquid assets and place
Lower-income households are at risk for material hardship, particularly amidst the economic fallout of COVID-19. Where one lives (e.g., suburb, small town) may affect this risk due to variable access to resources, yet the evidence is mixed concerning the influence of place. We used a pooled, national cross-sectional sample of 66,046 lower-income tax filers to […]
Investing in Inclusive Neighborhoods

Join us virtually for Investing in Inclusive Neighborhoods, 12:30-2:00 p.m. (CT) on July 14 and 15, to explore strategies for community driven, place-based investments that support equitable housing valuations and small/minority-owned business growth that leads to long-term wealth.
Assessing the Short-Term Stability of Financial Well-Being in Low- and Moderate-Income Households
Much of the literature on household finance tends to focus on relatively objective measures of financial security (e.g., savings, income, financial knowledge), and there has been less research on measures of subjective financial well-being. This gap is due in part to the absence of a common understanding on defining and measuring subjective financial well-being. The Consumer Financial Protection Bureau […]
Can Workplace Financial Counseling Help Lower-Income Workers Improve Credit Outcomes?
Financial counseling has been found to be effective in improving consumers’ credit outcomes and could be expanded through the workplace to reach lower-income workers who struggle with various financial challenges. We examine engagement and credit outcomes associated with a workplace financial counseling program offered to 2,849 frontline workers in New York City. Age and credit […]
Fintech as a Solution for Employee Financial Health: Findings from Five Exploratory Studies
The financial technology (fintech) sector has grown rapidly in recent years. Awareness and use of fintech has grown as companies in this sector have increased their user-friendly design, convenience, and accessibility. A unique fintech niche that has developed rapidly alongside the overall industry is known as “employer-channel fintech.” Offered by employers, these solutions or benefits […]
Saving for a Rainy Day: Making it Easier for Employees to Build Emergency Savings
In this study, we examined Onward, an employer-based mobile app that enables workers to save via payroll deduction and receive financial education and coaching as a means to address financial challenges such as difficulty paying bills on time, managing debt, and accruing savings. An important feature of Onward is that employees can save automatically through […]
Financing Workers’ Health Care Cash Flow Needs: A Pilot Study
MedPut offers a way for employees to pay their out-of-pocket health care expenses through payroll deducted or Health Savings Account (HSA) payments capped at 5% of gross pay. Employees that use MedPut are much more likely to report having problems paying medical bills and to report putting off health care due to cost concerns. Nearly […]
From Financial Struggle to Short-Term Financial Relief – An Exploratory Study on Small-Dollar Lending for Low-and Moderate-Income Employees
In this study, we examined HoneyBee, a service company that provides access to 0% APR loans and financial coaching through the workplace. HoneyBee aims to offer employees in need a more affordable credit alternative to payday and auto title loans and therefore help addressing significant cash flow emergencies. Data for this exploratory study included 65 […]
Employer-Sponsored Financial Planning: A Study of the Brightside Platform
In this report, we explore employee usage trends of Brightside, an employee financial health platform that is designed to improve the financial health of working families. Using this platform, employees can open “cases” to address a financial need or goal they have. Brightside connects these employees with financial assistants who, in turn, connect the employees […]
Are Foreclosure Spillover Effects Universal? Variation Over Space and Time
Government intervention in the housing market in response to the 2007–2010 mortgage crisis was driven in part by research showing that foreclosures lower neighboring housing values and thus increase neighbors’ risk of foreclosure. Researchers have consistently identified a negative spillover effect of foreclosures on nearby housing values, but the magnitude of the effect varies widely […]
From intention to action: A systematic literature review of provider behaviour change‐focused interventions in physical health and behavioural health settings
It is clear there are significant delays in the uptake of best practices as part of routine care in the healthcare system, yet there is conflicting evidence on how to specifically align provider behaviour with best practices. Method We conducted a review of interventions utilized to change any aspect of provider behaviour. To extend prior […]
Nudging Parents to Improve Children’s Oral Health: A Field Study
This research brief is part of a series by the Social Impact Nudgeathon initiative. This initiative incorporated insights from behavioral economics into the design and delivery of social welfare programs. Developed through a partnership between the Joint Distribution Committee in Israel (JDC-Israel) and the Social Policy Institute (SPI) at Washington University in St. Louis, this initiative is among the first of its kind to launch in Israel. […]
Increasing Successful Completion of Practical Engineering Diploma Programs
This research brief is part of a series by the Social Impact Nudgeathon initiative. This initiative incorporated insights from behavioral economics into the design and delivery of social welfare programs. Developed through a partnership between the Joint Distribution Committee in Israel (JDC-Israel) and the Social Policy Institute (SPI) at Washington University in St. Louis, this initiative is among the first of its kind to launch in Israel. […]
Creating Inclusive Access to Education, Training & Technology

Watch recording from Feb. 10-11 event, Creating Inclusive Access to Education, Training & Technology, a discussion about the opportunities to create inclusive access to education, training & technology for under-represented populations in St. Louis.
Bold Responses to the Racial Wealth Gap
Please join us 1:00- 2:30 p.m. (CT) on Wednesday, Feb. 17, 2021 for an event sponsored by the Center for Household Financial Stability at the Federal Reserve Bank of St. Louis and the Social Policy Institute at Washington University in St. Louis to explore some of these responses.
All over the Map: A Systematic Literature Review and State Policy Scan of Medicaid Buy-In Programs for Working Individuals with Disabilities
While supports for people with disabilities have increased, significant healthcare and financial barriers persist. State-administered Medicaid Buy-In programs for working people with disabilities, distinct from broader buy-in discussions that have emerged as some states consider expanding access to health insurance, are intended to incentivize employment and protect against a loss of Long-Term Services and Supports. […]
School breakfast matters for Missouri students
Guest post by Sarah Ritter, manager of public policy, Operation Food Search Child nutrition programs are essential to ending hunger and supporting children’s health, learning and development. One important yet underutilized program is the School Breakfast Program (SBP). Students who eat breakfast at school consume more fiber, calcium and vitamin C – nutrients all children […]