Guaranteed Income for At-Risk Expectant and Parenting Mothers

PUBLIC HEALTH

County Spending Category
1.5 Breaking the Cycle of Intergenerational Poverty
Federal Expenditure Category
Household Assistance: Cash Transfers
Project Launch Date
10/16/2023
Anticipated End Date
06/30/2026
Written Languages
  • Armenian
  • Cambodian (Khmer)
  • Farsi
  • Korean
  • Russian
  • Spanish
  • Tagalog/Filipino
  • Thai
  • Traditional Chinese
  • Simplified Chinese
  • Vietnamese
  • Arabic
  • Hindi
  • Japanese

Project Contacts

Indicators & Metrics to Date

  • Finalize Agreements with Contractors
    0
  • Number of Households Served
    119
  • Identify CBO and Clinicians to provide outreach and engagement
    50
  • Recruitment of participants and comparison group
    119
  • Provide Consistent Monthly Stipend
    242100

Target Populations

  • Systems Impacted Individuals
  • Systems Involved Individuals
  • People Experiencing Homelessness

Project Description

The Department of Public Health in collaboration with First 5 LA, the Departments of Health Services and Mental Health and the County's Chief Executive Office are working with community-based partners and advisors to implement a unique, Guaranteed Income project serving high-risk pregnant and parenting individuals countywide. Economic instability increases homelessness, unemployment, and other hardships leading to toxic stress and increased risk for physical and mental health problems. During pregnancy, this risk may result in adverse outcomes for infant and parent, even infant or parent death. In Los Angeles County, for example, infant mortality rates for Black families are more than twice those for other populations and maternal mortality is near four times that for other groups, reflecting the impact of racism and social marginalization across generations . The project will confront these risks head on, by providing a stipend of $807 per month for 18 months to a minimum of 400 pregnant people in LA County from populations with the worst birth outcomes. T The Guaranteed Income for At-Risk Expectant and Parenting Persons Project (the Project) is designed to alleviate poverty and in doing so, improve birth outcomes among high-risk populations impacted by COVID 19. The Los Angeles County, early 45% of residents live paycheck-to-paycheck, unable to pay for a $400 emergency (United Way’s Real Cost Index). Many jobs simply do not pay enough to keep pace with the skyrocketing cost of living in the County. Data from the Housing and Urban Development Department shows that LA County is one of the most cost-burdened metropolitan regions in the Country with nearly half of County households spending more than 30% of their income on housing.

Goals & Objectives

Goal Description Improve birth outcomes for high-risk individuals, by the effects of toxic stress/allostatic load on a pregnant woman/person's body that contribute to physiological impacts and resultant health conditions (increased risk for physical and mental health problems, including maternal depression, preeclampsia, etc.), which in turn can lead to complications during pregnancy and after giving birth--all by acknowledging that individuals are in the best position to know how best to mitigate stress in their own lives, providing a stipend without condition (including dictated services) honors the approach of honoring self agency.

Objective Description Reduce stress caused by economic hardship known to have an adverse impact on birth outcomes of pregnant women/people by providing a stipend of $807 per month for 18 months to 400 high-risk LA County pregnant and parenting individuals. Acknowledging that individuals are in the best position to know how best to mitigate stress in their own lives, providing a stipend without condition (including dictated services) honors the approach of honoring self agency.

Activity Description Finalize agreements with project contractors for program administration and research
Indicators
# Type Name Baseline Target
1 Program Outcome Finalize Agreements with Contractors 2.00 2.00

Activity Description Identify CBO and clinical partners to assist in outreach and engagement
Indicators
# Type Name Baseline Target
1 Program Outcome Identify CBO and Clinicians to provide outreach and engagement 3.00 3.00

Activity Description Recruit cohort of high-risk pregnant individuals as participants in project experimental and comparison groups
Indicators
# Type Name Baseline Target
1 Program Outcome Recruitment of participants and comparison group 0.00 400.00

Activity Description Provide monthly stipends to project participants. Distribute monthly stipends to participants for 18 months
Indicators
# Type Name Baseline Target
1 Program Outcome Provide Consistent Monthly Stipend 807.00 807.00