Through the lens of administrative burden and ordeals, we investigate challenges that low-income families face in accessing health and human services critical for their children's healthy development. We employ a mixed methods approach—drawing on administrative data on economically disadvantaged children in Tennessee, publicly available data on resource allocations and expenditures, and data collected in purposive and randomly sampled interviews with public and nonprofit agencies across the state—to analyze the distribution of resources relative to children's needs and provide rich descriptions of the experiences of organizations striving to overcome administrative burdens and support families. We also scrutinize the place-based resource deserts and environmental contexts of resource gaps and deficiencies in public policies governing the distribution of public resources that exacerbate administrative burdens and inequities in access to public resources. Our insights into the costs imposed on individuals and organizations and how they impede or spill over into other aspects of organizational work point to specific state and local program and policy changes that could be implemented to address resource constraints and alleviate burdens on organizations and poor families.

中文翻译：

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支持儿童健康发展的社会安全网行政负担的后果

通过行政负担和磨难的视角，我们调查了低收入家庭在获得对其子女健康发展至关重要的健康和人类服务方面面临的挑战。我们采用混合方法——利用田纳西州经济弱势儿童的行政数据、资源分配和支出的公开数据，以及对全州公共和非营利机构进行有目的和随机抽样采访时收集的数据——来分析儿童的分布情况。资源，并提供有关努力克服行政负担和支持家庭的组织的经验的丰富描述。我们还审查了基于地方的资源荒漠和资源缺口的环境背景，以及管理公共资源分配的公共政策的缺陷，这些缺陷加剧了行政负担和获取公共资源的不公平。我们对强加给个人和组织的成本以及它们如何阻碍或蔓延到组织工作的其他方面的洞察力表明，可以实施特定的州和地方计划和政策变更，以解决资源限制并减轻组织和贫困家庭的负担。