A randomized controlled trial to improve health among women receiving welfare in the U.S.: The relationship between employment outcomes and the economic recession

► Reports employment findings from the first RCT designed to reduce chronic health condition-related barriers to employment for women receiving welfare in the U.S. ► Over 73% of women who received public health nursing case management entered employment compared to only 64.4% of other women receiving TANF. ► Public health nursing case management resulted in women entering employment 35 days earlier than other women receiving TANF. ► Intervention efficacy on employment-entry outcomes was similar regardless of age, education level, prior TANF receipt, or functional status at study entry. ► Public health nursing case management improves employment-entry outcomes for women leaving TANF - regardless of recession exposure.