Use and impact of a cash subsidy program.

The use and impact of a $256.74 monthly cash subsidy by 1,283 families with children who have severe disabilities were examined. Families reported a variety of uses, including the purchase of clothing, toys, sitters, diapers, special foods, adaptive equipment, and professional services. Families at lower income levels used the subsidy to meet basic needs more often than did families at higher income levels. Families indicated that the subsidy was very helpful in meeting special needs and had improved family life, eased financial worries, and reduced stress. The influence of the availability of the subsidy on continuing family-based care was examined.