The primary goal of this study is to rigorously evaluate the effectiveness and costs of two contrasting approaches to organizing and structuring substance abuse treatment for women entering welfare-to-work programs. One approach will deliver standard care. The alternative approach will deliver care based on an innovative, public health model. Evidence-based interventions will serve as the core components of the innovative approach. The context of this study is a naturally occurring experiment. The State of New Jersey is conducting a welfare demonstration project in two counties. Women in welfare-to-work programs with substance abuse problems will be randomly assigned to two intervention conditions, standard care or innovative care. This study will evaluate the two-year outcomes of the demonstration project. In addition, the study will compare outcomes and costs of the substance abusing women in the demonstration with those of a comparison group of non-symptomatic women in welfare-to work programs. The study sample will consist of 600 women diagnosed with DSM-IV substance abuse only, and 600 women diagnosed with DSM-IV substance dependence who are participants in the demonstration. In addition, 200 non-symptomatic women in welfare-to work programs will be studied. All study participants will be recruited at two welfare offices, assessed at baseline, and followed in-person at 3, 6, 12, 18, and 24 months. The study will examine treatment utilization patterns, and substance abuse, employment and other psychosocial outcomes. In addition, a full cost study including cost-effectiveness and cost-benefit analyses will be conducted.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA012256-02
Application #
6174766
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Flanzer, Jerry
Project Start
1999-06-20
Project End
2001-03-31
Budget Start
2000-06-01
Budget End
2001-03-31
Support Year
2
Fiscal Year
2000
Total Cost
$653,239
Indirect Cost
Name
Mount Sinai School of Medicine
Department
Psychiatry
Type
Schools of Medicine
DUNS #
114400633
City
New York
State
NY
Country
United States
Zip Code
10029
Kuerbis, Alexis N; Hagman, Brett T; Morgenstern, Jon (2013) Alcohol use disorders among substance dependent women on Temporary Assistance with Needy Families: more information for diagnostic modifications for DSM-5. Am J Addict 22:402-10
Dauber, Sarah; Neighbors, Charles; Dasaro, Chris et al. (2012) Impact of Intensive Case Management on Child Welfare System Involvement for Substance-Dependent Parenting Women on Public Assistance. Child Youth Serv Rev 34:1359-1366
Kuerbis, Alexis N; Neighbors, Charles J; Morgenstern, Jon (2011) Depression's moderation of the effectiveness of intensive case management with substance-dependent women on temporary assistance for needy families: outpatient substance use disorder treatment utilization and outcomes. J Stud Alcohol Drugs 72:297-307
Morgenstern, Jon; Neighbors, Charles J; Kuerbis, Alexis et al. (2009) Improving 24-month abstinence and employment outcomes for substance-dependent women receiving temporary assistance for needy families with intensive case management. Am J Public Health 99:328-33
Morgenstern, Jon; Blanchard, Kimberly A; Kahler, Christopher et al. (2008) Testing mechanisms of action for intensive case management. Addiction 103:469-77
Morgenstern, Jon; Blanchard, Kimberly A; McCrady, Barbara S et al. (2006) Effectiveness of intensive case management for substance-dependent women receiving temporary assistance for needy families. Am J Public Health 96:2016-23
Morgenstern, Jon; McCrady, Barbara S; Blanchard, Kimberly A et al. (2003) Barriers to employability among substance dependent and nonsubstance-affected women on federal welfare: implications for program design. J Stud Alcohol 64:239-46