2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Objective: This study tested whether coordinated care management, a
|
|
|
|
|
|
|
|
|
|
continuity of care intervention for substance-use disorders, improved
|
|
|
|
|
|
|
|
|
|
employment among men and women on public assistance compared with usual
|
|
|
|
|
|
|
|
|
|
welfare management. Method: Participants were 421 welfare applicants
|
|
|
|
|
|
|
|
|
|
identified via substance-use-disorder screening and assigned via a
|
|
|
|
|
|
|
|
|
|
computerized allocation program to coordinated care management (CCM; n =
|
|
|
|
|
|
|
|
|
|
232) or referral and monitoring practices in usual care (UC; n = 189).
|
|
|
|
|
|
|
|
|
|
Substance use, treatment attendance,job training and search activities,
|
|
|
|
|
|
|
|
|
|
and employment outcomes were assessed for I year after baseline.
|
|
|
|
|
|
|
|
|
|
Results: Men were more likely to be working than women overall. Among
|
|
|
|
|
|
|
|
|
|
women, CCM clients increased their employment over time, whereas UC
|
|
|
|
|
|
|
|
|
|
clients remained stable at very low employment levels. There were no
|
|
|
|
|
|
|
|
|
|
treatment effects on employment for men. Also among women only, greater
|
|
|
|
|
|
|
|
|
|
substance-use-disorder treatment attendance and abstinence in the first
|
|
|
|
|
|
|
|
|
|
6 months of CCM predicted higher rates of later employment. Job training
|
|
|
|
|
|
|
|
|
|
activities were low and did not differ by condition between either
|
|
|
|
|
|
|
|
|
|
gender. Conclusions: Findings are consistent with previous research
|
|
|
|
|
|
|
|
|
|
supporting the effectiveness of case management for improving
|
|
|
|
|
|
|
|
|
|
abstinence, which leads to employment gains, among substance-using women
|
|
|
|
|
|
|
|
|
|
on public assistance. In contrast, various mandated elements of
|
|
|
|
|
|
|
|
|
|
welfare-to-work programs for substance users--treatment attendance, case
|
|
|
|
|
|
|
|
|
|
management, job training-did not improve employment rates for men.
|
|
|
|
|
|
|
|
|
|
Implications of study results for designing effective welfare-to-work
|
|
|
|
|
|
|
|
|
|
interventions in a post-welfare-reform era are discussed. (J. Stud.
|
|
|
|
|
|
|
|
|
|
Alcohol Drugs 70: 955-963, 2009)'
|
|
|
|
|
affiliation: 'Morgenstern, J (Corresponding Author), Columbia Univ, Med Ctr, 180 Ft
|
|
|
|
|
Washington Ave,HP 240, New York, NY 10032 USA.
|
|
|
|
|
|
|
|
|
|
McKay, James R., Univ Penn, Treatment Res Ctr, Philadelphia, PA 19104 USA.
|
|
|
|
|
|
|
|
|
|
Morgenstern, Jon; Hogue, Aaron; Dauber, Sarah; Dasaro, Christopher; McKay, James
|
|
|
|
|
R., Columbia Univ, Natl Ctr Addict \& Subst Abuse, New York, NY 10032 USA.'
|
|
|
|
|
author: Morgenstern, Jon and Hogue, Aaron and Dauber, Sarah and Dasaro, Christopher
|
|
|
|
|
and McKay, James R.
|
|
|
|
|
author-email: jm977@columbia.edu
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Morgenstern
|
|
|
|
|
given: Jon
|
|
|
|
|
- family: Hogue
|
|
|
|
|
given: Aaron
|
|
|
|
|
- family: Dauber
|
|
|
|
|
given: Sarah
|
|
|
|
|
- family: Dasaro
|
|
|
|
|
given: Christopher
|
|
|
|
|
- family: McKay
|
|
|
|
|
given: James R.
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.15288/jsad.2009.70.955
|
|
|
|
|
eissn: 1938-4114
|
|
|
|
|
files: []
|
|
|
|
|
issn: 1937-1888
|
|
|
|
|
journal: JOURNAL OF STUDIES ON ALCOHOL AND DRUGS
|
|
|
|
|
keywords-plus: 'RECEIVING TEMPORARY ASSISTANCE; LONGITUDINAL DATA; ABUSE TREATMENT;
|
|
|
|
|
USE
|
|
|
|
|
|
|
|
|
|
DISORDERS; WOMEN; OUTCOMES; SERVICES; BARRIERS'
|
|
|
|
|
language: English
|
|
|
|
|
month: NOV
|
|
|
|
|
number: '6'
|
|
|
|
|
number-of-cited-references: '24'
|
|
|
|
|
pages: 955-963
|
|
|
|
|
papis_id: 9057f7b8b87dc007fb342503f496d5e7
|
|
|
|
|
ref: Morgenstern2009doescoordinated
|
|
|
|
|
times-cited: '13'
|
|
|
|
|
title: Does Coordinated Care Management Improve Employment for Substance-Using Welfare
|
|
|
|
|
Recipients?
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000272005700016
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '14'
|
|
|
|
|
volume: '70'
|
|
|
|
|
web-of-science-categories: Substance Abuse; Psychology
|
|
|
|
|
year: '2009'
|
