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?
type: article
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'