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