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Effectiveness of intensive case management for substance-dependent women receiving temporary assistance for needy families

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  • Morgenstern, J.
  • Blanchard, K.A.
  • McCrady, B.S.
  • McVeigh, K.H.
  • Morgan, T.J.
  • Pandina, R.J.

Abstract

Objective. We tested the effectiveness of a long-term coordinated care strategy-intensive case management (ICM)-compared with usual care (UC) among a group of substance-dependent women receiving Temporary Assistance for Needy Families (TANF). Methods. Substance-dependent women on TANF (N = 302) were recruited from welfare offices. They were assessed and randomly assigned to ICM or UC; follow-up was at 3, 9, and 15 months. UC consisted of a health assessment at the welfare office and a referral to substance abuse treatment and TANF services. ICM clients received ICM services in addition to UC services. Results. ICM clients had significantly higher levels of substance abuse treatment initiation, engagement, and retention compared with UC clients. In some cases, ICM treatment attendance rates were double those of UC rates. Additionally, almost twice as many ICM clients were abstinent at the 15 month follow-up compared with UC clients (P

Suggested Citation

  • Morgenstern, J. & Blanchard, K.A. & McCrady, B.S. & McVeigh, K.H. & Morgan, T.J. & Pandina, R.J., 2006. "Effectiveness of intensive case management for substance-dependent women receiving temporary assistance for needy families," American Journal of Public Health, American Public Health Association, vol. 96(11), pages 2016-2023.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.076380_3
    DOI: 10.2105/AJPH.2005.076380
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    Cited by:

    1. Dauber, Sarah & John, Tiffany & Hogue, Aaron & Nugent, Jessica & Hernandez, Gina, 2017. "Development and implementation of a screen-and-refer approach to addressing maternal depression, substance use, and intimate partner violence in home visiting clients," Children and Youth Services Review, Elsevier, vol. 81(C), pages 157-167.
    2. Grant, Therese & Huggins, Janet & Graham, J. Christopher & Ernst, Cara & Whitney, Nancy & Wilson, Dee, 2011. "Maternal substance abuse and disrupted parenting: Distinguishing mothers who keep their children from those who do not," Children and Youth Services Review, Elsevier, vol. 33(11), pages 2176-2185.
    3. Stephens, Tricia & Kuerbis, Alexis & Pisciotta, Caterina & Morgenstern, Jon, 2020. "Underexamined points of vulnerability for black mothers in the child welfare system: The role of number of births, age of first use of substances and criminal justice involvement," Children and Youth Services Review, Elsevier, vol. 108(C).
    4. Karatekin, Canan & Hong, Saahoon & Piescher, Kristine & Uecker, Jill & McDonald, Jeff, 2014. "An evaluation of the effects of an integrated services program for multi-service use families on child welfare and educational outcomes of children," Children and Youth Services Review, Elsevier, vol. 41(C), pages 16-26.
    5. Dauber, Sarah & Neighbors, Charles & Dasaro, Chris & Riordan, Annette & Morgenstern, Jon, 2012. "Impact of intensive case management on child welfare system involvement for substance-dependent parenting women on public assistance," Children and Youth Services Review, Elsevier, vol. 34(7), pages 1359-1366.
    6. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.

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