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Improving 24-month abstinence and employment outcomes for substance-dependent women receiving temporary assistance for needy families with intensive case management

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Listed:
  • Morgenstern, J.
  • Neighbors, C.J.
  • Kuerbis, A.
  • Riordan, A.
  • Blanchard, K.A.
  • McVeigh, K.H.
  • Morgan, T.J.
  • McCrady, B.

Abstract

Objective. We examined abstinence rates among substance-dependent women receiving Temporary Assistance for Needy Families (TANF) in intensive case management (ICM) over 24 months and whether ICM yielded significantly better employment outcomes compared with a screen-and-refer program (i.e., usual care). Methods. Substance-dependent (n=302) and non-substance dependent (n=150) TANF applicants in Essex County, New Jersey, were recruited. We randomly assigned substance-dependent women to ICM or usual care. We interviewed all women at 3, 9, 15, and 24 months. Results. Abstinence rates were higher for the ICM group than for the usual care group through 24 months of follow-up (odds ratio [OR]=2.11; 95% confidence interval [CI]=1.36, 3.29). A statistically significant interaction between time and group on number of days employed indicated that the rate of improvement over time in employment was greater for the ICM group than for the usual care group (incidence rate ratio=1.03; 95% CI=1.02, 1.04). Additionally, there were greater odds of being employed full time for those in the ICM group (OR=1.68; 95% CI=1.12, 2.51). Conclusions. ICM is a promising intervention for managing substance dependence among women receiving TANF and for improving employment rates among this vulnerable population.

Suggested Citation

  • Morgenstern, J. & Neighbors, C.J. & Kuerbis, A. & Riordan, A. & Blanchard, K.A. & McVeigh, K.H. & Morgan, T.J. & McCrady, B., 2009. "Improving 24-month abstinence and employment outcomes for substance-dependent women receiving temporary assistance for needy families with intensive case management," American Journal of Public Health, American Public Health Association, vol. 99(2), pages 328-333.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.133553_4
    DOI: 10.2105/AJPH.2007.133553
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    Cited by:

    1. 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.
    2. Kneipp, Shawn M. & Kairalla, John A. & Sheely, Amanda L., 2013. "A randomized controlled trial to improve health among women receiving welfare in the U.S.: The relationship between employment outcomes and the economic recession," Social Science & Medicine, Elsevier, vol. 80(C), pages 130-140.
    3. Emily Sama-Miller & Rebecca Kleinman & Lori Timmins & Heather Dahlen, "undated". "Employment and Health Among Low-Income Adults and Their Children: A Review of the Literature," Mathematica Policy Research Reports 6836d3a65c574ca1a62cd594e, Mathematica Policy Research.
    4. 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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