Barriers to employability among substance dependent and nonsubstance-affected women on federal welfare: implications for program design.

Morgenstern, Jon; McCrady, Barbara S.; Blanchard, Kimberly A.; McVeigh, Katharine H.; Riordan, Annette; Irwin, Thomas

doi:10.15288/jsa.2003.64.239

Cited by 41 publications

(56 citation statements)

References 9 publications

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“…Depressive symptoms were also of concern among the SARD substance-dependent sample. Consistent with national prevalence rates among mothers on welfare (Lennon et al, 2002), almost half (45%) of the SARD substance-dependent sample reported moderate to severe depressive symptoms at baseline, compared with only 5% of the SARD nondependent comparison sample (Morgenstern et al, 2003). Although simultaneous or integrated mental health and SUD services are recommended as optimal treatment for individuals with co-occurring disorders (Institute of Medicine, 2006;Mueser et al, 2003), the primary goal of the SARD ICM intervention was solely to enhance SUD treatment utilization and subsequent employment.…”

supporting

confidence: 60%

“…The complete SARD study methods are reported elsewhere (Morgenstern et al, 2003(Morgenstern et al, , 2006 and are briefl y reviewed here.…”

Section: Methodsmentioning

confidence: 99%

“…The Substance Abuse Research Demonstration (SARD) study was a fi eld tested, randomized controlled trial implemented in Essex County, NJ (Morgenstern et al, 2003). It examined the effectiveness of ICM in improving SUD treatment engagement, retention, and outcomes for substance-dependent women on TANF who were not currently enrolled in nor actively seeking SUD treatment.…”

mentioning

confidence: 99%

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Depression's Moderation of the Effectiveness of Intensive Case Management With Substance-Dependent Women on Temporary Assistance for Needy Families: Outpatient Substance Use Disorder Treatment Utilization and Outcomes

Kuerbis

Neighbors²,

Morgenstern³

2011

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Intensive case management (ICM) is effective for facilitating entry into and retention in outpatient substance use disorder treatment (OSUDT) for low-income substance-dependent women; however, no studies have specifi cally examined the moderating impact of depressive symptoms on ICM. The purpose of this study was to investigate whether depressive symptoms moderated ICM's effect on OSUDT engagement, attendance, and outcomes for substance-dependent women on Temporary Assistance for Needy Families (TANF). It was hypothesized that highly depressed women would demonstrate worse outcomes on all indicators. Method: Logistic regression and generalized estimating equations were used to determine depression's moderating impact on ICM in a secondary analysis of data from a randomized controlled trial comparing the effectiveness of ICM to usual care provided by local public assistance offi ces in Essex County, NJ. Substance-dependent women (N = 294) were recruited while being screened for TANF eligibility and were followed for 24 months. Results: Findings revealed that high levels of depressive symptoms moderated the effectiveness of ICM in unexpected directions for two outcome variables. Subjects with high levels of depressive symptoms in ICM were (a) signifi cantly more likely to engage in at least one treatment program than those in usual care and (b) associated with the fewest mean drinks per drinking day across the 24-month follow-up period. Independent effects for high levels of depressive symptoms and ICM were also found to positively infl uence engagement, attendance, and percentage days abstinent. Conclusions: ICM is effective for substance-dependent women with a broad spectrum of depressive symptoms in enhancing OSUDT utilization and outcomes.

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supporting

confidence: 60%

“…The complete SARD study methods are reported elsewhere (Morgenstern et al, 2003(Morgenstern et al, , 2006 and are briefl y reviewed here.…”

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Depression's Moderation of the Effectiveness of Intensive Case Management With Substance-Dependent Women on Temporary Assistance for Needy Families: Outpatient Substance Use Disorder Treatment Utilization and Outcomes

Kuerbis

Neighbors²,

Morgenstern³

2011

J. Stud. Alcohol Drugs

Self Cite

View full text Add to dashboard Cite

show abstract

“…Domestic violence, substance abuse, mental health, emotional health and physical disabilities constitute some of the most difficult personal barriers Jayakody, Danziger, & Kessler, 1998;Morgenstern, Blanchard, McVeigh, Riordan & Irwin, 2003).…”

Section: Personal Barriersmentioning

confidence: 99%

“…There is a consistently higher rate of unemployment among substance-abuse welfare recipients (Morgenstern et al, 2003).…”

Section: Substance Abusementioning

confidence: 99%

An Investigation of the Strategies used by Organizations Participating in the Welfare-to-Work Network Programs and Correlation of the Strategies with the Retention Data to Determine Best Practices for Job Retention among Former Welfare Recipients.

Smith

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Future Directions for Aging and Alcohol

et al. 2016

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Barriers to employability among substance dependent and nonsubstance-affected women on federal welfare: implications for program design.

Cited by 41 publications

References 9 publications

Depression's Moderation of the Effectiveness of Intensive Case Management With Substance-Dependent Women on Temporary Assistance for Needy Families: Outpatient Substance Use Disorder Treatment Utilization and Outcomes

Depression's Moderation of the Effectiveness of Intensive Case Management With Substance-Dependent Women on Temporary Assistance for Needy Families: Outpatient Substance Use Disorder Treatment Utilization and Outcomes

An Investigation of the Strategies used by Organizations Participating in the Welfare-to-Work Network Programs and Correlation of the Strategies with the Retention Data to Determine Best Practices for Job Retention among Former Welfare Recipients.

Future Directions for Aging and Alcohol

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