This study assesses the impact of having a child in foster care and receiving cash benefits through Temporary Assistance for Needy Families (TANF) on women's completion of a residential drug treatment program. The study's hypothesis was that drug treatment completion rates for women who had children in foster care and/or who were receiving TANF would differ from women who did not receive these services. The sample included 117 women age 19 to 54, in a Midwestern state. Findings suggest that women with a child or children in foster care were less likely to complete treatment. Women receiving cash benefits were also somewhat less likely to complete treatment than women not receiving these services. Women with children in foster care had similar levels of psychological, employment, and drug and alcohol concerns as other women, as measured by the Addiction Severity Index. Future research should focus on identifying strategies that enhance retention rates of these vulnerable women. Implications for improving treatment retention are discussed in light of the Adoption and Safe Families Act of 1997 and the Personal Responsibility and Work Opportunity Reconciliation Act of 1996.
TextThe purpose of this study was to assess how having a child in foster care, and/or receiving cash benefits through Temporary Assistance for Needy Families (TANF) impacted women's residential drug treatment completion rates. The study took place at a women's residential drug treatment center in the Midwest where drug treatment, child welfare, and TANF are provided through three different agencies who work independently of each other, and where there is little, if any, interagency collaboration.Examining the impact of foster care and welfare on women's drug treatment completion rates seems especially relevant in light of the passage of the Adoption and Safe Families Act of 1997 (ASFA) and the Personal Work and Responsibility Act of 1996 (PRWORA). As service delivery systems, child welfare, TANF, and substance abuse services have separate goals, philosophies, legal mandates, and timelines. With the new ASFA timelines, low-income women in recovery are expected to completely overcome their addiction in a relatively short period of time (Azzi-Lessing & Olsen, 1996). While not empirically tested, these various 518-591-8784. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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Author ManuscriptChild Youth Serv Rev. Author manuscript; available in PMC 2009 January 1.
Published in final edited form as:Child Youth Serv Rev. 2008 ; 30(8): 942-954.
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