Prevalence of Psychiatric and Substance Use Disorders Among Single Mothers Nearing Lifetime Welfare Eligibility Limits

Cook, Judith Α.; Mock, Lynne Owens; Jonikas, Jessica A.; Burke-Miller, Jane K.; Carter, Tina M.; Taylor, A. M. Robert; Petersen, Carol; Grey, Dennis D.; Gruenenfelder, David

doi:10.1001/archgenpsychiatry.2008.539

Cited by 17 publications

(23 citation statements)

References 36 publications

(36 reference statements)

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“…Uninsured TANF leavers who report poor mental health are relatively unlikely to seek treatment (28). Conversely, a woman whose income qualifies her for TANF becomes relatively likely to get care as needed (19,29). TANF enrollment, then, seems to promote use of mental health and substance abuse services.…”

Section: Enabling Factorsmentioning

confidence: 99%

“…Studies show African-Americans commonly cite fear and mistrust of such providers as a reason for avoiding mental health treatment (21). One study of TANF recipients' ethnicity (together with their education and marital status), however, showed that ethnicity (and education and marriage alike) made no significant impact on treatment seeking for mental disorders or addiction; only the recipients' advancing age was found to be associated with the decision to pursue treatment (19).…”

Section: Predisposing Factorsmentioning

confidence: 99%

“…Very little in the literature here reviewed (19,20) involved examination of, specifically, low-income individuals' use of treatment services. One study (20) with a sample of substance-abusing TANF recipients advised that its results might have limited generalizability, while several others focused solely on former TANF recipients (28,44,45), excluding current recipients from their analyses.…”

Section: Predisposing Factorsmentioning

confidence: 99%

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Domestic Violence and Treatment Seeking: A Longitudinal Study of Low-Income Women and Mental Health/Substance Abuse Care

Cheng¹,

Lo²

2014

Int J Health Serv

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A study with 591 low-income women examined domestic violence's role in treatment seeking for mental health or substance abuse problems. (The women resided in one of two California counties.) Following Aday's behavioral model of health services utilization, the secondary data analysis considered the women's need, enabling, and predisposing factors. Generalized estimating equations analyzed the women's longitudinal records of treatment seeking. Results showed that those in the sample who were likely to seek treatment had experienced three or more controlling behaviors and only one abusive behavior. Multivariate data analysis showed treatment-seeking women were likely to be white and older; responsible for few dependent children; not graduates of high school; employed; not participating in Medicaid; diagnosed; and perceiving a need for treatment. The implications of these results for services and policies are discussed.

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Section: Enabling Factorsmentioning

confidence: 99%

Section: Predisposing Factorsmentioning

confidence: 99%

Section: Predisposing Factorsmentioning

confidence: 99%

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Domestic Violence and Treatment Seeking: A Longitudinal Study of Low-Income Women and Mental Health/Substance Abuse Care

Cheng¹,

Lo²

2014

Int J Health Serv

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“…Estimates suggest that between one fourth and one third of women on welfare experience some combination of post-traumatic stress disorder (PTSD), depression, generalized anxiety disorder (GAD), or substance abuse/misuse. 28 More recently, Cook et al (2009) found that among single mothers on welfare, 61% of mothers reported a lifetime rate of any DSM-IV disorder; 46.8% of mothers reported at least one disorder in the past 12 months. 29 The lifetime and 12-month rates for specific disorders were substance use disorder (SUD;29.1%, 9%), mood disorders (28.8%, 20.1%), and anxiety disorders (47.1%, 39.0%).…”

Section: Psychological Needs Of Low-income Women Are Still Unmetmentioning

confidence: 99%

Social Welfare Policy and the Psychological Needs of Low Income Women

Markward

Yegidis

2011

Poverty & Public Policy

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This manuscript analyzes policy that addresses the psychological needs of low income women, especially those on welfare. The sociopolitical model of policy analysis was used to examine the social, political, and economic context for addressing the psychological needs of low income women. Within the context of progressive physical and mental health enactments, the analysis examines the causes of psychological needs among poor women, the approaches that have been used to address the needs of poor women, and the need for policy that can result in service delivery systems and service provision to meet the psychological needs of low income women. The results of the analysis suggest the need for policy that allows for an umbrella approach to screening women on welfare for mental health issues and providing services that are not attached to financial eligibility or child welfare involvement.

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“…Substance-dependent parenting women are a complex population with problems in multiple areas including education, employment, housing, mental and physical health, and legal issues (Cook et al, 2009). Children of these women are at high risk of poor developmental, behavioral, and emotional outcomes, as well as increased involvement in the child welfare system (Barnard & McKeganey, 2004).…”

Section: Introductionmentioning

confidence: 99%

Impact of intensive case management on child welfare system involvement for substance-dependent parenting women on public assistance

Dauber

Neighbors

Dasaro

et al. 2012

Children and Youth Services Review

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This study examined the impact of intensive case management (ICM) on decreasing child welfare system involvement in a sample of substance-dependent parenting women who participated in a welfare demonstration study comparing ICM to usual screen-and-refer models employed in welfare settings. Previous research established the effectiveness of ICM in both increasing engagement in substance abuse treatment and in promoting abstinence, and the current study tested whether ICM had downstream impacts on child welfare outcomes not directly targeted by the intervention. The sample included 302 mothers recruited from welfare offices and their 888 minor children. Child welfare outcomes were available from administrative records for four years following study entry and included incident reports and out-of-home child placements. An initial positive effect of ICM was found on child placements, but its impact lessened over time and was likely due to the increased contact with case managers that occurred early in the study. Overall, minimal benefits of ICM were found, suggesting that while ICM was effective in the areas of treatment engagement and abstinence, there were no downstream benefits for child welfare outcomes. Implications of findings in terms of increased need for cross-system collaboration are discussed.

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Prevalence of Psychiatric and Substance Use Disorders Among Single Mothers Nearing Lifetime Welfare Eligibility Limits

Abstract: Despite the high prevalence of psychiatric and substance use disorders in this population, many remain untreated. The consequences of terminating welfare assistance are worthy of further investigation, given the potential for adverse effects on both mothers and their young children.

Cited by 17 publications

References 36 publications

Domestic Violence and Treatment Seeking: A Longitudinal Study of Low-Income Women and Mental Health/Substance Abuse Care

Domestic Violence and Treatment Seeking: A Longitudinal Study of Low-Income Women and Mental Health/Substance Abuse Care

Social Welfare Policy and the Psychological Needs of Low Income Women

Impact of intensive case management on child welfare system involvement for substance-dependent parenting women on public assistance

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