One-Year Outcomes From The Casaworks For Families Intervention For Substance-Abusing Women On Welfare  

Oleh:

McLellan, A. Thomas ; Gutman, Marjorie ; Lynch, Kevin ; McKay, James R. ; Ketterlinus, Robert ; Morgenstern, Jon ; Woolis, Diana

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Evaluation Review vol. 27 no. 6 (Dec. 2003), page 656-680.
Topik: substance abuse; welfare; employment; outcomes
Fulltext: 656.pdf (130.66KB)

Isi artikel

Aim: To evaluate the effectiveness of a multiservice intervention designed to move substanceabusing women on welfare to sobriety and self-sufficiency by addressing their substance abuse, domestic violence, employment, and basic needs. Design: A field evaluation with repeated measures at 6 and 12 months on an intent-to-treat sample of 529 women conducted in 11 selected sites across the country. There were significant improvements shown in substance use and family and social functioning by the 6-month point, and additional improvements in employment by the 12-month point. By 12 months, more than 46% were abstinent from alcohol and other drugs, and 30% were employed at least part-time. There were only modest improvements shown in the medical and psychiatric status of these women. These preliminary findings suggest that site-level interagency coordination and program-level case management were associated with improvements in the targeted areas as predicted by the model. Future work will require a more closely specified, manual-guided form of the intervention plus the inclusion of control groups and cost measures to fully evaluate the cost benefits from the final form of the intervention.

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