Improving 24-Month Abstinence and Employment Outcomes for Substance-Dependent Women Receiving Temporary Assistance for Needy Families With Intensive Case Management

作者: Jon Morgenstern , Charles J. Neighbors , Alexis Kuerbis , Annette Riordan , Kimberly A. Blanchard

DOI: 10.2105/AJPH.2007.133553

关键词: Odds ratioProgram evaluationSubstance abuseAbstinenceDemographyRandomized controlled trialMedicineRate ratioHealth careConfidence interval

摘要: 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) non–substance dependent 150) TANF applicants Essex County, New Jersey, were recruited. randomly assigned to or care. interviewed all at 3, 9, 15, months.Results. Abstinence higher the group than care through of follow-up (odds ratio [OR] 2.11; 95% confidence interval [CI] 1.36, 3.29). A statistically significant interaction between time on number days employed indicated that rate improvement was greater (incidence 1.03; CI 1.02, 1.04). Additi...

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