RESTRUCTURING SERVICES FOR DRUG ABUSING TANF WOMEN

本研究的主要目标是严格评估的有效性和成本的两种截然不同的方法来组织和结构的药物滥用治疗的妇女进入福利工作计划。 一种方法是提供标准护理。 替代方法将基于创新的公共卫生模式提供护理。 循证干预措施将作为创新办法的核心组成部分。 这项研究的背景是一个自然发生的实验。 新泽西州正在两个县开展一个福利示范项目。 在福利工作方案中有药物滥用问题的妇女将被随机分配到两个干预条件，标准护理或创新护理。这项研究将评估示范项目的两年成果。 此外，该研究还将比较示范中药物滥用妇女与福利工作方案中无症状妇女对照组的结果和成本。 研究样本将包括600名被诊断为DSM-IV药物滥用的妇女，以及600名被诊断为DSM-IV药物依赖的妇女。 此外，将对200名参加福利工作方案的无症状妇女进行研究。 所有研究受试者将在两个福利办公室招募，在基线时进行评估，并在3、6、12、18和24个月时亲自随访。 这项研究将审查治疗利用模式、药物滥用、就业和其他心理社会结果。 此外，还将进行全面成本研究，包括成本效益和成本效益分析。

The primary goal of this study is to rigorously evaluate the effectiveness and costs of two contrasting approaches to organizing and structuring substance abuse treatment for women entering welfare-to-work programs. One approach will deliver standard care. The alternative approach will deliver care based on an innovative, public health model. Evidence-based interventions will serve as the core components of the innovative approach. The context of this study is a naturally occurring experiment. The State of New Jersey is conducting a welfare demonstration project in two counties. Women in welfare-to-work programs with substance abuse problems will be randomly assigned to two intervention conditions, standard care or innovative care. This study will evaluate the two-year outcomes of the demonstration project. In addition, the study will compare outcomes and costs of the substance abusing women in the demonstration with those of a comparison group of non-symptomatic women in welfare-to work programs. The study sample will consist of 600 women diagnosed with DSM-IV substance abuse only, and 600 women diagnosed with DSM-IV substance dependence who are participants in the demonstration. In addition, 200 non-symptomatic women in welfare-to work programs will be studied. All study participants will be recruited at two welfare offices, assessed at baseline, and followed in-person at 3, 6, 12, 18, and 24 months. The study will examine treatment utilization patterns, and substance abuse, employment and other psychosocial outcomes. In addition, a full cost study including cost-effectiveness and cost-benefit analyses will be conducted.