Access to behavioral health services for women on TANF

贫困家庭临时援助 (TANF) 妇女获得行为健康服务的机会

• 批准号: 6463522
• 负责人: Dannia G. Southerland
• 金额: $ 7.93万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-01-04 至 2003-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6463522
• 关键词: Medicare /Medicaid; age difference; behavioral /social science research tag; behavioral medicine; clinical research; experimental designs; female; health care policy; health care quality; health care service availability; health services research tag; human data; human population study; low socioeconomic status; medically underserved population; mental disorders; mental health services; patient care management; psychosocial rehabilitation; public assistance; racial /ethnic difference; social service; therapy; women's health

DESCRIPTION: Key features of welfare reform from an income maintenance entitlement (AFDC) to temporary cash assistance in exchange for work (TANF) are strict work requirements, sanctions, and time limits on eligibility. The expected outcome of this reform is self-sufficiency through employment. Underlying welfare reform is the assumption that TANF recipients are as able to work as women in the general population. There is increasing recognition that a subset of the TANF population face barriers to work and self-sufficiency based on significant disability due to -serious mental illness (SMI). Access to behavioral health services by this at-risk population may be in jeopardy as a consequence of changes to welfare entitlements and declines in Medicaid enrollment. Employment for these women can be facilitated by access to effective behavioral health services. This pilot study examines these research concerns by identifying patterns of service use of the AFDC/TANF population with SMI and determining whether female heads of households with SMI who had received behavioral health services before leaving welfare continue to receive services after leaving TANF. Findings from this pilot study will be used to determine the feasibility of conducting a full-scale longitudinal study of the impact of welfare reform outcomes on heads-of-households currently or formerly receiving welfare that have SMI. The specific aims of the pilot are to: Identify patterns of service use of the target population of current and former female heads-of households with SMI receiving AFDC/TANF who used Medicaid reimbursed behavioral health services in Philadelphia, PA, between 1997 and 2000. Determine whether leaving welfare reduces access to treatment for women with SMI who used Medicaid behavioral health services while on AFDC/TANF. Develop a research design for a longitudinal study of the impact of welfare reform outcomes on current and former heads-of-households receiving welfare that have SMI, to submit as an R01 or a career development award proposal.

描述：从收入维持津贴（AFDC）到临时现金援助换工作（TANF）的福利改革的主要特点是严格的工作要求，制裁和资格的时间限制。这一改革的预期结果是通过就业实现自给自足。福利改革的基础是这样一种假设，即TANF受助人的工作能力与一般人口中的妇女一样。越来越多的人认识到，由于严重精神疾病（SMI）导致的严重残疾，TANF人口的一部分面临工作和自给自足的障碍。由于福利权利的变化和医疗补助登记人数的下降，这些高危人群获得行为健康服务的机会可能处于危险之中。通过获得有效的行为健康服务，可以促进这些妇女的就业。这项试点研究通过确定患有严重精神障碍的AFDC/TANF人口的服务使用模式，并确定患有严重精神障碍的女性户主在离开福利机构之前接受过行为健康服务，在离开TANF后是否继续接受服务，来审查这些研究关注的问题。这项试点研究的结果将用于确定对福利改革结果对患有重度精神障碍的目前或以前领取福利的户主的影响进行全面纵向研究的可行性。试点的具体目标是：