TRENDS IN ALCOHOL PROBLEMS UNDER WELFARE REFORM

福利改革下酒精问题的趋势

• 批准号: 6563138
• 负责人: Laura A. Schmidt
• 金额: $ 24.29万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-01-01 至 2002-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6563138
• 关键词: alcoholism /alcohol abuse; behavioral /social science research tag; breath tests; clinical research; drug abuse; health care policy; health care service; health services research tag; human subject; interview; longitudinal human study; patient oriented research; population survey; social change; social service; socioeconomics; substance abuse related disorder; urinalysis

DESCRIPTION: Research Component 5 speaks to timely concerns about the changing circumstances of low-income people with alcohol problems in the 1990s, a period of important changes in the economy and in federal policies under welfare reform. The project tracks change in alcohol and drug problems, and their socioeconomic correlates, by comparing an existing sample of welfare recipients interviewed in 1989 with a new, comparable sample collected in 2001. Both samples are representative of welfare recipients in a large California county interviewed at intake for federally-funded Temporary Aid to Needy Families (TANF, formerly Aid to Families with Dependent Children [AFDC]) and county-funded General Assistance (GA). Analyses examine trends in the burden of alcohol and drug problems on AFDC/TANF and GA to better understand secular changes in who welfare programs have to work with, in terms of the functional capacities and substance-related disabilities of their clientele. The study also examines the impact of changing substance-related client eligibility criteria, or "gate-keeping" policies, on the characteristics of the AFDC/TANF and GA caseloads over time. By incorporating both quantitative and qualitative methods, we investigate the hypothesis that more punitive federal welfare reform gatekeeping policies around substance abuse have contributed to reductions in rates of alcohol and drug problems in the TANF population, while increasing the burden of alcohol and drug problems on local GA -- the welfare program of last resort for substance abusers unable to obtain federal aid through TANF. Component 5 builds on the Center?s past services research on the public agency response to alcohol problems in communities, and on the Center?s track record of research on alcohol and drug problems in the welfare population. At the same time, it expands those agendas by tracking change over time in the social handling of a large, special population of problem drinkers in America, and by examining how this population is being affected by major social policies occurring outside the narrow field of alcohol policy.

描述：研究组成部分5谈到了对 中国有酒精问题的低收入人群的环境变化 20世纪90年代，经济和联邦政策发生重要变化的时期 在福利改革下。该项目跟踪酒精和毒品问题的变化， 和他们的社会经济相关性，通过比较现有的福利样本 1989年通过收集的新的、可比较的样本采访了收件人 2001年。这两个样本在很大程度上都代表了福利受助人 加利福尼亚州县在接受联邦资助的临时援助时接受采访 贫困家庭(TANF，前援助有受抚养子女的家庭[AFDC]) 和县资助的一般援助(GA)。分析检查了以下方面的趋势 酒精和毒品问题对AFDC/TANF和GA的负担以更好地了解 福利计划必须与谁合作的长期变化，就 其客户的功能能力和与物质相关的残疾。 这项研究还检查了改变与物质相关的客户的影响 资格标准，或“把关”政策，关于以下特点 AFDC/TANF和GA案件随着时间的推移而增加。通过将量化的 和定性的方法，我们调查了更具惩罚性的假设 围绕药物滥用的联邦福利改革把关政策 有助于降低TANF的酒精和毒品问题比率 人口，同时增加了当地的酒精和毒品问题的负担 GA--物质滥用者最后的福利计划 通过TANF获得联邦援助。组件5建立在中心-S过去的基础上 年公共机构应对酒精问题的服务研究 社区，还是中心？S研究酒精和毒品的记录 福利人口中的问题。与此同时，它扩大了这些议程 通过跟踪随着时间的变化在社会处理中的大型、特殊 美国问题饮酒者的人数，并通过研究这一点 人口正受到国外重大社会政策的影响 酒精政策的狭隘领域。