Access to behavioral health services for women on TANF

产品说明：从维持收入权利到临时现金援助换工作的福利改革的主要特点是严格的工作要求、制裁和资格时间限制。这一改革的预期结果是通过就业实现自给自足。福利改革的基础是假定TANF的受益者与一般人口中的妇女一样能够工作。越来越多的人认识到，TANF人口的一个子集面临的障碍，工作和自给自足的基础上严重残疾，由于严重的精神疾病（SMI）。由于福利待遇的变化和医疗补助注册人数的下降，这些高危人群获得行为健康服务的机会可能会受到威胁。获得有效的行为健康服务可以促进这些妇女的就业。这项试点研究探讨了这些研究关注的问题，确定服务使用的AFDC/TANF人口与SMI的模式，并确定是否女性户主与SMI谁离开福利之前接受了行为健康服务，继续接受服务后离开TANF。本试验研究的结果将用于确定进行全面纵向研究的可行性，研究福利改革的结果对目前或以前接受福利的有重度医疗保险的户主的影响。试点的具体目标是： 确定目标人群的服务使用模式的现任和前任女性户主家庭与SMI接受AFDC/TANF谁使用医疗补助报销的行为健康服务在费城，PA，1997年和2000年之间。 确定是否离开福利减少获得治疗的妇女与SMI谁使用医疗补助行为健康服务，而对AFDC/TANF。 制定一项研究设计，以进行一项关于福利改革结果对目前和以前领取福利但有重度精神障碍的户主的影响的纵向研究，并作为R 01或职业发展奖提案提交。

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.