RESTRUCTURING SERVICES FOR DRUG ABUSING TANF WOMEN

本研究的主要目的是严格评估两种截然不同的方法的有效性和成本，以组织和构建进入福利工作计划的妇女的药物滥用治疗。一种方法将提供标准护理。另一种办法将根据一种创新的公共卫生模式提供护理。以证据为基础的干预措施将成为创新方法的核心组成部分。本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福利示范项目。有药物滥用问题的妇女将被随机分配到两种干预条件下，标准治疗或创新治疗。本研究将评估示范项目的两年成果。此外，该研究将比较示范中药物滥用妇女的结果和成本，与福利到工作方案中无症状妇女的对照组的结果和成本。研究样本将包括600名仅诊断为DSM-IV药物滥用的妇女，以及600名诊断为DSM-IV药物依赖的妇女，她们是示范的参与者。此外，还将研究200名从福利到工作的无症状妇女。所有研究参与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个月时进行亲自随访。该研究将检查治疗利用模式、药物滥用、就业和其他社会心理结果。此外，将进行全面的费用研究，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.