25.4jayakody - Welfare Reform, Substance Use, and Mental...

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Sheet1 Page 1 Welfare Reform, Substance Use, and Mental Health Jayakody, Rukmalie. Danziger, Sheldon. Pollack, Harold. Journal of Health Politics, Policy and Law, Volume 25, Number 4, August 2000, pp. 623-651 (Article) Published by Duke University Press For additional information about this article http://muse.jhu.edu/journals/jhp/summary/v025/25.4jayakody.html Access Provided by Scarsdale High School at 10/29/10 5:53AM GMT A Welfare Reform, Substance Use, and Mental Health Rukmalie Jayakody Pennsylvania State University Sheldon Danziger and Harold Pollack University of Michigan Abstract Reform has transformed traditional entitlement to cash welfare under Aid to Families with Dependent Children (AFDC) into a transitional program known as Temporary Assistance to Needy Families (TANF). Because of the new work requirements and the time-limited nature of assistance, policy makers are increasingly confronted with what to do when welfare recipients do not effectively make the transition from welfare to work. Increasingly, the language of public health is being used to determine who is q employable& and who is not. Thus renewed attention is being focused on the individual characteristics of participants themselves, particularly specific diagnoses that might reduce employability. This article focuses on substance abuse and mental health problems among single mothers and examines their relationship to welfare receipt. We analyze data from the 1994 and 1995 National Household Survey of Drug Abuse (NHSDA) and find that 19 percent of welfare recipients meet the criteria for a DSM-III-R (Diagnostic and Statistical Manual of Mental Disorders, third edition revised) psychiatric diagnosis. About the same percentage have used illicit drugs during the previous year. Logistic regression results indicate that mental and behavioral health problems that are significant barriers to self-sufficiency are increasingly important in this era of time-limited benefits. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996&welfare reform‚ redefined the goals and daily operation of pub-
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Sheet1 Page 2 This research was supported by grants from the National Institute of Mental Health (R24MH51363, R03-MH57898) and the Robert Wood Johnson Foundation Substance Abuse Policy Research Program. Any opinions expressed are those of the authors. An earlier version of this article was presented at the annual meeting of the Association for Public Policy Analysis and Management. David Boyum, Sherry Glied, Ron Kessler, James Kunz, Robert Plotnick, Peter Reuter, and Michael Spencer provided helpful comments on a previous draft. The authors would like to thank the editor and referees for useful comments that improved this article. Journal of Health Politics, Policy and Law, Vol. 25, No. 4, August 2000. Copyright © 2000 by
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25.4jayakody - Welfare Reform, Substance Use, and Mental...

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