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New Releases in the Last Year (March 2004-Current)

  • Screening and Assessing Mental Health and Substance Use Disorders Among Youth in the Juvenile Justice System: A Resource Guide for Practitioners (December 2004).  This report presents information on instruments that can be used to screen and assess youth for mental health- and substance use-related disorders at various stages of the juvenile justice process.  It includes profiles of more than 50 instruments, guidelines for selecting instruments, and best practice recommendations for diverse settings and situations. The Guide is intended as a basic tool for juvenile justice professionals working toward the goal of early, accurate identification of youth with mental disorders. Once identified, these youth can receive the services required to improve their lives, reduce recidivism, and promote community safety. Available online only (Office of Juvenile Justice and Delinquency Prevention).  http://www.ncjrs.org/pdffiles1/ojjdp/204956.pdf

 

  • Criminal Neglect: Substance Abuse, Juvenile Justice and the Children Left Behind (October 2004).  This report, based on 2000 data, is the first comprehensive examination of the relationship between substance abuse and juvenile delinquency.  It discusses the nature and extent of drug involvement among juvenile offenders; missed opportunities for prevention; criminal neglect; what it would take to prevent substance abuse and delinquency; what it would take to treat substance-involved juvenile offenders; juvenile drug courts as an innovative intervention; the costs of substance abuse and delinquency; and opportunities and next steps (The National Center on Addiction and Substance Abuse at Columbia University).  http://www.casacolumbia.org/pdshopprov/shop/item.asp?itemid=73

 

  • Enhancing Substance Abuse Recovery Through Integrated Trauma Treatment (June 2004).  This paper describes the four trauma models developed and tested in SAMHSA’s Women, Co-Occurring Disorders and Violence Study  (WCDVS) as well as another frequently used model that can be integrated within substance abuse treatment, and provides guidance for providers in choosing a model for their agency (The National Trauma Consortium). http://www.nationaltraumaconsortium.org/documents/IntegratedTrauma.pdf

 

  • Depression, Substance Abuse, and Domestic Violence: Little is Known About Co-Occurrence and Combined Effects on Low-Income Families (June 2004).  Depression, domestic violence, and substance abuse are often considered individual problems but, in fact, the societal costs of these problems are great. Either alone or in combination, these risk factors not only impair a person’s ability to work, they also affect parenting processes, which can hinder children's development. This report summarizes recent research and finds a need for more information on two-generation approaches (National Center for Children in Poverty). http://nccp.org/media/dsd04-text.pdf

 

 

  • Substance Abuse and Welfare Reform (April 2004).  This policy brief cites new estimates on the extent of substance abuse among welfare recipients and notes that recipients face a number of additional barriers (e.g., poor education, physical and mental health problems) to self-sufficiency.  The authors stress the need for comprehensive services to address the multiple barriers faced by the most disadvantaged welfare recipients (National Poverty Center).  http://www.npc.umich.edu/publications/policy_briefs/brief02/index.shtml
  • Depression, Substance Abuse, and Domestic Violence: Little is Known About Co-Occurrence and Combined Effects on Low-Income Families (June 2004). Depression, domestic violence, and substance abuse are often considered individual problems but, in fact, the societal costs of these problems are great. Either alone or in combination, these risk factors not only impair a person’s ability to work, they also affect parenting processes, which can hinder children's development. This report summarizes recent research and finds a need for more information on two-generation approaches (National Center for Children in Poverty). http://nccp.org/media/dsd04-text.pdf

  • Family Planning with Substance-Using Women (April 2004). This fact sheet examines the prevalence of contraceptive use and explanations for low rates of use among women with substance use disorders, and describes efforts to address this issue (National AIA Resource Center). http://aia.berkeley.edu/publications/fact_sheets/family_planning_2004.html

  • Substance Abuse and Welfare Reform (April 2004). This policy brief cites new estimates on the extent of substance abuse among welfare recipients and notes that recipients face a number of additional barriers (e.g., poor education, physical and mental health problems) to self-sufficiency. The authors stress the need for comprehensive services to address the multiple barriers faced by the most disadvantaged welfare recipients (National Poverty Center). http://www.npc.umich.edu/publications/policy_briefs/brief02/index.shtml

  • Perinatal Substance Exposure (February 2004). This document provides an overview of and recent research on the issue of substance abuse among pregnant women. It addresses, for example, women’s unique social and psychological issues, the effects of in-utero drug exposure, relevant legislation and policy, and prevention and treatment for this population (National AIA Resource Center). http://aia.berkeley.edu/publications/fact_sheets/perinatal_substance.html

  • Substance Abuse and Child Maltreatment (December 2003). This brief paper highlights the scope of the problem, the impact of parental substance abuse on children, barriers to effective service delivery, and examples of innovative approaches to the problem (National Clearinghouse on Child Abuse and Neglect Information). http://nccanch.acf.hhs.gov/pubs/factsheets/subabuse_childmal.cfm

  • CASAWORKS for Families: A New Treatment Model for Substance-Abusing Parenting Women on Welfare (December 2003). In this special issue of Evaluation Review (vol. 27:6) contains several articles that provide an overview of the CASAWORKS for Families (CWF) intervention, present findings from the evaluation of the CWF pilot demonstrations, discuss treatment services clients received, highlight one-year outcomes, and identify potential barriers to work for substance-abusing women on welfare. (For information on this journal, please visit http://www.sagepub.co.uk/journal.aspx?pid=105549)

  • A Preliminary Review of Alcohol and Other Drug Issues in the States’ Children and Family Service Reviews and Program Improvement Plans (November 2003). This working paper summarizes and analyzes a total of 39 state reports from Children and Family Service Reviews (CFSR) and 27 Program Improvement Plans (PIPs), highlighting pertinent substance abuse issues. This document will be updated as new state reports are completed. http://www.ncsacw.samhsa.gov/files/SummaryofCFSRs.pdf

  • Serving Welfare Clients with Mental Health or Substance Abuse Problems (October 2003). This Resources for Welfare Decisions provides information that may assist welfare agencies to provide needed services to these hard-to-employ clients (The Finance Project; http://www.financeprojectinfo.org/Publications/servingwelfareclientsRN.htm).

  • Alcohol: A Women's Health Issue (September 2003). This booklet is the result of collaboration between two components of the National Institutes of Health (NIH): the Office of Research on Women’s Health, Office of the Director, and the National Institute on Alcohol Abuse and Alcoholism. A free 12 minute video, Alcohol: A Women's Health Issue, is also available by contacting the National Institute on Alcohol Abuse and Alcoholism Publications and Distribution Center, 301-496-8176. The film profiles women recovering from alcohol problems and describes the health consequences of heavy drinking in women. http://www.niaaa.nih.gov/publications/brochurewomen.women.htm

  • Effectiveness of Substance Abuse Treatment Programming for Women: A Review (2003). This article in the American Journal of Drug and Alcohol Abuse reviews the literature on the extent and effectiveness of substance abuse treatment programming for women and provides an overview of what is known about the components of successful treatment programs for women. View full abstract at: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12731680

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Other Reports and Monographs (by Topic/Focus Area)

Substance Abuse and Women – General

  • Women and Drugs (last updated June 2, 2004). This fact sheet, prepared by the Office of National Drug Control Policy (ONDCP), provides data and information on extent of drug use by women, health effects, treatment, and arrests and sentencing. http://www.whitehousedrugpolicy.gov/drugfact/women/

  • Alcohol: A Women's Health Issue (September 2003).  This booklet is the result of collaboration between two components of the National Institutes of Health (NIH): the Office of Research on Women’s Health, Office of the Director, and the National Institute on Alcohol Abuse and Alcoholism. A free 12 minute video, Alcohol: A Women's Health Issue, is also available by contacting the National Institute on Alcohol Abuse and Alcoholism Publications and Distribution Center, 301-496-8176. The film profiles women recovering from alcohol problems and describes the health consequences of heavy drinking in women.  http://www.niaaa.nih.gov/publications/brochurewomen.women.htm

 

 

  • Women and Alcohol: An Update (2002). This issue of Alcohol Research and Health (volume 26:4) features 11 articles on various gender-specific topics, including the effects of prenatal alcohol exposure on child development, minority women and alcohol use, and use and misuse of alcohol among older women. http://www.niaaa.nih.gov/publications/arh26-4/toc26-4.htm

  • Unique Treatment Needs of Women with Alcohol Problems (2000). This issue of FrontLines, a NIAAA publication, deals with the different treatment issues and needs of women and makes a case for gender-specific alcohol research. Articles in this issue address substance use by women on welfare, intervention and treatment of older women, alcohol and eating disorders, and domestic violence and substance use, among other things. (Published by Academy for Health Services Research) http://www.academyhealth.org/publications/frontlines/jun00.pdf)

 

  • Women and Substance Abuse: Instructor’s Guide (1998).  This curriculum, which consists of four modules, was developed as a cooperative effort between the Addiction Technology Transfer Center (ATTC) of New England and Project ADEPT.  It is designed to assist health care professionals in screening, identification, and presentation of a diagnosis reflective of alcohol and other drug use/abuse in women. http://www.attc-ne.org/resources/pplist.html

 

  • Keeping Score – Women and Drugs: Looking at the Federal Drug Control Budget (1998).  This review examines how Federal anti-drug initiatives affect four key areas: illicit drug use, drug-related crime, drugs in the workplace, and the impact of drugs on health and health care costs.  This particular review focuses on women and looks at alcohol, tobacco and other drug use among women from many different perspectives: public health, criminal justice, impact on children, treatment and prevention (Drug Strategies). http://www.drugstrategies.com/acrobat/ks_1998.pdf

 

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Substance Abuse and Women – Special or Targeted Populations

  • AIA Best Practices: Lessons Learned from a Decade of Service to Children and Families Affected by HIV and Substance Abuse (2003). This publication highlights lessons learned from the first decade of experiences and cross-site evaluations of the AIA program and how those lessons can be applied to policy development and program planning for drug and HIV/AIDS affected infants and children vulnerable for abandonment and their families (National AIA Resource Center). http://aia.berkeley.edu/publications/monographs/aia_best_practices.html

  • The Formative Years: Pathways to Substance Abuse Among Girls and Young Women Ages 8-22 (February 2003). This report is a comprehensive analysis of the pathways to substance abuse among young females in America, the consequences of substance abuse unique to them and the efficacy of current prevention and treatment programs in serving their needs. (The National Center on Addiction and Substance Abuse at Columbia University). http://209.208.151.183:8080/pdshopprov/shop/item.asp?itemid=13

  • Adolescent Substance Abuse Treatment in the United States: Exemplary Models from a National Evaluation Study (March 2003). This book describes exemplary substance abuse treatment programs for adolescents. Coverage includes outpatient, residential, family-oriented, and modified therapeutic community programs serving youths from a wide range of ethnic and cultural backgrounds. These programs were identified through SAMHSA’s CSAT. (Haworth Press; available in paperback at Amazon.com or in bookstores).

  • Lessons Learned: Serving Pregnant and Parenting Women in Substance Abuse Treatment Programs (June 2002). The lessons learned presented in this report are based on the experiences of Drug Free Families of Pinellas County, Safe Port of Monroe County, and Women’s Residential Addiction Program of Dade County. The primary goal of these three programs is to provide services for women in recovery with respect to strengthening and stabilizing families to prevent child abuse and neglect (Florida Department of Children and Families and the Ounce of Prevention Fund). http://www.ounce.org/pdf/ADMLessonsLearned.pdf

  • Substance Use and Risky Sexual Behavior (February 2002). Teens and young adults face many pressures and decisions involving alcohol, drugs and sexual activity – decisions that often occur simultaneously. Four fact sheets surveying attitudes and practices among adolescents and young adults (The National Center on Addiction and Substance Abuse at Columbia University). http://209.208.151.183:8080/pdshopprov/shop/item.asp?itemid=52

  • Meeting the Challenge: Ending Treatment Disparities for Women of Color (2001). This report discusses the need for appropriate treatment for women of color who have mental health, substance abuse and co-occurring disorders (National Mental Health Association). http://www.nmha.org/substance/women_disparities.cfm

  • Under the Rug: Substance Abuse and The Mature Woman (June 1998). This report provides an analysis of the extent, nature and consequences of substance abuse and addiction among women over age 59. This two-year study includes the findings from a CASA national survey of physicians, CASA's examination of prescription drug use patterns by mature women and CASA's analysis of health care costs attributable to substance abuse in this population. The report reveals the high financial and human costs associated with substance abuse by mature women and identifies effective prevention and treatment strategies. (The National Center on Addiction and Substance Abuse at Columbia University). http://209.208.151.183:8080/pdshopprov/shop/item.asp?itemid=40

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Violence/Sexual Abuse/Trauma/Co-Occurring Disorders

  • Parenting Issues for Women with Co-Occurring Disorders Who Also Have Histories of Trauma (date not known). This report, produced by the SAMHSA Women, Co-Occurring Disorders and Violence Study Coordinating Center, provides an overview of the issues, identifies gaps in treatment, and outlines recommendations for how to optimize treatment for this population. http://www.wcdvs.com/pdfs/ParentingFactSheet.pdf

  • Partners’ Influence on Women’s Addiction and Recovery: The Connection Between Substance Abuse, Trauma, and Intimate Relationships (2002). The purpose of the monograph is to: provide a better understanding of the role that intimate partners play in women’s recovery from substance abuse, explore strategies for helping women to assess their past and present intimate relationships in the context of their addiction, present strategies for safely engaging partners in women’s recovery (National AIA Resource Center). http://aia.berkeley.edu/publications/monographs/partners.html

  • Consumer/Survivor/Recovering Women: A Guide for New Partners in Collaboration (2001). The goals of this guide are to 1) articulate a framework that distills the benefits and challenges of integrating C/S/R women into system, service and research activities, 2) enhance and promote dialogue about C/S/R integration efforts, 3) contribute to the current state of knowledge, 4) promote awareness of gender-specific and culturally-sensitive approaches, and 5) provide recommendations that could facilitate the development of policy and practices that enhance meaningful involvement opportunities for C/S/R women. (Prepared for the SAMHSA Women, Co-Occurring Disorders and Violence Study Coordinating Center). http://www.wcdvs.com/pdfs/Prescott.pdf

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Substance Abuse and Child Welfare

  • Perinatal Substance Exposure (February 2004).  This document provides an overview of and recent research on the issue of substance abuse among pregnant women.  It addresses, for example, women’s unique social and psychological issues, the effects of in-utero drug exposure, relevant legislation and policy, and prevention and treatment for this population (National AIA Resource Center). 

 

  • Substance Abuse and Child Maltreatment (December 2003).  This brief paper highlights the scope of the problem, the impact of parental substance abuse on children, barriers to effective service delivery, and examples of innovative approaches to the problem (National Clearinghouse on Child Abuse and Neglect Information). http://nccanch.acf.hhs.gov/pubs/factsheets/subabuse_childmal.cfm

 

  • A Preliminary Review of Alcohol and Other Drug Issues in the States’ Children and Family Service Reviews and Program Improvement Plans (November 2003).  This working paper summarizes and analyzes a total of 39 state reports from Children and Family Service Reviews (CFSR) and 27 Program Improvement Plans (PIPs), highlighting pertinent substance abuse issues.  This document will be updated as new state reports are completed. http://www.ncsacw.samhsa.gov/files/SummaryofCFSRs.pdf

 

  • Children’s Program Toolkit (June 2003). This kit provides materials for substance abuse treatment programs so they can initiate educational support programs for the children of their clients. It also contains information for therapists to distribute to their clients to help parents understand the needs of their children. http://ncadi.samhsa.gov/promos/coa/

  • Children at Clandestine Methamphetamine Labs: Helping Meth’s Youngest Victims (June 2003). This bulletin provides an overview of methamphetamine production and trends and discusses the dangers to children living in meth labs. It also outlines recommendations for a multidisciplinary team approach to meet the needs of children found at clandestine labs, and highlights some promising practices in the field (Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice). http://www.ojp.usdoj.gov/ovc/publications/bulletins/children)

  • Children of Mothers with Serious Substance Abuse Problems: An Accumulation of Risks (2003). In this American Journal of Drug and Alcohol Abuse article (vol. 29:4), the authors examine the life circumstances and experiences of nearly 4,100 children affected by maternal addiction to alcohol and other drugs. The findings suggest that children of substance abusing mothers face a high level of risk and are at increased vulnerability for physical, academic, and socioemotional problems.

  • Safe & Sound: Models for Collaboration Between the Child Welfare and Addiction Treatment Systems (2003). This report discusses: (1) the Adoptions and Safe Families Act (ASFA) and its implications for families at risk for involvement in the child welfare system because of parental addiction; (2) how two localities are addressing addiction in their child welfare systems; and, (3) a model for addressing addiction among families involved in the child welfare system based on case study findings (Legal Action Center’s Arthur Liman Policy Institute). http://www.lac.org/pubs/gratis/Safe_Sound_Report.pdf)

  • Lessons Learned: Serving Pregnant and Parenting Women in Substance Abuse Treatment Programs (June 2002). The lessons learned presented in this report are based on the experiences of Drug Free Families of Pinellas County, Safe Port of Monroe County, and Women’s Residential Addiction Program of Dade County. The primary goal of these three programs is to provide services for women in recovery with respect to strengthening and stabilizing families to prevent child abuse and neglect (Florida Department of Children and Families and the Ounce of Prevention Fund). http://www.ounce.org/pdf/ADMLessonsLearned.pdf

  • Alcohol, Other Drugs & Child Welfare (2001). This booklet provides information and statistics on both substance abuse and its relationship to child welfare. It describes current challenges and consequences of both substance abuse and child maltreatment and provides examples of programs that work effectively to address these complex problems. (Child Welfare League of America). http://www.cwla.org/programs/bhd/aodbrochure.pdf

  • Linking Child Welfare and Substance Abuse Treatment: A Guide for Legislators (2000). This guidebook provides legislators with examples of initiatives that link child welfare services with substance abuse treatment. It outlines how to start statewide planning services, require cooperation between child welfare and substance abuse treatment agencies, provide funding, and help ensure parents get the services they need to safely care for their children. (National Conference of State Legislators). The executive summary is available at: http://www.ncsl.org/programs/pubs/xsmabuse.htm or it can be ordered at: http://www.ncsl.org/public/catalog/pubs.cfm

  • Five National Reports Issued on Alcohol and Other Drug Problems in Child Welfare (1999). This document, prepared by Children and Family Futures, Inc., lists the five major reports that have been issued since 1997 on substance abuse and child welfare, and provides a summary table of problem statements and recommendations from each report. The table is organized by the five areas of action called for in the DHHS Report to Congress (Children and Family Futures, Inc.). http://www.ncsacw.samhsa.gov/files/508/Summary5NationaReports.htm; http://www.ncsacw.samhsa.gov/files/Summary5NationaReports.pdf

  • Blending Perspectives and Building Common Ground: A Report to Congress on Substance Abuse and Child Protection (April 1999). This report, mandated by the Adoption and Safe Families Act of 1997, provides an overview on the relationship between substance abuse and child maltreatment. It proposes five areas of action: Building Collaborative Working Relationships; Assuring Timely Access to Comprehensive Substance Abuse Treatment; Improving our Ability to Engage and Retain Clients in Care and to Support Ongoing Recovery; Improving Children's Services; and Filling Information Gaps (Department of Health and Human Services, Administration for Children and Families, Substance Abuse and Mental Health Services Administration, Office of the Assistant Secretary for Planning and Evaluation). http://aspe.hhs.gov/hsp/subabuse99/subabuse.htm

  • Healing the Whole Family: A Look at Family Care Programs (1999). This book profiles 50 residential treatment programs from across the country that provide comprehensive services to mothers and children. It focuses on the importance of family care and describes the unique characteristics that make it work for children and families in crisis. The Executive Summary is available online at http://www.childrensdefense.org/childwelfare/abuse/healing.pdf. Copies may also be ordered by calling CDF publications at (202) 662-3652.

  • Child Welfare and Alcohol and Other Drugs Fact Sheet. This fact sheet provides facts regarding the link between the child welfare system and substance abuse and the capacity of the child welfare system to address substance abuse-related issues (Child Welfare League of America). http://www.cwla.org/programs/bhd/aodcwfactsheet.htm

  • Foster Care: Agencies Face Challenges Securing Stable Homes for Children of Substance Abusers (September 1998). This GAO report discusses the extent and characteristics of parental substance abuse among foster care cases and the difficulties agencies face in making timely permanency decisions for such children. Offers model initiative to achieve timely permanency outcomes (General Accounting Office). http://www.ncsacw.samhsa.gov/files/508/GAOFosterCare.htm; http://www.gao.gov/archive/1998/he98182.pdf A hard copy may be ordered on-line at www.gao.gov or by calling (202) 512-6000 and asking for GAO/HEHS-98-182.

  • Responding to Alcohol and Drug Problems in Child Welfare: Weaving Together Practice and Policy (1998). This book proposes a policy and practice framework to assess efforts to provide better linkages across systems and discuss program implementation issues that arise in public systems attempting to create change in practice and policies. The book also documents the experience of Sacramento County's efforts to implement its comprehensive training program and to provide better screening and assessment protocols across the child protection and substance abuse systems (Child Welfare League of America). http://www.ncsacw.samhsa.gov/files/508/RespondingtoAODProblems.htm; http://www.ncsacw.samhsa.gov/files/RespondingtoAODProblems.pdf. A hard copy may be ordered online at www.cwla.org.

  • Children at the Front: A Different View of the War on Alcohol and Drugs (May 1999). This is a final report explores the impact of substance abuse on children and families served by the child welfare system. It contains more than 100 policy and action recommendations to enhance services to children and families affected by alcohol and other drugs, to respond to alcohol and drugs in the workplace, and to build joint efforts across the delivery systems. (Child Welfare League of America) http://www.cwla.org/pubs/pubdetails.asp?PUBID=5022

  • Crack and Other Addictions: Old Realities and New Challenges for Child Welfare (May 1999). The book contains medical information, child welfare trends and issues, highlights of model programs, and culturally responsive recommendations for improving service delivery (Child Welfare League of America). http://www.cwla.org/pubs/pubdetails.asp?PUBID=4093

  • No Safe Haven: Children of Substance-Abusing Parents (January 1999). Illustrates the impact substance abuse has had on the child welfare system and its inability to adequately respond. Call for an emphasis on prevention; new training and protocols for child welfare, court, and other professionals; increased funding for comprehensive treatment; and greater attention to evaluation outcomes (The National Center on Addiction and Substance Abuse at Columbia University). http://www.casacolumbia.org/pdshopprov/shop/item.asp?itemid=24

  • Protecting Children in Substance-Abusing Families (1994). This manual is designed for professionals in the fields of child welfare, mental health, health care, education, law, the faith community, and substance abuse prevention and treatment. It is intended to help professionals identify the various forms of parental substance abuse, assess the strengths and needs of families affected by alcohol and/or other drug abuse, develop service plans, and provide intervention. The manual includes a section addressing the identification of substance-abusing clients, a review of the characteristics of substance-abusing parents and the risks to children growing up in households in which alcohol and/or other drugs are abused, a discussion of the legal issues related to child maltreatment and parental substance abuse, a description of approaches to family assessment, and a summary of innovative intervention programs and service delivery strategies (Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, National Center on Child Abuse and Neglect). http://nccanch.acf.hhs.gov/pubs/usermanuals/subabuse/index.cfm

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Substance Abuse and Welfare Reform

 

  • CASAWORKS for Families:  A New Treatment Model for Substance-Abusing Parenting Women on Welfare (December 2003).  In this special issue of Evaluation Review (vol. 27:6) contains several articles that provide an overview of the CASAWORKS for Families (CWF) intervention, present findings from the evaluation of the CWF pilot demonstrations, discuss treatment services clients received, highlight one-year outcomes, and identify potential barriers to work for substance-abusing women on welfare. (For information on this journal, please visit http://www.sagepub.co.uk/journal.aspx?pid=105549)

 

  • Serving Welfare Clients with Mental Health or Substance Abuse Problems (October 2003).  This Resources for Welfare Decisions provides information that may assist welfare agencies to provide needed services to these hard-to-employ clients (The Finance Project; http://www.financeprojectinfo.org/Publications/servingwelfareclientsRN.htm).
  • Alameda County CalWORKs Needs Assessment and Outcomes Study – Report #6: The Prevalence and Impact of Physical, Mental, and Behavioral Health Barriers on Work and Welfare Outcomes over 27 Months (June 2003). The primary purpose of this longitudinal study is to assess the barriers to working among a representative sample of CalWORKs recipients, focusing especially on health-related problems, including alcohol or drug abuse. This report, the sixth of the overall study, focuses on the health-related outcomes of the study sample and the association of health statuses with work and welfare outcomes (Public Health Institute). http://www.phi.org/pdf-library/alcwreport6.pdf

  • Outcomes of CalWORKs Supportive Services in Los Angeles County (May 2003). This report contains results of a study linking mental health, substance abuse and domestic violence management information to survey data from current and discharged clients. Outcomes are both clinical/service oriented and employment related. (California Institute of Mental Health). http://www.cimh.org/downloads/LAOutcomes.pdf

  • Promoting Economic Self-Sufficiency Among Women with Co-Occurring Disorders and Histories of Violence: PROTOTYPES Systems Change Center (May 2003).
  • Talk and Trust: Identifying Substance Abuse Among Colorado Works Families (April 2003). This handbook is for TANF managers and staff who are seeking ways to identify substance abuse among welfare recipients and provide services to recipients with substance abuse problems. Talk and Trust includes an overview of substance abuse among TANF recipients; and a discussion of substance abuse screening instruments, drug testing, interviewing techniques, and social marketing. It introduces and describes Four Dimensions of Trust, and it reviews considerations for implementing new strategies, including steps to take and pitfalls to avoid (Colorado Department of Human Services). http://www.cdhs.state.co.us/ohr/adad/talk&trust.pdf

  • Welfare Reform and Substance Abuse: Innovative State Strategies (March 2002). This issue brief highlights key facts about the impact of substance abuse on welfare reform and TANF recipients. The brief outlines data on incidence of substance abuse as well as its costs and treatment, and describes innovative state welfare programs attempting to lower barriers to employment and self-sufficiency (National Health Policy Forum). http://www.nhpf.org/pdfs_ib/IB771_SubstanceAbuse_3-7-02.pdf

  • Making Welfare Reform Work Better: Improving TANF Program Results for Recipients with Alcohol and Drug Problems (September 2001). This paper contains recommendations for changes in federal law to improve the success of TANF recipients with alcohol and drug problems. Written in anticipation of the 2002 TANF reauthorization process (Legal Action Center’s Arthur Liman Policy Institute). http://www.lac.org/pubs/gratis/making_welfare_reform_work_better.pdf

  • CASAWORKS for Families: A Promising Approach to Welfare Reform and Substance-Abusing Women (June 2001). For the past three years, CASA has been designing and evaluating CASAWORKS for Families – the first national demonstration program to provide simultaneously drug and alcohol treatment; literacy, job, parenting and social skills training; family violence prevention and health care. Designed for TANF recipients, this program holds enormous potential for reducing welfare costs and preventing substance abuse and addiction (The National Center on Addiction and Substance Abuse at Columbia University). http://209.208.151.183:8080/pdshopprov/shop/item.asp?itemid=30

  • Alcohol and Substance Abuse Treatment and Welfare Reform: Bringing the Systems Together, Executive Summary (June 2001). This report draws the connection between alcohol/substance abuse and welfare dependency, and describes how the Office of Alcoholism and Substance Abuse Services (OASAS), operating in a collaborative policy and program environment, has contributed to welfare reform in New York State (New York State Office of Alcoholism and Substance Abuse Services). http://www.oasas.state.ny.us/progops/vocserv/welfref_execsum_613.htm

  • Building Bridges: States Respond to Substance Abuse and Welfare Reform (October 1999). This study was prepared in partnership with the American Public Human Services Association (APHSA). The two-year study reports findings from a substance abuse and welfare reform survey conducted in 51 states. Key government officials were interviewed in 12 states and 5 comprehensive state case studies were conducted among front line workers and administrators. From their experiences and experiments we derive insights and direction about what works and what does not work as states grapple with new TANF requirements and substance abuse. This study gives voice to those who are working on the front line in our nation's welfare offices, job training programs, and substance abuse agencies (The National Center on Addiction and Substance Abuse at Columbia University). http://209.208.151.183:8080/pdshopprov/shop/item.asp?itemid=29

  • Addressing Substance Abuse and Mental Health Problems under Welfare Reform: State Issues and Strategies (June 2001). Since the passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, states have dramatically reduced cash assistance caseloads and have placed substantial numbers of former welfare recipients into jobs. However, states still face challenges as they continue to implement welfare reform, including helping individuals with substance abuse and mental health problems successfully make the transition to work (National Governors Association, Center for Best Practices). http://www.nga.org/center/divisions/1,1188,C_ISSUE_BRIEF^D_2392,00.html

  • Coordinating Welfare and Substance Abuse Services (July 2002). Service coordination and integration can expand the capacity of both welfare and substance abuse agencies. This Issue Note raises issues for policymakers and program staff to consider when coordinating and integrating welfare and substance abuse services to overcome barriers to treatment, employment, and economic independence (The Finance Project). http://www.financeprojectinfo.org/Publications/coordinatingwelfareIN.htm

  • The National Center on Addiction and Substance Abuse Series. This free series of publications will help employers successfully recruit, retain and advance those who are recovering from addiction and substance abuse. It is funded through The Partnership and the U.S. Department of Labor (The Welfare to Work Partnership). http://www.welfaretowork.org/publications/addiction-substance_abuse.htm

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Substance Abuse, Welfare Reform and Child Well-Being

  • Child Well-Being One Year After Welfare Reform. CalWORKs Project Research: TANF Families in which there are alcohol or other drug, mental health or domestic violence issues (January 2003). This report presents study findings regarding child well-being and parental mental health, alcohol and other drugs and domestic violence issues (California Institute of Mental Health). http://www.cimh.org/downloads/CalWORKsChildren.pdf

  • Promoting Resilience: Helping Young Children and Parents Affected by Substance Abuse, Domestic Violence, and Depression in the Context of Welfare Reform (February 2000). Part of the series Promoting the Emotional Well-Being of Children and Families this report finds that to make welfare reform succeed, policymakers will need to focus on a subset of the most hard to serve families affected by welfare changes. The problems of these families involve one or more of the following: domestic violence, alcohol, drugs, and other substance abuse, and serious mental health issues, including depression. This issue brief suggests that both welfare reform and the national goal to ensure that every child enters school ready-to-learn provide a framework for community, state, and federal action on behalf of this vulnerable and ignored population (National Center for Children in Poverty). http://www.nccp.org/pub_cwr00h.html

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Substance Abuse and Welfare Reform – Evaluations and Lessons Learned

  • Integrating Alcohol and Drug Treatment into a Work-Oriented Welfare Program: Lessons from Oregon (1999). As welfare rolls shrink, caseworkers often find that the remaining clients face additional challenges such as drug and alcohol addiction. Can drug and alcohol treatment programs be integrated successfully into a welfare environment that stresses employment? Researchers from Mathematica evaluated the experience in Oregon where, for the past seven years, welfare case workers have helped their clients overcome the challenges of drug and alcohol addiction while continuing to emphasize timely employment. The researchers concluded that Oregon's experience can be valuable to other states that are contemplating whether or how to integrate alcohol and drug treatment into their welfare program (Mathematica). http://www.mathematica-mpr.com/publications/PDFs/oregon.pdf

For a listing of more general reports that address issues affecting women with substance use disorders and their children and families, please click on the TIE category, Recent Reports, Articles and Fact Sheets.