TY - JOUR PY - 2003// TI - One-year outcomes from the CASAWORKS for Families intervention for substance-abusing women on welfare JO - Evaluation review A1 - McLellan, A. Thomas A1 - Gutman, Marjorie A1 - Lynch, Kevin A1 - McKay, James R. A1 - Ketterlinus, Robert A1 - Morgenstern, Jon A1 - Woolis, Diana SP - 656 EP - 680 VL - 27 IS - 6 N2 - AIM: To evaluate the effectiveness of a multiservice intervention designed to move substance-abusing women on welfare to sobriety and self-sufficiency by addressing their substance abuse, domestic violence, employment, and basic needs. DESIGN: A field evaluation with repeated measures at 6 and 12 months on an intent-to-treat sample of 529 women conducted in 11 selected sites across the country. There were significant improvements shown in substance use and family and social functioning by the 6-month point, and additional improvements in employment by the 12-month point. By 12 months, more than 46% were abstinent from alcohol and other drugs, and 30% were employed at least part-time. There were only modest improvements shown in the medical and psychiatric status of these women. These preliminary findings suggest that site-level interagency coordination and program-level case management were associated with improvements in the targeted areas as predicted by the model. Future work will require a more closely specified, manual-guided form of the intervention plus the inclusion of control groups and cost measures to fully evaluate the cost benefits from the final form of the intervention.
Language: en
LA - en SN - 0193-841X UR - http://dx.doi.org/10.1177/0193841X03259029 ID - ref1 ER -