Behavioral health problems as barriers to work: Results from a 6-year panel study of welfare recipients

Journal of Behavioral Health Services and Research

Volumn 34, Issue 2, 2007, Pages 168-185

  Zabkiewicz, Denise ^a   Schmidt, Laura A ^b  

^a ALCOHOL RESEARCH GROUP   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Barriers to employment; Job seeking; Mental health; Substance abuse; Welfare

Indexed keywords

ADULT; ARTICLE; BEHAVIOR DISORDER; CONTROLLED STUDY; DEPRESSION; DRUG USE; FEMALE; HEALTH BEHAVIOR; HOSTILITY; HUMAN; JOB FINDING; MAJOR CLINICAL STUDY; MALE; MENTAL HEALTH; PSYCHOSIS; SUBSTANCE ABUSE; WELFARE; WORK;

ADULT; CALIFORNIA; EMPLOYMENT; FEMALE; FOLLOW-UP STUDIES; HEALTH STATUS; HUMANS; MALE; MENTAL DISORDERS; MIDDLE AGED; SOCIAL WELFARE; SUBSTANCE-RELATED DISORDERS;

EID: 34248157631     PISSN: 10943412     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11414-007-9060-8     Document Type: Article

References (123)

1. American Psychological Association. Briefing Sheet on TANF Reauthorization. Washington, DC: American Psychological Association; 2002.
2. Tomes H. Mental Health Issues in TANF Reauthorization. Washington, DC: American Psychological Association; 2001.
3. Haskins R, Sawhill IV, Weaver K. Welfare Reform Reauthorization: An Overview of Problems and Issues. Washington, DC: The Brookings Institution; 2001.
4. Greenberg M, Levin-Epstein J, Hutson R, et al. Welfare Reauthorization: An Early Guide to the Issues. Washington, DC: Center for Law and Social Policy; 2000.
5. California Budget Project. Reauthorization of the Temporary Assistance for Needy Families Block Grant: Issues and Options From a California Perspective. Sacramento: California Budget Project; 2001.
6. Department of Health and Human Services. Substance Use and Mental Health Characteristics by Employment Status. Rockville: Department of Human and Health Services - Substance Abuse and Mental Health Services Administration, Office of Applied Studies; 1999.
7. Jayakody R, Stauffer D. Mental Health Problems Among Single Mothers: Implications for Work and Welfare Reform. University Park: Pennsylvania State University; 2000.
8. Dion MR, Derr M, Anderson J, Pavetti L. Reaching All Job-Seekers: Employment Programs For Hard-to-Employ Populations. Washington, DC: Mathematica Policy Research; 1999.
9. Pavetti LA, Bloom D. Sanctions and time limits: state policies, their implementation and outcomes for families. In: The New World of Welfare: Shaping a Post-TANF Agenda for Policy; February, 2001; Washington, DC.
10. Zedlewski S, Loprest P. Will TANF work for the most disadvantaged families? In: Blank R, Haskins R, eds. The New World of Welfare. Washington, DC: Brookings Institution Press; 2001:311-334.
11. Zaslow MJ, Hair EC, Dion MR, Ahluwalia SK, Sargent J. Maternal depressive symptoms and low literacy as potential barriers to employment in a sample of families receiving welfare: are there two-generational implications? In: Lennon MC, ed. Welfare, Work, and Well-Being. New York: The Haworth Medical Press; 2001:211-251.
12. Callahan SR. Understanding Health-Status Barriers That Hinder the Transition From Welfare to Work. Washington, DC: National Governors' Association; 1999.
13. CalWORKS Project. Mental Health, Domestic Violence and Substance Abuse: Need for and Use of Services Among Adult Female TANF Participants. Sacramento: California Institute for Mental Health; 2002.
14. Rosen D, Spencer MS, Tolman R, Williams D, Jackson JS. Psychiatric disorders and substance dependence among unmarried lowincome mothers. Health and Social Work. 2003;28(2):157-165.
15. Schmidt L, McCarty D. Welfare reform and the changing landscape of substance abuse services for low-income women. Alcoholism, Clinical and Experimental Research. 2000;24(8):1298-1311.
16. Speiglman R, Fugiwara L, Norris J, Green RS. Alameda County CalWORKs Needs Assessment: A Look at Potential Health-Related Barriers to Self-Sufficiency. Berkeley: Social Services Agency and Department of Behavioral Health Care Services, County of Alameda; 1999.
17. Danziger S, Kalil A, Anderson NJ. Human capital, health and mental health of welfare recipients: co-occurrence and correlates. Journal of Social Issues. 2000;54(4):637-656.
18. Metsch LR, McCoy CB, Miller M, McAnany H, Pereyra M. Moving substance-abusing women from welfare to work. Journal of Public Health Policy. 1999;2(1):36-55.
19. Green RS, Fujiwara L, Norris J, Kappagoda S, Driscoll A, Speiglman R. Barriers to Working and Summaries of Baseline Status. Berkeley: Public Health Institute; 2000.
20. Harris KM. Work and welfare among single mothers in poverty. American Journal of Sociology. 1993;99(2):317-352.
21. Blank RM. Analyzing the length of welfare spells. Journal of Public Economics. 1989;39:245-273.
22. Zedlewski SR, Alderson DW. Before and After Reform: How Have Families on Welfare Changed? Washington, DC: The Urban Institute; 2001.
23. Polit DF, London AS, Martinez JM. The Health of Poor Urban Women: Findings from the Project on Devolution and Urban Change. New York: Manpower Demonstration Research Corporation (MDRC); 2001.
24. Derr M, Douglas S, Pavetti L. Providing Mental Health Services to TANF Recipients: Program Design Choices and Implementation Challenges in Four States. Washington, DC: Department of Health and Human Services; 2001.
25. Jayakody R, Danziger S, Pollack H. Welfare reform, substance use and mental health. Journal of Health Politics, Policy and Law. 2000;25:623-651.
26. Columbia University Mailman School of Public Health. Why some women fail to achieve economic security: low job skills and mental health problems are key barriers. The Forum. 2001;4(2):1-3.
27. Sweeney EP. Recent Studies Indicate that Many Parents who are Current or Former Welfare Recipients have Disabilities or Other Medical Conditions. Washington, DC: Center on Budget and Policy Priorities; 2000.
28. Olson K, Pavetti L. Personal and Family Challenges to the Successful Transition from Welfare to Work. Washington, DC: The Urban Institute; 1996.
29. Dooley D, Prause J. Mental health and welfare transitions: depression and alcohol abuse in AFDC women. American Journal of Community Psychology. 2002;30(6):787-813.
30. Danziger S, Corcoran M, Danziger SH, et al. Barriers to the employment of welfare recipients. In: Cherry R, Rodgers III WM, eds. Prosperity for All? The Economic Boom and African Americans. New York: Russell Sage Foundation; 2000:245-278.
31. Siefert K, Bowman PJ, Heflin CM, Danziger S, Williams DR. Social and environmental predictors of maternal depression in current and recent welfare recipients. American Journal of Orthopsychiatry. 2000;70(4):510-522.
32. Kalil A, Born CE, Kunz J, Caudill PJ. Life stressors, social support, and depressive symptoms among first-time welfare recipients. American Journal of Community Psychology. 2001;29(2):355-369.
33. Kalil A, Schweingruber HA, Seefeldt K. Correlates of employment among welfare recipients: do psychological characteristics and attitudes matter? American Journal of Community Psychology. 2001;29(5):701-723.
34. Schmidt L, Weisner C, Wiley J. Substance abuse and the course of welfare dependency. American Journal of Public Health. 1998;88(11):1616-1622.
35. Grant BF, Dawson DA. Alcohol and drug use, abuse, and dependence among welfare recipients. American Journal of Public Health. 1996;86(10):1450-1454.
36. Murphy GC, Athanasou JA. The effect of unemployment on mental health. Journal of Occupational and Organizational Psychology. 1999;72:83-99.
37. Baron RC, Salzer MS. Accounting for unemployment among people with mental illness. Behavioral Sciences and the Law. 2002;20:585-599.
38. Mastekaasa A. Unemployment and health: selection effects. Journal of Community and Applied Social Psychology. 1996;6:189-205.
39. Warr P, Banks M, Ullah P. The experience of unemployment among black and white urban teenagers. British Journal of Psychology. 1985;76:75-87.
40. Johnson A, Meckstroth A. Ancillary Services to Support Welfare to Work. Princeton: Mathematica Policy Research; 1998.
41. Bray JW, Zarkin GA, Dennis ML, French MT. Symptoms of dependence, multiple substance use, and labor market outcomes. American Journal of Drug and Alcohol Abuse. 2000;26(1):77-95.
42. Bryant RR, Samaranyake VA, Wilhite A. The effect of drug use on wages: a human capital interpretation. American Journal of Drug and Alcohol Abuse. 2000;26(4):659-682.
43. Benham L, Benham A. Employment, earnings, and psychiatric diagnosis. In: Fuchs VR, ed. Economic Aspects of Health. Chicago: University of Chicago Press; 1982.
44. O'Neill DM, Bertollo DN. Work and earnings losses due to mental illness: perspectives from three national surveys. Administration and Policy in Mental Health. 1998;25(5):505-525.
45. Frank R, Gertler P. The Effect of Mental Distress on Income: Results From a Community Survey. Cambridge: National Bureau of Economic Research; 1987.
46. Ettner SL, Frank RG, Kessler RC. The Impact of Psychiatric Disorders on Labor Market Outcomes. Cambridge: National Bureau of Economic Research; 1997.
47. Zedlewski SR. Work Activity and Obstacles to Work Among TANF Recipients. Washington, DC: The Urban Institute; 1999. B-2.
48. CalWORKS Project. Impact of Alcohol and Other Drugs, Mental Health Problems and Domestic Violence on Employment and Welfare Tenure. Sacramento: California Institute for Mental Health; 2002.
49. Danziger S, Corcoran M, Danziger S, et al. Barriers to work among welfare recipients. Focus. 1999;20(2):31-35.
50. Richardson P. Depression and Other Mental Health Barriers Among Welfare Recipients - Results from Three States. Alexandria: Maximus; 2002.
51. Driscoll A, Speiglman R, Norris J. Barriers Associated with Working, Hardships of Daily Living, Progress through CalWORKS and Work-Related Activities. Berkeley: Public Health Institute; 2000.
52. Goodwin SN, Meisel J, Chandler D, Jordan P, Kushner S, Armstrong T. Alcohol & Other Drug, Mental Health, and Domestic Violence Issues: Effects on Employment and Welfare Tenure After One Year. Sacramento: California Institute for Mental Health; 2002.
53. Polit DF, Widom R, Edin K, et al. Is Work Enough? The Experiences of Current and Former Welfare Mothers Who Work. New York: Manpower Demonstration Research Corporation (MDRC); 2001.
54. Eaton WW, Muntaner C, Gregory B, Smith C. Socioeconomic status and depressive syndrome: the role of inter- and intra-generational mobility, government assistance, and work environment. Journal of Health and Social Behavior. 2001;42(3):277-294.
55. Kaestner R. The effect of illicit drug use on the labor supply of young adults. The Journal of Human Resources. 1994;29(1):126-155.
56. Kaestner R. The effect of illicit drug use on the wages of young adults. Journal of Labor Economics. 1991;9(4):381-412.
57. Register CA, Williams DR. Labor market effects of marijuana and cocaine use among young men. Industrial and Labor Relations Review. 1992;45(3):435-448.
58. Gill AM, Michaels RJ. Does drug use lower wages? Industrial and Labor Relations Review. 1992;45(3):419-434.
59. Berger MC, Leigh JP. The effect of alcohol use on wages. Applied Economics. 1988;20:1343-1351.
60. Kaestner R. New estimates of the effect of marijuana and cocaine use on wages. Industrial and Labor Relations Review. 1994;47(3):454-470.
61. Kandel DB, Yamaguchi K. Job mobility and drug use: an event history analysis. American Journal of Sociology. 1987;92(4):836-878.
62. Montoya ID, Bell DC, Atkinson JS, Nagy CW, Whitsett DD. Mental health, drug use, and the transition from welfare to work. The Journal of Behavioral Health Services & Research. 2002;29(2):144-156.
63. Pollack H, Danziger S, Seefeldt K, Jayakody R. Substance use among welfare recipients: trends and policy responses. Social Service Review. 2002;76:256-274.
64. Centers for Disease Control and Prevention. Measuring Healthy Days. Atlanta: CDC; 2000.
65. Broadhead WE, Blazer DG, George LK, Tse CK. Depression, disability days, and days lost from work in a prospective epidemiologic survey. Journal of the American Medical Association. 1990;264(19):2524-2528.
66. Wells KB, Stewart A, Hays RD, et al. The functioning and well-being of depressed patients. Journal of American Medical Association. 1989;262(7):914-919.
67. Link B, Struening E, Rahav M, Phelan J, Nuttbrock L. On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behavior. 1997;38:177-190.
68. McFadyen RG, Thomas JP. Economic and psychological models of job search behavior of the unemployed. Human Relations. 1997;50(12):1461-1484.
69. Warr P, Jackson P. Factors influencing the psychological impact of prolonged unemployment and of re-employment. Psychological Medicine. 1985;15:795-807.
70. Schmidt L, Dohan D, Wiley J, Zabkiewicz D. Addiction and welfare dependency: interpreting the connection. Social Problems. 2002;49(2):221-241.
71. Uccello CE, Gallagher LJ. General Assistance: The State-Based Part of the Safety Net. Washington, DC: The Urban Institute; 1997.
72. Schmidt L, Wiley J, Dohan D, et al. Changing patterns of addiction and public aid receipt: tracking the unintended consequences of welfare reform policy. Journal of Health Policy, Politics and Law. 2006;31:945-980.
73. Sobell LC, Sobell MB. Timeline follow-back: a technique for assessing self-reported alcohol consumption. In: Litten R, Allen J, eds. Measuring Alcohol Consumption. Totowa: The Humana Press; 1992.
74. Sobell L, Sobell M, Leo GI, Cancilla A. Reliability of a timeline method: assessing normal drinkers' reports of recent drinking and a comparative evaluation across several populations. British Journal of Addiction. 1988;83(4):393-402.
75. Wiley J, Zabkiewicz D, Schmidt L. Comparisons Between Self-Reports of Aid Receipt from Timeline Follow-Back and Administrative Records. Berkeley: Alcohol Research Group; 2002.
76. Wiley J, Schmidt L. Comparison of records and self-reports data in a cohort of welfare recipients. Presented at: Robert Wood Johnson Clinical Scholars Seminar; December 4, 2003; Health Studies Department, University of Chicago Medical School, Chicago, IL.
77. Derogatis LR. The Brief Symptom Inventory (BSI) Administration, Scoring & Procedures Manual - II. Towson: Clinical Psychometric Research; 1992.
78. Ahluwalia SK, McGroder SM, Zaslow MJ, Hair EC. Symptoms of Depression Among Welfare Recipients: A Concern for Two Generations. Washington, DC: Child Trends; 2001.
79. Morlan KK, Tan S-Y. Comparison of the brief psychiatric rating scale and the brief symptom inventory. Journal of Clinical Psychology. 1998;547(7):885-894.
80. Derogatis LR, Cleary P. Confirmation of the dimensional structure of the SCL-90: a study in construct validation. Journal of Clinical Psychology. 1977;33(4):981-989.
81. Broday S, Mason J. Internal consistency of the brief symptom inventory for counseling-center clients. Psychological Reports. 1991;68:94.
82. Weisner C, Schmidt L. Alcohol and drug problems among diverse health and social service populations. American Journal of Public Health. 1993;83(6):824-829.
83. Boulet J, Boss M. Reliability and validity of the brief symptom inventory. Journal of Consulting and Clinical Psychology. 1991;3(3):433-437.
84. Derogatis LR, Spencer PM. Administration and Procedures: BSI manual - I. Baltimore: Clinical Psychometric Research, Division of Medicine Psychiatry, John Hopkins University, School of Medicine; 1982.
85. Weisner C, Schmidt L. The community epidemiology laboratory: studying alcohol problems in community and agency-based populations. Addiction. 1995;90:329-342.
86. Clark W, Hilton M, eds. Alcohol in America: Drinking Practices and Problems in a National Survey. New York: State University of New York Press; 1991.
87. Wilsnack SC, Klassen AD, Schur BE, Wilsnack RW. Predicting onset and chronicity of women's problem drinking: a five-year longitudinal analysis. American Journal of Public Health. 1991;81(3):305-318.
88. Bane MJ, Ellwood D. Welfare Realities: From Rhetoric to Reform. Boston: Harvard University Press; 1994.
89. Edin K, Harris KM. Getting off and staying off: racial differences in the work route off welfare. In: Browne I, ed. Latinas and African American Women at Work. New York: Russell Sage Foundation; 1999:270-301.
90. Horwitz SM, Kerker BD. Impediments to employment under welfare reform: the importance of physical health and psychosocial characteristics. In: Lennon MC, ed. Welfare, Work, and Well-Being. New York: The Haworth Medical Press; 2001:101-117.
91. Browne I. Explaining the black-white gap in labor force participation among women heading households. American Sociological Review. 1997;62:236-252.
92. Burtless GT. Welfare recipients' job skills and employment prospects. Welfare to Work. 1997;7(1):39-51.
93. Ensminger ME. Welfare and psychological distress: a longitudinal study of African American urban mothers. Journal of Health & Social Behavior. 1995;36:346-359.
94. Schmidt L. Technical Report: Welfare Client Longitudinal Study. Berkeley: Alcohol Research Group; 1996.
95. Zivot M, Jacobs L. Welfare Client Longitudinal Study: Demographic Changes in Our Study County, 1989-2001. Berkeley: Alcohol Research Group; 2004.
96. Piroth K, Schmidt L. Welfare Client Longitudinal Study, Technical Report #3: The Validity of Retrospective Self-Reports of Welfare Histories. Berkeley: Alcohol Research Group; 1999.
97. Wiley J, Zabkiewicz D, Jacobs L. Studying patterns of service use among welfare populations: an analysis of self-report and administrative records. Presented at: American Public Health Association 131st Annual Meeting. San Francisco; 2003.
98. Katz LF, Meyer BD. The impact of the potential duration of unemployment benefits on the duration of unemployment. Journal of Public Economics. 1990;41:45-72.
99. Scheid TL. Employment of individuals with mental disabilities: business response to the ADA's challenge. Behavioral Sciences and the Law. 1999;17:73-91.
100. Holzer HJ. Will Employers Hire Welfare Recipients? Recent Survey Evidence from Michigan. Madison: Institute for Research on Poverty; 1998.
101. Holzer HJ, Stoll MA. Employer Demand for Welfare Recipients by Race. Madison: Institute for Research on Poverty; 2000.
102. Kalil A, Corcoran M, Danziger S, et al. Getting Jobs, Keeping Jobs, and Earning a Living Wage: Can Welfare Reform Work? Madison: Institute for Research on Poverty; 1998.
103. Link B. Mental patient status, work, and income. American Sociological Review. 1982;47(2):202-215.
104. Link B, Cullen F, Frank J, Wozniak J. The social rejection of former mental patients: understanding why labels matter. American Journal of Sociology. 1987;92(6):1461-1500.
105. Darity WA. Employment discrimination, segregation and health. American Journal of Public Health. 2003;93(2):226-231.
106. Pager D. The mark of a criminal record. American Journal of Sociology. 2003;108(5):937-975.
107. Kennelly I. "That single-mother element" how white employers typify black women. Gender & Society. 1999;13(2):168-192.
108. U.S. Department of Health and Human Services. "Leavers" and Diversion Studies: Summary of Research on Welfare Outcomes Funded by ASPE. Washington, DC: U.S. Department of Health and Human Services; 2000.
109. Lennon MC, Blome J, English K. Depression and Low-Income Women: Challenges for TANF and Welfare-to-Work Policies and Programs. New York: National Center for Children in Poverty, Mailman School of Public Health, Columbia University; 2001.
110. Earle A, Heymann J. What causes job loss among former welfare recipients: the role of family health problems. Journal of American Medical Women's Association. 2002;57(1):5-10.
111. Rangarajan A, Schochet P, Chu D. Employment Experiences of Welfare Recipients Who Find Jobs: Is Targeting Possible? Princeton: Mathematica Policy Research; 1998.
112. Strawn J. Substance Abuse and Welfare Reform Policy. Washington, DC: Welfare Information Network; 1997.
113. Lieberman C, Mancuso DD. Are California's Welfare Leavers Staying Off Public Assistance? Burlingame: Sphere Institute; 2001.
114. Kessler R, House J, Turner B. Unemployment and health in a community sample. Journal of Health and Social Behavior. 1987;28(1):51-59.
115. Catalano R, Aldrete E, Vega WA, Kolody B, Aguilar-Gaxiola S. Job loss and major depression among Mexican Americans. Social Science Quarterly. 2000;81(1):477-487.
116. Catalano R, Dooley D, Wilson G, Hough R. Job loss and alcohol abuse: a test using data from the epidemiologic catchment area project. Journal of Health and Social Behavior. 1993;34:215-225.
117. Dooley D, Catalano R, Wilson G. Depression and unemployment: panel findings from the epidemiologic catchment area study. American Journal of Community Psychology. 1994;22(6):745-765.
118. Brown GW, Harris TO. Life events, vulnerability and onset of depression: some refinements. British Journal of Psychiatry. 1987;150:30-42.
119. Dooley D, Catalano R, Rook K. Personal and aggregate unemployment and psychological symptoms. Journal of Social Issues. 1988;44(4):107-123.
120. Dooley D, Prause J. Underemployment and alcohol misuse in the national longitudinal survey of youth. Journal of Studies on Alcohol. 1998;59:669-680.
121. Dooley D, Catalano R. The epidemiology of economic stress. American Journal of Community Psychology. 1984;12(4):387-409.
122. Rosman E, McCarthy J, Woolverton M. Focusing on Families in Welfare Reform Reauthorization: Adults with Mental Health Needs & Children with Special Needs. Washington, DC: Georgetown University Child Development Center, Center for Mental Health Services, and Substance Abuse and Mental Health Services Administration; 2001.
123. Blank RM, Haskins R. The New World of Welfare. Washington, DC: Brookings Institution Press; 2001.