Personal adjustment and substance abuse problems in a longitudinal study of TANF recipients and the potential need for treatment

Abstract

Objective: This study assessed the need over time for treatment of personal adjustment and substance abuse problems among chronic drug using and other recipients of Temporary Assistance for Needy Families (TANF).

Methods: Participants were administered the personal adjustment problems and substance abuse problems scales contained in the Multidimensional Addictions and Personality Profile (MAPP) at intake, one-year, and two-year interviews.

Results: Most participants who were not chronic users had total scale scores that would indicate no recommended referral or a referral to outpatient treatment. Approximately one-third of chronic users had scores that would indicate referral to inpatient treatment. Many chronic users had comorbid conditions but reported receiving no psychological or substance abuse treatment.

Conclusions: Many TANF recipients may be experiencing coexisting personal and substance abuse related problems that are going untreated.