title: 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.
authors.affiliation: Affiliated Systems Corporation, Houston, Texas 77027-6022, USA. jatkinson@affiliatedsystems.com
authors.forename: John
authors.initials: J
authors.lastname: Atkinson
authors.forename: Victoria L
authors.initials: VL
authors.lastname: Brown
authors.forename: Isaac D
authors.initials: ID
authors.lastname: Montoya
authors.forename: David
authors.initials: D
authors.lastname: Bell
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D019969:Amphetamine-Related Disorders / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation; D002908:Chronic Disease; D019970:Cocaine-Related Disorders / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation; D015897:Comorbidity; D016578:Crack Cocaine; D005260:Female; D006556:Heroin Dependence / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D008694:Methamphetamine; D020380:Needs Assessment / Q000706:statistics & numerical data; D010343:Patient Admission / Q000706:statistics & numerical data; D011594:Psychometrics; D011632:Public Assistance / Q000706:statistics & numerical data; D012017:Referral and Consultation; D012050:Rehabilitation, Vocational / Q000706:statistics & numerical data; D013781:Texas; D016896:Treatment Outcome
chemical_list: D016578:Crack Cocaine; D008694:Methamphetamine