The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is is a foundation that works to improve population health and health equity.
March 2005 (Volume 83)
Quarterly Article
Lisa R. Metsch
Harold A. Pollack
Aug 13, 2024
Jul 25, 2024
Jul 23, 2024
Back to The Milbank Quarterly
The 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) changed the nature, purpose, and financing of public aid. Researchers, administrators, and policymakers expressed special concern about the act’s impact on low-income mothers with substance use disorders. Before PRWORA’s passage, however, little was known about the true prevalence of these disorders among welfare recipients or about the likely effectiveness of substance abuse treatment interventions for welfare recipients. Subsequent research documented that substance abuse disorders are less widespread among welfare recipients than was originally thought and are less common than other serious barriers to self-sufficiency. This research also showed significant administrative barriers to the screening, assessment, and referral of drug-dependent welfare recipients. This article summarizes current research findings and examines implications for welfare reform reauthorization.
Author(s): Lisa R. Metsch; Harold A. Pollack
Keywords: substance use; welfare receipt; welfare reform
Read on Wiley Online Library
Read on JSTOR
Volume 83, Issue 1 (pages 65–99) DOI: 10.1111/j.0887-378X.2005.00336.x Published in 2005