The purpose of this study is to determine whether access to behavioral health services has
been affected by welfare reform.
This study examines patterns of behavioral health service use among a group of female
household heads who receive Temporary Assistance to Needy Families (TANF) and have serious
mental illness (SMI). The findings from this study will be used to determine the feasibility
of conducting a full-scale longitudinal study of the impact of welfare reform outcomes on
female household heads who have SMI and are currently or formerly recipients of welfare.
- Female head of household on TANF at any time during first quarter of 1997 and used at
least one behavioral health service during that quarter
- DSM IV diagnosis of serious mental illness