Abstract

Los Angeles County has the largest county welfare population in the United States. The county spends $23 million annually on mental health services for welfare participants. This study examines employment and treatment outcomes for welfare participants whose mental health services ended during a 1 year period. Factors associated with success are explored using detailed survey data from a subsample of 433 of these participants. Staff report that 70 percent of sample members have positive change in mental health status; however, only 17 percent of the clients complete treatment successfully, and only 26 percent report employment at discharge or in the 6 months after discharge. Analyses suggest that predictors of completing services successfully differ from predictors of employment. Further, successful completion of treatment does not predict employment. Some of these results are disappointing and have motivated county staff to restructure the mental health service offerings.

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