Providing Mental Health Services to TANF Recipients: Program Design Choices and Implementation Challenges in Four States. Key Implementation Issues


Even with a strong program design and a well-developed administrative structure, implementing programs to address the mental health needs of welfare recipients presents ongoing challenges. In this chapter, we examine some of these key implementation challenges and present the innovative strategies used by the study sites to meet these challenges. The chapter covers (1) strategies to encourage employment case managers to refer clients to mental health services, (2) strategies to encourage clients to participate in mental health services, (3) ways to integrate mental health services into work activities, (4) options for creating a support network for mental health staff, and (5) approaches to monitoring and tracking client participation in mental health services. We conclude with a discussion of implementation issues that are specific to rural areas.

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