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


Where mental health services are provided influences how and the extent to which clients are connected with mental health services. We observed several variations among sites with regard to where mental health services are provided. Except for Tennessee, which co-locates all mental health counselors in the welfare office or with contracted employment service providers (e.g., a local housing project), most states vary by local office as to where services are provided. In some of the study sites, mental health workers co-located in the local office that serves welfare recipients provide services in that office. In other study sites, mental health workers are co-located and provide services in other agencies that serve low-income families (e.g., public health centers, Head Start offices, etc.). Contracted mental health counselors often work out of the agency where they are employed.

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