Welfare is a major access point to identify and serve low-income mothers with substance-use disorders, but it reaches a smaller proportion of illicit drug users than it did prereform. Declining welfare receipt among low-income mothers with substance abuse disorders poses a new challenge in serving this population.
Declining welfare receipt may pose a challenge to reaching this population, but nowhere near the challenge that drug testing would create. Several state legislature candidates are advocating more screening and, where there is suspicion of drug use, testing.
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