Objectives. New provisions in welfare reform target recipients with ad
dictions, even though there is limited research on how substance abuse
affects people's experiences on welfare. This prospective study exami
ned substance abuse as a determinant subsequent welfare dependency. Me
thods. Representative samples of clients on Aid to Families with Depen
dent Children (AFDC) and general assistance in a California county wer
e interviewed while applying for services in 1989 and were reinterview
ed in 1995. Results. Among AFDC recipients, substance abuse was not a
significant determinant of long welfare stays, repeat welfare use, or
the total time a person remained on welfare during the 6-year period.
However, substance abuse was a strong predictor of repeat welfare use
among general assistance recipients. Conclusions. Alcohol and drug pro
blems have played dramatically different roles in welfare dependency w
ithin the AFDC and general assistance populations. Under welfare refor
m, local general assistance programs will be the final safety net for
recipients removed from federal entitlement programs. These programs w
ill probably be confronted with clients with more complex disabilities
related to addiction, as well as with greater family needs for cash a
ssistance.