Attitudes Towards Employment and Employment Outcomes Among Homeless Veterans with Substance Abuse and/or Psychiatric Problems

Mares, Abraham J.; Rosenheck, Robert A.

doi:10.1080/15487760600961451

Cited by 12 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Only 18.6-22.5% of these substance-using women were employed at treatment admission, and the group of deceased women further reported significantly greater employment problem severity than the group of surviving women. Research indicates that employment not only contributes to the accumulation of social capital [38][39][40][41] and per-ceived quality of life [42,43], but it can also enhance physical and mental wellbeing and overall quality of life [44][45][46][47][48][49][50]. The absence of employment, and its attendant benefits, in the lives of these women may be a significant underlying determinant of premature mortality.…”

Section: Discussionmentioning

confidence: 99%

Mortality among substance‐using mothers in California: a 10‐year prospective study

et al. 2011

View full text Add to dashboard Cite

Aims To examine mortality rates and causes of death among a cohort of substance-using mothers and to identify risk factors that predict mortality. Design, setting, participants This is a prospective study of a cohort of 4,447 substance-using mothers (pregnant or parenting) who were enrolled during 2000 to 2002 in 40 drug abuse treatment programs across California. Methods All mothers were assessed at baseline using the Addiction Severity Index. Mortality data were obtained from the National Death Index and causes of death were coded using ICD-10. Standardized mortality ratios (SMR) were calculated relative to women in the general population adjusted for age. Proportional hazard (Cox) regression was used to identify risk factors predicting death. Results By the end of 2010, 194 deaths were confirmed, corresponding to a crude mortality rate of 4.47 per 1000 person-years and SMR of 8.4 (95% CI=7.2–9.6). Drug overdose (28.8%), cardiovascular disease (10%), and alcohol or drug disorders (8.9%) were the leading causes of death. Baseline factors associated with higher mortality included older age, being white (relative to African American or Hispanic), heroin, alcohol, cocaine, or marijuana (relative to methamphetamine) as the primary drug problem, drug injection, and greater severity of employment, medical/health, and psychiatric problems. Conclusions Substance-using mothers have 8.4 times the mortality than that observed among US women of similar age. Greater severity of employment, medical/health, and psychiatric problems contributed to the elevated mortality.

show abstract

Section: Discussionmentioning

confidence: 99%

Mortality among substance‐using mothers in California: a 10‐year prospective study

et al. 2011

View full text Add to dashboard Cite

show abstract

“…A factor analysis of these 21 items (varimax rotation) produced a 5-component measure reflecting attitudes toward work that can be summarized as "I can't work," "I want to work," "Work helps me cope with problems," "I don't like the jobs I get," and "Others expect me to work" [54]. Self-esteem was assessed with the Rosenberg Self-Esteem measure [55], and quality of life was measured by the single summary item in the Lehman Quality of Life Interview [56].…”

Section: Attitudes Toward Employment Self-esteem and Quality Of Lifementioning

confidence: 99%

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Leddy¹,

Stefanovics²,

Rosenheck

2014

J Rehabil Res Dev

View full text Add to dashboard Cite

Abstract-Supported employment, specifically individual placement and support (IPS), improves competitive employment (CE) rates for individuals with serious mental illness, but has not shown greater improvement in non-vocational outcomes than other rehabilitation approaches. The Department of Veterans Affairs offers two types of vocational services, IPS and transitional work experience (TWE), but no study has compared the effectiveness of these approaches. This secondary analysis of data from a study of homeless veterans compared 6 mo improvement in diverse outcomes for five employment patterns: never worked, worked only in TWE, worked in TWE followed by CE, worked in CE without IPS, and worked in CE with IPS referral. Veterans referred to IPS were more likely to be competitively employed. Those who worked in CE (whether following TWE or with or without IPS referral) showed the greatest increase in days worked, employment income, and total income and the greatest decrease in public support income when compared with those who worked only in TWE or not at all. Veterans in TWE showed the greatest increase in residential treatment days, but there were no other differences in nonvocational outcomes between groups. There are multiple paths to CE, but few differences in non-vocational outcomes across employment experiences.

show abstract

“…Algunos de los subgrupos cuyas características y necesidades diferenciales han despertado un mayor interés han sido las mujeres sin hogar (Chitvil, 2010;Marsapt, 2000), las personas sin hogar con trastornos mentales (Lee et al, 2010;Sullivan, Burnam, y Koegel, 2000;Cohen y Thompson, 1992) y los veteranos sin hogar (e.g. Mares y Rosenheck, 2006;Rosenheck y Koegel, 1993), aunque se han utilizado otras muchas variables para identificar o caracterizar subgrupos dentro de las personas sin hogar: edad (Salavera, Puyuelo, y Orejudo, 2009;Washington, Moxley y Taylor, 2009; DeMai-…”

Section: Introductionunclassified

Salud, calidad de vida y consumo de sustancias en función del tiempo en situación sin hogar

Panadero

Muñoz-López

2014

analesps

View full text Add to dashboard Cite

Attitudes Towards Employment and Employment Outcomes Among Homeless Veterans with Substance Abuse and/or Psychiatric Problems

Cited by 12 publications

References 20 publications

Mortality among substance‐using mothers in California: a 10‐year prospective study

Mortality among substance‐using mothers in California: a 10‐year prospective study

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Salud, calidad de vida y consumo de sustancias en función del tiempo en situación sin hogar

Contact Info

Product

Resources

About