Benefits of Substance Use Disorder Screening on Employment Outcomes in State–Federal Vocational Rehabilitation Programs

Heinemann, Allen W.; Moore, Dennis; Lazowski, Linda E.; Huber, Mary J.; Semik, Patrick

doi:10.1177/0034355213503908

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…CSC is preferred over ACT as the appropriate service model for the TAYWCD population. SAMHSA’s Screening, Brief Intervention, and Referral to Treatment model is considered best practice for SUD screening, and the Adult Substance Abuse Subtle Screening Inventory-4 SUD screening instrument is validated for use with individuals with psychiatric disabilities (Heinemann et al, 2014; Lazowski & Geary, 2016; SAMHSA, 2020). A warm handoff when referring clients to and from community partner agencies is recommended (Peterson, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…The following strategies could improve employment outcomes for this population: (Heinemann et al, 2014;Lazowski & Geary, 2016;SAMHSA, 2020). A warm handoff when referring clients to and from community partner agencies is recommended (Peterson, 2022).…”

Section: Recommendationsmentioning

confidence: 99%

“…Individuals with psychiatric disabilities have continued to be underserved by the state VR system for over 30 years, as evidenced by employment outcomes which have been poorer for individuals with psychiatric disabilities than those with all other disabilities (Ackerman & McReynolds, 2005; Andrews et al, 1992; Anthony, 1994; Cimera, 2009; Dutta et al, 2008; Finch & Wheaton, 1999; Kaya & Chan, 2017; Marshak et al, 1990; Peterson & Olney, 2021; Rosenthal et al, 2007; Salzer et al, 2011; Schaller & Yang, 2007; Sevak & Khan, 2017; White, 2011). Experts have continued to emphasize that state VR counselors must be trained to understand and implement recovery-oriented, evidence-based approaches for youth with psychiatric disabilities that lead to employment (Ackerman & McReynolds, 2005; Alsaman & Lee, 2017; Heinemann et al, 2014; Lusk et al, 2016; Olney & Emery-Flores, 2017; Olney et al, 2014; Pratt et al, 2014; Psychiatric Rehabilitation Association [PRA], 2021; Rosenthal et al, 2007; SAMHSA, 2010, 2014, 2020, 2021; Topitzes et al, 2019; Waynor et al, 2018).…”

Section: Evidence-based Practicesmentioning

confidence: 99%

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Predictors of employment for transition-aged youth with co-occurring substance use disorder and psychiatric disorder in the state vocational rehabilitation service-delivery system.

Peterson¹,

Alkhadim²

2023

Psychiatric Rehabilitation Journal

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Objective: To identify state vocational rehabilitation (VR) services that were associated with employment for transition-aged youth with co-occurring disabilities (TAYWCD). Method: Hierarchical logistic regression analyses were utilized. Participants were 830 youth aged 24 and younger who had a cooccurring substance use disorder and another mental illness. Results: After controlling for the effect of demographic covariates, assessment services (OR = .53, 95% CI [.35, .80], p < .01), job placement services (OR = 2.56, 95% CI [1.73, 3.78], p < .001), and supported employment services (OR = 3.7, 95% CI [2.33, 5.89], p < .001) were found to significantly impact employment outcomes. Conclusions and Implications for Practice: State VR services that aligned with the individual placement and support model of supported employment principles were correlated with successful employment outcomes for TAYWCD who received these services. Recommendations include the following: (a) prepare VR counselors to effectively work with individuals with psychiatric disabilities; (b) provide TAYWCD with high-quality assessment and the individual placement and support model of supported employment services; (c) require VR counselors who serve TAYWCD to collaborate with community partner agencies that provide coordinated specialty care model services; (d) require VR counselors to collaborate with community partner agencies that provide recovery-oriented and evidence-based services; (e) encourage clients to formulate a Wellness Recovery Action Plan (WRAP) as a state VR assessment and Individualized Plan for Employment planning service; (f) include the state VR on-the-job training service in the Individualized Plan for Employment; (g) make use of benefits counseling services; and (h) institute in-service learning opportunities in state VR agencies. Impact and ImplicationsState vocational rehabilitation counselors have direct access to a wealth of resources to support employment services and the ability to coordinate these services with partner agencies in the community. In state vocational rehabilitation, services that aligned with aspects of the individual placement and support model of supported employment were correlated with successful employment outcomes for youth with co-occurring substance use and psychiatric disorders who received these services.

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Section: Discussionmentioning

confidence: 99%

Section: Recommendationsmentioning

confidence: 99%

Section: Evidence-based Practicesmentioning

confidence: 99%

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Predictors of employment for transition-aged youth with co-occurring substance use disorder and psychiatric disorder in the state vocational rehabilitation service-delivery system.

Peterson¹,

Alkhadim²

2023

Psychiatric Rehabilitation Journal

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“…Such tools also play a significant role in evaluations done in criminal justice probation and reintegration programs (Belenko, 2006), interventions for domestic violence (Easton, Swan, & Sinha, 2000), treatment of patients with spinal cord and traumatic brain injuries (Andelic et al, 2010; Hawkins & Heinemann, 1998), and identification of depression severity risk factors (Williams et al, 2014). Early identification and treatment for SUD can improve outcomes in many domains including family cohesion, crime reduction, and vocational rehabilitation (e.g., Heinemann, Moore, Lazowski, Huber, & Semik, 2014).…”

mentioning

confidence: 99%

Validation of the Adult Substance Abuse Subtle Screening Inventory-4 (SASSI-4)

Lazowski¹,

Geary²

2019

European Journal of Psychological Assessment

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Abstract. The study objective was to develop a revision of the adult Substance Abuse Subtle Screening Inventory-3 to include new items to identify nonmedical use of prescription medications, as well as additional subtle and symptom-related identifiers of substance use disorders (SUDs) and to evaluate its psychometric properties and screening accuracy against a criterion of DSM-5 diagnoses for SUD. Clinical professionals throughout the nine US Census Bureau regions and two Canadian provinces who used the SASSI Online screening tool submitted 1,284 completed administrations of the provisional SASSI-4 along with their independent DSM-5 diagnoses of SUD. Validation sample findings demonstrated SASSI-4 sensitivity of 93% and specificity of 90%, AUC = .91. Items added to identify respondents who were abusing prescription medications showed 94% overall screening accuracy. Logistic regression showed no significant effects of client demographic characteristics or type of screening setting on the accuracy of SASSI-4 screening outcomes. In Study 2, 120 adults in recovery from SUD completed the SASSI-4 under instructions to fake good. Sensitivity of 79% was demonstrated for the full scoring protocol and was 47% when only face valid scales were utilized. Clinical utility is discussed.

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Demographic and Vocational Rehabilitation Service Correlates of Employment Outcomes in People With Substance Use Disorders During COVID-19

Huang,

Rumrill,

Chun

et al. 2024

Rehabilitation Counseling Bulletin

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This study examined the demographic and vocational rehabilitation (VR) service correlates of employment outcomes (achievement of competitive employment, hourly wage, and weekly hours) among individuals with substance use disorders (SUDs) during the COVID-19 pandemic, using the Rehabilitation Services Administration Case Services Report (RSA-911) database for fiscal year 2020. Data from 9,536 individuals were analyzed. Hierarchical logistic regression and hierarchical linear regression analyses revealed that multiple demographic and VR service variables were significantly associated with achievement of competitive employment, hourly wage, and weekly work hours at exit. Particularly, having a vocational training license/certificate, employment at Individualized Plan for Employment, and having an associate or bachelor’s degree were the strongest demographic correlates of more positive employment outcomes; while short-term job supports, maintenance, and other services were the strongest VR service correlates of more positive employment outcomes. Implications of the findings were discussed to promote VR service outcomes for people with SUD in the postpandemic era.

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Benefits of Substance Use Disorder Screening on Employment Outcomes in State–Federal Vocational Rehabilitation Programs

Abstract: Persons with disabilities experience a number of risk factors for substance use disorders (SUD); and, research has repeatedly shown that vocational rehabilitation (VR) consumers are at high risk for SUD with estimated rates ranging from 22% to above 50% (

Cited by 6 publications

References 28 publications

Predictors of employment for transition-aged youth with co-occurring substance use disorder and psychiatric disorder in the state vocational rehabilitation service-delivery system.

Predictors of employment for transition-aged youth with co-occurring substance use disorder and psychiatric disorder in the state vocational rehabilitation service-delivery system.

Validation of the Adult Substance Abuse Subtle Screening Inventory-4 (SASSI-4)

Demographic and Vocational Rehabilitation Service Correlates of Employment Outcomes in People With Substance Use Disorders During COVID-19

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