Developing training and employment programs to meet the needs of methadone treatment clients

Dennis, Michael L.; Karuntzos, Georgia; McDougal, Gail L.; French, Michael T.; Hubbard, Robert L.

doi:10.1016/0149-7189(93)90019-5

Cited by 31 publications

(14 citation statements)

References 18 publications

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“…For example, a reliable and valid measure of client motivation and readiness for work or job training is sorely needed. Dennis and colleagues (1993) developed such a tool for use with methadone maintenance programs. If such a screener could identify clients most likely to benefit from further services (e.g., referral to vocational rehabilitation specialist), it is likely to have both clinical and economic benefits.…”

Section: Discussionmentioning

confidence: 99%

Randomized multi-site trial of the Job Seekers’ Workshop in patients with substance use disorders

Svikis

Stitzer

Rieckmann

et al. 2012

Drug and Alcohol Dependence

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Background Unemployment is associated with negative outcomes both during and after drug abuse treatment. Interventions designed to increase rates of employment may also improve drug abuse treatment outcomes. The purpose of this multi-site clinical trial was to evaluate the Job Seekers’ Workshop (JSW), a three session, manualized program designed to train patients in the skills needed to find and secure a job. Method Study participants were recruited through the NIDA Clinical Trials Network (CTN) from six psychosocial counseling (n=327) and five methadone maintenance (n=301) drug treatment programs. Participants were randomly assigned to either standard care (program-specific services plus brochure with local employment resources) (SC) or standard care plus JSW. Three 4-hr small group JSW sessions were offered weekly by trained JSW facilitators with ongoing fidelity monitoring. Results JSW and SC participants had similar 12- and 24-week results for the primary outcome measure (i.e., obtaining a new taxed job or enrollment in a training program), Specifically, one-fifth of participants at 12 weeks (20.1 – 24.3%) and nearly one-third at 24 weeks (31.4–31.9%) had positive outcomes, with “obtaining a new taxed job” accounting for the majority of cases. Conclusion JSW group participants did not have higher rates of employment/training than SC controls. Rates of job acquisition were modest for both groups, suggesting more intensive interventions may be needed. Alternate targets (e.g., enhancing patient motivation, training in job-specific skills) warrant further study as well.

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Section: Discussionmentioning

confidence: 99%

Randomized multi-site trial of the Job Seekers’ Workshop in patients with substance use disorders

Svikis

Stitzer

Rieckmann

et al. 2012

Drug and Alcohol Dependence

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show abstract

“…French et al (1992) and Dennis et al (1993) found that while substance users are very interested in employment services, they are often unrealistic about the impact of these services on their daily functioning. Furthermore, Zanis and Coviello (2001) found that many unskilled substance users who became employed were unprepared to manage the responsibilities that accompany job acquisition (e.g., disengage from entitlement programs, engagement in counseling, communication with employers).…”

Section: Employment Servicesmentioning

confidence: 97%

Developing Employment Services for Criminal Justice Clients Enrolled in Drug User Treatment Programs

Kemp

Savitz²,

Thompson³

et al. 2004

Substance Use & Misuse

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Approximately 80% of parolees have a history of substance abuse and nearly all are unemployed following release from prison. Common stipulations of parole require offenders to obtain employment and to not use mood-altering substances. This article explores a series of strategies implemented from 1999 to 2001 to help offenders paroled to substance user treatment to gain employment. A total of 245 paroled offenders enrolled in an outpatient substance abuse treatment program voluntarily agreed to participate in one of four different vocational intervention programs (Job Skill Development and Supported Work, Life Skill Development, Job Training, and Welfare to Work). Programmatic data (e.g., attendance, completion, job acquisition, and wage) were collected and reported for each of the vocational programs. Additionally, a 12-month pilot study examined criminal justice, substance use, and employment outcomes of 36 offenders referred to the job skill development and supported work project. Overall, 78% of the offenders enrolled in the vocational services completed the program and 134/245 (55%) were able to obtain employment. The data showed that completion of vocational services was strongly associated with obtaining employment 12 months postenrollment. Offenders identified the employment services as an integral part of their improved overall functioning. A series of practice recommendations and policy suggestions is offered to develop and manage vocational services for substance-using offenders. Employment services for parolees require considerable coordination of activities with parole officers, vocational programs, substance abuse treatment professionals, and funding systems.

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“…8–1213–16 Securing employment is not only one of society’s priorities for SUD affected persons, 17 it is also consistently cited as a top priority by SUD affected individuals at all stages of recovery. 5,18,19 We examined life priorities as a function of duration of abstinence among former polysubstance dependent persons living in the community; employment was consistently the second most frequently mentioned priority across recovery stages from early to stable (see later discussion) after ‘staying clean and working on my recovery’, with a trend whereby the proportion of participants citing employment as a priority increased as recovery progresses -from 31.1% in recovery < 6 months to 36.2% in recovery 6 to 18 months and 35.1% for those in recovery 18 months to 3 years. 5 …”

Section: Introductionmentioning

confidence: 99%

Rate and Predictors of Employment Among Formerly Polysubstance Dependent Urban Individuals in Recovery

Laudet

2012

Journal of Addictive Diseases

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Employment is a key functioning index in addiction services and consistently emerges as a goal among persons in recovery. Research on employment in the addictions has focused on treatment populations and/or welfare recipients; little is known of employment rates or their predictors among persons in recovery. This study seeks to fill this gap, capitalizing on a sample (N = 311) of urban individuals at various stages of recovery. Fewer than half (44.5%) were employed; in logistic regressions, male gender and Caucasian race enhanced the odds of employment whereas having a comorbid chronic physical and/or mental health condition halved the odds. Implications center on the need to identify effective strategies to enhance employability among women and minorities, and for integrated care for persons with multiple chronic conditions.

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Developing training and employment programs to meet the needs of methadone treatment clients

Cited by 31 publications

References 18 publications

Randomized multi-site trial of the Job Seekers’ Workshop in patients with substance use disorders

Randomized multi-site trial of the Job Seekers’ Workshop in patients with substance use disorders

Developing Employment Services for Criminal Justice Clients Enrolled in Drug User Treatment Programs

Rate and Predictors of Employment Among Formerly Polysubstance Dependent Urban Individuals in Recovery

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