Enhancing substance abuse treatment with case management its impact on employment

Siegal, Harvey A.; Fisher, James H.; Rapp, Richard C.; Kelliher, Casey W.; Wagner, Joseph H.; O’Brien, William F.; Cole, Phyllis A.

doi:10.1016/0740-5472(96)00029-3

Cited by 101 publications

(75 citation statements)

References 8 publications

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“…In this vein, case managers and continuing care counselors establish an alliance with clients and provide goal direction and monitoring, refer clients for housing, health, financial, and employment services that provide rewards associated with abstinence or reduced substance use; and work with clients to enhance their social skills, self-efficacy, and participation in substance-free social activities (McLellan et al, 1999;Siegal et al, 1996). Recovery Management Checkups also involve these ingredients and may include an MI component with feedback about substance use and related problems (Dennis et al, 2003).…”

Section: Issue 5 Do Clients Perceive These Ingredients As Important mentioning

confidence: 99%

Theory-based active ingredients of effective treatments for substance use disorders

Moos

2007

Drug and Alcohol Dependence

262

240

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This paper describes four related theories that specify common social processes that protect individuals from developing substance use disorders and may underlie effective psychosocial treatments for these disorders: social control theory, behavioral economics and behavioral choice theory, social learning theory, and stress and coping theory. It then provides an overview of the rationale and evidence for four effective psychosocial treatments for substance use disorders: motivational interviewing and motivational enhancement therapy, 12-step facilitation treatment, cognitive-behavioral treatment and behavioral family counseling, and contingency management and community reinforcement approaches. The presumed active ingredients of these treatments are described in terms of how they exemplify the social processes highlighted by the four theories. The identified common components of effective treatment include support, goal direction, and structure; an emphasis on rewards that compete with substance use, a focus on abstinence-oriented norms and models, and attempts to develop self-efficacy and coping skills. Several issues that need to be addressed to enhance our understanding of the active ingredients involved in effective treatment are discussed, including how to develop measures of these ingredients, how well the ingredients predict outcomes and influence conceptually comparable aspects of clients' life contexts, and how much their influence varies depending upon clients' demographic and personal characteristics.

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Section: Issue 5 Do Clients Perceive These Ingredients As Important mentioning

confidence: 99%

Theory-based active ingredients of effective treatments for substance use disorders

Moos

2007

Drug and Alcohol Dependence

262

240

View full text Add to dashboard Cite

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“…While there is a well-documented association between drug and alcohol abuse and employment-related difficulties (Siegal et al, 1996;Comerford, 1999), ratings of the significance of work did not differ between Veterans with substance use problems and non-users. One interpretation of these results is supported by research showing that unsatisfactory terminations were associated with substance abuse (Becker et al, 1998).…”

Section: Discussionmentioning

confidence: 99%

“…That is, although they value working, substance users may be especially leery about giving up the stability of disability benefits for jobs which they are at higher than average risk of losing. This is unfortunate because employment success has been related to decreases in substance use as well as improvements in medical, legal, family, social, and psychiatric functioning among individuals seeking substance abuse treatment (Siegal et al, 1996).…”

Section: Discussionmentioning

confidence: 99%

“…Substance-using Veterans who cannot find or hold jobs are harmed because they are not participating in a goal-directed activity-work-that reduces the free time to use substances and increases the social costs of using drugs and alcohol (Drake, Wallach, & McGovern, 2005;Siegal et al, 1996). However, very little, if any, research has been done to examine how substance-using Veterans who are seeking service-connected disability benefits view work.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Veterans' attitudes toward work and disability compensation: Associations with substance abuse

Meshberg‐Cohen

Reid‐Quiñones

Black

et al. 2014

Addictive Behaviors

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Introduction-Veterans deemed disabled for conditions resulting from, or aggravated by, their service in the military are eligible for service-connected disability payments. Despite many positive effects of disability payments, one concern is that Veterans with psychiatric conditions who receive disability payments are less likely to be employed compared to those who are denied benefits. Little is known about the attitudes of substance using Veterans, for whom work is a particularly important part of recovery, toward work and disability compensation.Methods-This study compared the responses of Veterans with (n=33) and without substance use problems (n=51) to questions about work's significance and its relationship to disability payments. T-and chi-square tests were conducted to determine if Veterans with substance use problems differed from the others on work-related attitudes and perceptions of the relation between work and Veterans' benefits.

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“…The National Institute on Drug Abuse-Funded Enhanced Treatment Project demonstrated that the strengths model can be integrated into residential substance abuse treatment and can improve treatment compliance and retention (Siegal et al, 1995). Other data from this project (Siegal et al, 1996) revealed that SBCM impacted participants' employment functioning, and these positive outcomes were correlated with others, including less substance use and better social functioning.…”

Section: Research On Sbcmmentioning

confidence: 93%

Strengths-Based Case Management: Implementation with High-Risk Youth

Arnold

Walsh

Oldham

et al. 2007

Families in Society: The Journal of Contemporary Social Service

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Few effective methods of intervention exist for youth at risk for negative life outcomes. One method used successfully with both adults with chronic mental illness and adults with substance abuse problems is strengths-based case management (SBCM). Based on the principles of strengths theory, SBCM aims to assist individuals in identifying and achieving personal goals, with an emphasis on the case manager-client relationship and client self-determination. In the current study, the authors report findings from a feasibility study that implemented SBCM with adolescent runaways. Challenges to implementation, such as financial status, the role of families, abuse and neglect, developmental issues, education, peer relationships, and transportation, are examined. The current findings suggest that it is feasible to successfully implement SBCM with adolescents, but the challenges to application are different with this group compared with adults, given the developmental differences between adolescents and adults. incapable of achieving these outcomes. The strengths model was constructed of elements of practice that were thought to be more effective in achieving these specific outcomes, which were different from the standard practice at the time. Now several decades later, clinicians and researchers are currently searching for innovative methods of intervention with another population for whom traditional services frequently are insufficient: adolescent runaways. The present study, based on a small feasibility project, reports on the application of the strengths model of case management to youths who have run away from home and are facing a variety of challenges in their lives. As part of a formal feasibility study, we examined challenges to implementation of this model with adolescents, such as financial status, the role of families, abuse and neglect, developmental stage, education, peer relationships, and transportation. SBCM OverviewAs described by C. A. Rapp (1998b), the strengths model of case management is based on the theory of strengths, which aims to identify the factors that are impacting an individual's life and how they can be changed. The theory states that clients must identify their own desired outcomes in areas such as quality of life, achievement, sense of competency, life satisfaction, and empowerment. The theory posits that the niches in which clients live (e.g., living arrangement, recreation, education) directly impact achievement of these outcomes. In turn, individual (e.g., aspirations, competencies, confidence) and environmental (e.g., resources, social relations, opportunities) strengths directly impact the quality of an individual's niches. By creating enabling niches instead of remaining in entrapping niches, individuals can accomplish their desired outcomes. Thus, the theory is based on internal as well as external factors that impact clients' lives.The SBCM model is based on six principles (C. A. Rapp, 1998b): (a) The focus is on individual strengths rather than pathology; (b) the commun...

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Enhancing substance abuse treatment with case management its impact on employment

Cited by 101 publications

References 8 publications

Theory-based active ingredients of effective treatments for substance use disorders

Theory-based active ingredients of effective treatments for substance use disorders

Veterans' attitudes toward work and disability compensation: Associations with substance abuse

Strengths-Based Case Management: Implementation with High-Risk Youth

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