The Mediating Influence of Treatment Participation Rate on Post-Treatment Employment

Kim, Min; Leierer, Stephen J.; Atherton, W. Leigh; Toriello, Paul J.; Sligar, Steven R.

doi:10.1177/0034355215610068

Cited by 1 publication

(1 citation statement)

References 79 publications

(118 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Research has shown that clients who experience substance use disorders have better employment-related outcomes when they participate in treatment for lengthier durations, or when they complete treatment, altogether (Arria & TOPPS-II Interstate Cooperative Study Group, 2003; Dunigan et al, 2014; Kim, Leierer, Atherton, Toriello, & Sligar, 2015; Luchansky, Brown, Longhi, Stark, & Krupski, 2000; Sung & Chu, 2011). However, because in the general population Blacks, American Indians, and Latinos experience higher unemployment rates and lower wages than Whites, it is possible that racial/ethnic disparities in employment outcomes exist (Bureau of Labor Statistics, 2016; U.S.…”

Section: Introductionmentioning

confidence: 99%

Employment after beginning treatment for substance use disorders: The impact of race/ethnicity and client community of residence

Acevedo

Miles

Garnick

et al. 2018

Journal of Substance Abuse Treatment

View full text Add to dashboard Cite

Employment is an important substance use treatment outcome, frequently used to assess individual progress during and after treatment. This study examined whether racial/ethnic disparities exist in employment after beginning treatment. It also examined the extent to which characteristics of clients' communities account for such disparities. Analyses are based on data that linked individual treatment information from Washington State's Behavioral Health Administration with employment data from the state's Employment Security Department. Analyses subsequently incorporated community-level data from the U.S. Census Bureau. The sample includes 10,636 adult clients (Whites, 68%; American Indians, 13%, Latinos, 10%; and Blacks, 8%) who had a new outpatient treatment admission to state-funded specialty treatment. Heckman models were used to test whether racial/ethnic disparities existed in the likelihood of post-admission employment, as well as employment duration and wages earned. Results indicated that there were no racial/ethnic disparities in the likelihood of employment in the year following treatment admission. However, compared to White clients, American Indian and Black clients had significantly shorter lengths of employment and Black clients had significantly lower wages. With few exceptions, residential community characteristics were associated with being employed after initiating treatment, but not with maintaining employment or with wages. After accounting for community-level variables, disparities in length of employment and earned wages persisted. These findings highlight the importance of considering the race/ethnicity of a client when examining post-treatment employment alongside community characteristics, and suggest that the effect of race/ethnicity and community characteristics on post-treatment employment may differ based on the stage of the employment process.

show abstract