Training and employment programs in methadone treatment: Client needs and desires

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

doi:10.1016/0740-5472(92)90022-g

Cited by 55 publications

(26 citation statements)

References 6 publications

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“…Both street-recruited and treatment-based samples of drug users are largely unemployed (Sanders-Phillips, 2002;Silverman et al, 2002;Zanis et al, 1994). Within these populations, women have significantly lower average household incomes (Brady et al, 1993) and rates of employment and education (French et al, 1992) compared to men. Barriers to obtaining or maintaining employment may be the result of a combination of drug use and its associated lifestyle, a lack of education or training, and limited employment opportunities (Romero Daza et al, 2003;Weeks, et al, 1998).…”

Section: Discussionmentioning

confidence: 98%

The evaluation of the JEWEL project: An innovative economic enhancement and HIV prevention intervention study targeting drug using women involved in prostitution

et al. 2006

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The JEWEL (Jewellery Education for Women Empowering Their Lives) pilot study examined the efficacy of an economic empowerment and HIV prevention intervention targeting illicit drug-using women (n=50) who were involved in prostitution in Baltimore, Maryland. The intervention was comprised of six 2-hour sessions that taught HIV prevention risk reduction and the making, marketing and selling of jewellery. Bivariate comparisons examined behaviour change pre- and 3-months post-intervention. The intervention's effect on the change in the number of sex trade partners from baseline to follow-up was explored with multiple linear regression. Participants were 62.0% African American, 5.0% were currently employed, and the median age was 39 years old (Inter Quartile Range [IQR]: 34-45). Women attended an average of six (IQR: 4.5-6.0) sessions. The women sold over $7,000 worth of jewellery in eleven sales. In comparing self-reported risk behaviours pre and 3-month post intervention participation, we found significant reductions in: receiving drugs or money for sex (100% versus 71.0%, p<0.0005); the median number of sex trade partners per month (9 versus 3, p=0.02); daily drug use (76.0% vs. 55.0%, p=0.003); the amount of money spent on drugs daily (US$52.57 versus US$46.71, p = 0.01); and daily crack use (27.3% versus 13.1.0%, p = 0.014). In the presence of other variables in a multivariate linear model, income from the jewelry sale was associated with a reduction in the number of sex trade partners at follow-up. The pilot indicated effectiveness of a novel, HIV prevention, economic enhancement intervention upon HIV sexual risk behaviours and drug utilization patterns.

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Section: Discussionmentioning

confidence: 98%

The evaluation of the JEWEL project: An innovative economic enhancement and HIV prevention intervention study targeting drug using women involved in prostitution

et al. 2006

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“…Most published studies of employment and heroin use have been conducted among persons who were enrolled in methadone maintenance or other drug user treatment programs (French, Dennis, McDougal, Karuntzos, and Hubbard, 1992;French, Zarkin, Hubbard, and Rachal, 1991;Suffet and Brotman, 1976; for review see Platt, 1995). A review of the studies conducted during the last quarter of the 20th century revealed that the unemployment 1036 Koo et al rate consistently ranged between approximately 65 and 85% for persons who were using opiates, primarily heroin, just prior to their entry into a drug user treatment program (Platt, 1995).…”

Section: Introductionmentioning

confidence: 97%

Factors for Employment: A Case-Control Study of Fully Employed and Unemployed Heroin Users

Koo

Chitwood

Sánchez

2007

Substance Use & Misuse

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The purpose of this article is to characterize fully employed users of heroin, compare them with their unemployed counterparts, and identify demographic, human, and social capital and drug misuse factors that are differentially associated with full employment. A nested case-control research design was used to identify 122 fully employed users (cases) and 466 unemployed users (controls) from a larger study of African American, Hispanic, and non-Hispanic White men and women who were active heroin injectors and sniffers and recruited from the streets of Miami-Dade County, Florida, between July 1997 and February 2000. Multivariate logistic regression techniques were used to analyze data from the Modified AIDS Risk Behavior Questionnaire. Findings indicated that employed users were more likely to possess human capital and social capital and less likely to use crack cocaine than unemployed users. Intervention to increase and sustain the employability of persons who misuse heroin is essential. Protocols that enhance human capital and social capital and reduce the misuse of drugs will benefit programs that seek to improve the employment status of persons who misuse heroin. The study's limitations are noted.

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“…However, for some workers other factors are equally or more important. These include nonlabor income, availability and affordability of child care [1][2][3] and personal conditions such as physical health status. 4,5 Although many empirical studies of labor supply behavior have examined the effects of wage rates on hours or weeks worked per year, relatively few have investigated the relationship between mental health and labor supply.…”

Section: Introductionmentioning

confidence: 99%

Mental health, absenteeism and earnings at a large manufacturing worksite

French

Zarkin

1998

J. Mental Health Policy Econ.

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Training and employment programs in methadone treatment: Client needs and desires

Cited by 55 publications

References 6 publications

The evaluation of the JEWEL project: An innovative economic enhancement and HIV prevention intervention study targeting drug using women involved in prostitution

The evaluation of the JEWEL project: An innovative economic enhancement and HIV prevention intervention study targeting drug using women involved in prostitution

Factors for Employment: A Case-Control Study of Fully Employed and Unemployed Heroin Users

Mental health, absenteeism and earnings at a large manufacturing worksite

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