Employment outcomes for hard-to-reach persons with chronic and severe substance use disorders receiving assertive community treatment
|Authors:||Gold, P., Meisler, N., Santos, A., Carnemolla, M., Williams, O., & Keleher, J.|
|Publication||Substance Use and Misuse|
Individuals with the most chronic and severe substance use disorders receive little clinical and rehabilitative benefit from treatment programs.The majority drop out of intensive outpatient programs and therapeutic communities within 30 days of admission. Those who do complete planned treatment fail to generalize the benefits associated with abstinence and the development of other skills to employment. Less than one third work and those who do earn wages below poverty levels. This population may improve employment outcomes with long term integrated substance abuse rehabilitation and support services like the Assertive Community Treatment (ACT)approach. This team based approach will be expensive. Cost-benefit analysis is needed to persuade states to adopt this method.
The purpose of this study was to evaluate the effectiveness of the ACT approach with individuals who experience severe substance use disorders.
The setting for the study was Ernest E. Kennedy Center, a private nonprofit center providing treatment for substance dependence serving Berkeley and Charleston counties in coastal South Carolina.
The study sample included 35 individuals with severe substance use disorders.
A wide range of clinical, functional, and psycho-social processes and outcomes were measured. Measures were completed at three time-points: admission to the ACT program (baseline), and 6 months and 12 months post admission.
The study included a single-group design. Participants functioned as own controls.
Thirty four of the 35 clients completed the 2-year service demonstration project. Generally, clients modestly reduced substance misuse and increased employment.
The project shows promising outcomes, however the sample size was small and limits inferences of causation and generalization of the process.
|Populations||Male & Female|
|Outcomes||Employment acquisition | Return to work | Wages|
|Research Design||Single group|