Abstract
This study examined the influence of gender, post-treatment issue severities, and treatment participation rate on the post-treatment employment status of consumers with substance use disorders. The study analyzed the archival data of 100 unemployed and underemployed participants from a substance abuse intensive outpatient program. We found significant differences in the characteristics of gender, severity of alcohol use, drug use, psychiatric issues, and treatment participation rate. Female gender and low treatment participation rates negatively predicted employment. This study increased understanding about the interplay of alcohol, drug, and psychiatric influences on post-treatment employment status.
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Arria, A. M., Garnier-Dykstra, L. M., Cook, E. T., Calderia, K. M., Vincent, K. B., Baron, R. A., et al. (2013). Drug use patterns in young adulthood and post-college employment. Drug and Alcohol Dependence, 127, 23–30. https://doi.org/10.1016/j.drugalcdep.2012.06.001.
Asakura, T., Gee, G. C., Nakayama, K., & Niwa, S. (2008). Returning to the “homeland”: Work-related ethnic discrimination and the health of Japanese Brazilians in Japan. American Journal of Public Health, 98, 743–750.
Baker, A. L., Hiles, S. A., Thornton, L. K., Hides, L., & Lubman, D. I. (2012). A systematic review of psychological interventions for excessive alcohol consumption among people with psychotic disorders. Acta Psychiatrica Scandinavica, 126, 243–255. https://doi.org/10.1111/j.1600-0447.2012.01885.x.
Baldwin, M. L., Marcus, S. C., & Simone, J. D. (2010). Job loss discrimination and former substance use disorders. Drug and Alcohol Dependence, 110, 1–7.
Barry, D. T., Stefanovics, E. A., Desai, R. A., & Potensa, M. N. (2010). Differences in the associations between gambling problem severity and psychiatric disorders among black and white adults: Findings from the national epidemiologic survey on alcohol and related conditions. The American Journal on Addictions, 20, 69–77. https://doi.org/10.1111/j.1521-0391.2010.00098.x.
Becker, D. R., Drake, R. E., & Naughton, W. J. (2005). Supported employment for people with co-occurring disorders. Psychiatric Rehabilitation Journal, 28, 332–338. https://doi.org/10.2975/28.2005.332.338.
Biegel, D. E., Stevenson, L. D., Beimers, D., Ronis, R. J., & Boyle, P. (2010). Predictors of competitive employment among consumers with co-occurring mental and substance use disorders. Research on Social Work Practice, 20, 191–201. https://doi.org/10.1177/1049731509333373.
Calsyn, D. A., Saxon, A. J., Bush, K. R., Howell, D. N., Baer, J. S., Sloan, K. L., et al. (2004). The addiction severity index medical and psychiatric composite scores measure similar domains as the SF-36 in substance-dependent veterans: Concurrent and discriminant validity. Drug and Alcohol Dependence, 76(2), 165–171.
Campbell, K. (2007). Consumer predictors of competitive employment outcomes in supported employment. Unpublished doctoral dissertation, Purdue University, Indiana.
Chisolm, M. S., Fitzsimons, H., Leoutsakos, J., Acquavita, S. P., Heil, S. H., Wilson-Murphy, M., et al. (2013). A comparison of cigarette smoking profiles in opioid-dependent pregnant patients receiving methadone or buprenorphine. Nicotine & Tobacco Research, 15, 1297–1304. https://doi.org/10.1093/ntr/nts274.
Choi, S., Adams, S. M., MacMaster, S. A., & Seiters, J. (2013). Predictors of residential treatment retention among individuals with co-occurring substance abuse and mental health disorders. Journal of Psychoactive Drugs, 45, 122–131. https://doi.org/10.1080/02791072.2013.785817.
Coker, E., Hamilton, S., Herderson, C., Weeks, C., Pinford, V., Rose, D., et al. (2013). Experiences of discrimination among people using mental health services in England 2008-2011. The British Journal of Psychiatry, 202, s58–s63.
Defife, J. A., Conklin, C. Z., Smith, J. M., & Poole, J. (2010). Psychotherapy appointment no-shows: Rates and reasons. Psychotherapy: Therapy, Research, Practice, Training, 47, 413–417. https://doi.org/10.1037/a0021168.
Dennis, C. M., Cacciola, J. S., & Alterman, A. I. (2013). Addiction severity index (ASI) summary scores: Comparison of the recent status scores of the ASI-6 and the composite scores of the ASI-5. Journal of Substance Abuse Treatment, 45(5), 444–450.
Drake, R. E., Xie, H., Bond, G. R., McHugo, G. J., & Caton, C. L. (2013). Early psychosis and employment. Schizophrenia Research, 146, 111–117. https://doi.org/10.1016/j.schres.2013.02.012.
Frounfelker, R. L., Wilkniss, S. M., Bond, G. R., Devitt, T. S., & Drake, R. E. (2011). Enrollment in supported employment services for clients with a co-occurring disorder. Psychiatric Services, 62, 545–547. https://doi.org/10.1176/appi.ps.62.5.545.
Funn, J., & Woodruff, S. I. (2011). Prevalence and sociodemographic correlates of mental health problems among emergency department patients with high-risk and dependent alcohol use patterns. Journal of Dual Diagnosis, 7, 14–25. https://doi.org/10.1080/15504263.2011.569192.
Greenfield, S. F., & Grella, C. E. (2009). What is “women-focused” treatment for substance use disorders? Psychiatric Services, 60, 880–882. https://doi.org/10.1176/appi.ps.60.7.880.
He, Y., Hu, J., Yu, I., Gu, W., & Liang, Y. (2010). Determinants of return to work after occupational injury. Journal of Occupational Rehabilitation, 20, 378–386.
Hogue, A., Dauber, S., Dasaro, C., & Morgenstern, J. (2010). Predictors of employment in substance-using male and female welfare recipients. Journal of Substance Abuse Treatment, 38, 108–118. https://doi.org/10.1016/j.jsat.2009.09.003.
Honey, A. (2003). The impact of mental illness on employment: Consumers’ perspectives. Journal of Prevention, Assessment and Rehabilitation, 20, 267–276.
Kim, R., Hickman, N., Gali, K., Orozco, N., & Prochaska, J. J. (2014). Maximizing retention with high risk participants in a clinical trial. American Journal of Health Promotion, 28, 268–274. https://doi.org/10.4278/ajhp.120720-QUAN-355.
Kline, R. B. (2004). Principles and practices of structural equation modeling (2nd ed.). New York, NY: Guilford Press.
Kline-Simon, A. H., Falk, D. E., Litten, R. Z., Mertens, J. R., Fertig, J., Ryan, M., et al. (2013). Posttreatment low-risk drinking as a predictor of future drinking and problem outcomes among individuals with alcohol use disorders. Alcoholism: Clinical and Experimental Research, 37, 373–380. https://doi.org/10.1111/j.1530-0277.2012.01908.x.
Laudet, A. B. (2012). Rate and predictors of employment among formerly polysubstance dependent urban individuals in recovery. Journal of Addictive Diseases, 31, 288–302. https://doi.org/10.1080/10550887.2012.694604.
Lopez-Goni, J. J., Fernandez-Montalvo, J. F., & Arteaga, A. (2011). Addiction treatment dropout: Exploring patient characteristics. The American Journal on Addictions, 21, 78–85. https://doi.org/10.1111/j.1521-0391.2011.00188.x.
Magidson, J. F., Gorka, S. M., MacPherson, L., Hopko, D. R., Blanco, C., Lejuez, C. W., et al. (2011). Examining the effect of the life enhancement treatment for substance use (LETS ACT) on residential substance abuse treatment retention. Addictive Behaviors, 36, 615–623.
Magura, S., Staines, G. L., Blankertz, L., & Madison, E. M. (2004). The effectiveness of vocational services for substance users in treatment. Substance Use & Misuse, 39(13–14), 2165–2213.
McCutcheon, V. V., Heath, A. C., Edenberg, H. J., Grucza, R. A., Hesselbrock, V. M., Kramer, J. R., et al. (2009). Alcohol criteria endorsement and psychiatric and drug use disorders among DUI offenders: Greater severity among women and multiple offenders. Addictive Behaviors, 34, 432–439. https://doi.org/10.1016/j.addbeh.2008.
McGovern, M. P., Lambert-Harris, C., Gotham, H. J., Claus, R. E., & Xie, H. (2014). Dual diagnosis capability in mental health and addiction treatment services: An assessment of programs across multiple state system. Administration and Policy in Mental Health and Mental Health Services Research, 41, 205–214.
McIntosh, J., Bloor, M., & Robertson, M. (2008). The health benefits of reductions in individuals’ use of illegal drugs. Journal of Substance Use, 13, 247–254. https://doi.org/10.1080/14659890701802836.
McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, I., Grissom, G., et al. (1992). The Fifth Edition of the Addiction Severity Index. Journal of Substance Abuse Treatment, 9, 199–213.
Menard, S. (2010). Logistic regression: From introductory to advanced concepts and applications. Thousand Oaks, CA: SAGE Publications.
Minkoff, K. (2001). Developing standards of care for individuals with co-occurring psychiatric and substance use disorders. Psychiatric Services, 52, 597–599.
Morgenstern, J., Hogue, A., Dasaro, C., Keurbis, A., & Dauber, S. (2008). Characteristics of individuals screening positive for substance use in a welfare setting: Implications for welfare and substance-use disorders treatment systems. Journal of Studies on Alcohol and Drugs, 69, 561–570.
Mueser, K., Gary, B., Essock, S., Clark, R., Carpenter-Song, E., Drake, R., et al. (2014). The effects of supported employment in Latino consumers with severe mental illness. Psychiatric Rehabilitation Journal, 37, 113–122.
Mueser, K. T., & McGurk, S. R. (2014). Supported employment for persons with serious mental illness: Current status and future directions. L’Encephale, 40, S45–S56.
Niv, N., & Hser, Y. (2006). Drug treatment service utilization and outcomes for Hispanic and White methamphetamine abusers. Health Services Research, 41, 1242–1257. https://doi.org/10.1111/j.1475-6773.2006.00530.x.
Niv, N., Pham, P., & Hser, Y. (2009). Racial and ethnic differences in substance abuse service needs, utilization, and outcomes in California. Psychiatric Services, 60, 1350–1356. https://doi.org/10.1176/appi.ps.60.10.1350.
Pentz, M. A., & Riggs, N. R. (2013). Longitudinal relationships of executive cognitive function and parent influence to child substance use and physical activity. Prevention Science, 14, 229–237. https://doi.org/10.1007/s11121-012-0312-3.
Redonnnet, B., Chollet, A., Dombonne, E., Bowes, L., & Melchior, M. (2012). Tobacco, alcohol, cannabis and other illegal drug use among young adults: The socioeconomic context. Drug and Alcohol Dependence, 121, 231–239. https://doi.org/10.1016/j.drugalcdep.2011.09.002.
Richardson, M., & Abraham, C. (2012). Psychological correlates of university students’ academic performance: A systematic review and meta-analysis. Psychological Bulletin, 138, 353–387. https://doi.org/10.1037/a0026838.
Richardson, L., Wood, E., Montaner, J., & Kerr, T. (2012). Addiction treatment-related employment barriers: The impact of methadone maintenance. Journal of Substance Abuse Treatment, 43, 276–284. https://doi.org/10.1016/j.jsat.2011.12.008.
Rogers, E. S., Anthony, W. A., Cohen, M., & Davies, R. R. (1997). Prediction of vocational outcome based on clinical and demographic indicators among vocationally ready clients. Community Mental Health Journal, 33, 99–112.
Rogers, N. L., Embree, J. A., Masoudi, N., Huber, M., Ford, J. A., & Moore, D. (2011). Consumer perspectives on reasons for unsuccessful VR case closure: An exploratory study. Journal of Vocational Rehabilitation, 34, 151–161. https://doi.org/10.3233/JVR-2011-0543.
Rohde, P., Stice, E., & Gau, J. M. (2012). Effects of three depression prevention interventions on risk for depressive disorder onset in the context of depression risk factors. Prevention Science, 13, 584–593. https://doi.org/10.1007/s11121-012-0284-3.
Rosenheck, R., Leslie, D., Keefe, R., McEvoy, J., Swartz, M., & Perkins, D. (2006). Barriers to employment for people with Schizophrenia. American Journal of Psychiatry, 163, 411–417.
Schuckit, M. A. (2006). Comorbidity between substance use disorders and psychiatric conditions. Addiction, 101, 76–88. https://doi.org/10.1111/j.1360-0443.2006.01592.x.
Schulte, S. J., Meier, P. S., Stirling, J., & Berry, M. (2010). Unrecognized dual diagnosis—A risk factor for dropout of addiction treatment. Mental Health and Substance Use, 3, 94–109. https://doi.org/10.1080/17523281003705199.
Shah, S., DeMatteo, D., Keesler, M., Davis, J., Heilbrun, K., & Festinger, D. S. (2013). Addiction severity index scores and urine drug screens art baseline as predictors of graduation from drug court. Crime & Delinquency, 61(9), 1–21. https://doi.org/10.1177/0011128713496007.
Sheidow, A. J., McCart, M., Zajac, K., & Davis, M. (2012). Prevalence and impact of substance use among emerging adults with serious mental health conditions. Psychiatric Rehabilitation Journal, 35, 235–243. https://doi.org/10.2975/35.3.2012.235.243.
Staring, A. B., Blaauw, E., & Mulder, C. L. (2012). The effects of assertive community treatment including integrated dual diagnosis treatment on nuisance acts and crimes in dual-diagnosis patients. Community Mental Health Journal, 48, 150–152. https://doi.org/10.1007/s10597-011-9406-9.
Strickler, D. C., Whitley, R., Becker, D. R., & Drake, R. E. (2009). First person accounts of long-term employment activity among people with dual diagnosis. Psychiatric Rehabilitation Journal, 32, 261–268. https://doi.org/10.2975/32.4.2009.261.268.
Substance Abuse and Mental Health Service Administration (2017). Reports and detailed tables from the 2016 national survey on drug use and health. NSDUH Series. Rockville, MD: Authors
Thum, C. C., Briber, R., & Butler, S. F. (2000). Working it out: A vocational education program. Newton, MA: Inflexxion.
Torvik, F. A., Rognmo, K., & Tambs, K. (2012). Alcohol use and mental distress as predictors of non-response in a general population health survey: the HUNT study. Social Psychiatry and Psychiatric Epidemiology, 47, 805–816. https://doi.org/10.1007/s00127-011-0387-3.
Tuten, M., Fitzsimons, H., Chisolm, M. S., Nuzzo, P. A., & Jones, H. E. (2012). Contingent incentives reduce cigarette smoking among pregnant, methadone-maintained women: Results of an initial feasibility and efficacy randomized clinical trial. Addiction, 107, 1868–1877. https://doi.org/10.1111/j.1360-0443.2012.03923.x.
Wand, B. M., Chiffelle, L. A., O’Connell, N. E., McAuley, J. H., & DeSouza, L. H. (2010). Self-reported assessment of disability and performance-based assessment of disability are influenced by different patient characteristics in acute low back pain. European Spine Journal, 19, 633–640. https://doi.org/10.1007/s00586-009-1180-9.
Xie, H., Drake, R. E., McHugo, G. J., Xie, L., & Mohandas, A. (2010). The 10-year course of remission, abstinence, and recovery in dual diagnosis. Journal of Substance Abuse Treatment, 39, 132–140. https://doi.org/10.1016/j.jsat.2010.05.011.
Zabkiewicz, D., & Schmidt, L. A. (2007). Behavioral health problems as barriers to work: Results from a 6-year panel study of welfare recipients. Journal of Behavioral Health Services and Research, 34, 168–185. https://doi.org/10.1007/s11414-007-9060-8.
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This work was supported by Incheon National University Research Grant in 2015.
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Kim, M., Leierer, S. & Jeon, J. Predictors of Post-Treatment Employment for Individuals with Substance Use Disorders. Community Ment Health J 55, 1236–1245 (2019). https://doi.org/10.1007/s10597-019-00439-z
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DOI: https://doi.org/10.1007/s10597-019-00439-z