Journal article
Employment recovery capital in the treatment of substance use disorders: Six-month follow-up observations
Drug and alcohol dependence, Vol.205, pp.107624-107624
12/01/2019
DOI: 10.1016/j.drugalcdep.2019.107624
Abstract
•Employment recovery capital predicts substance use treatment completion.•Employment recovery capital predicts maintained/increased use at follow-up.•Employment recovery capital change predicts abstinence at follow-up.•Best predictors of abstinence include change in months employed and work missed.•Interventions could focus on improvement of employment recovery capital.
Recovery capital represents client strengths associated with substance use disorder (SUD) recovery. Employment is part of recovery capital supporting long-term recovery. However, specific employment recovery capital (ERC) factors associated with SUD recovery are not well understood.
The present study used retrospective logistic regression modeling to predict treatment completion at discharge and substance use at six-month follow-up from employment variables at intake and follow-up. An additional exploratory follow-up of ERC Change is further investigated. Existing clinical data from a random selection of all Iowa SUD treatment facilities receiving public funding from 1999-2016. Clients in the study (N = 8,925) were a mean age of 31.7 (SD = 11.8), mostly male (67.2%), and primarily White (86.6%). Measurements included substance use, treatment completion, ERC Change, demographic, and treatment statistical control variables.
Results demonstrated that employment variables at intake predicted greater successful treatment completion, p < 0.0001. However, the same employment variables were predictive of maintained and increased use at six-month follow-up. Further investigation showed the best predictors of post-treatment recovery was a change in employment variables including months employed increase (AOR = 1.53, 95% CI = 1.34–1.75) and days missed from work due to substance use decrease (AOR = 2.43, 95% CI = 2.00–2.96).
Researchers and providers can help improve client recovery with intervention design, consultation, and policies focused on vocational growth in addition to employment benchmarks of gross income, full-time employment, occupation, primary support, months employed, and work missed. ERC is a promising route to improve the lives for those involved with substance use disorders.
Details
- Title: Subtitle
- Employment recovery capital in the treatment of substance use disorders: Six-month follow-up observations
- Creators
- Ethan Sahker - Department of Psychological and Quantitative Foundations, Counseling Psychology Program, College of Education, University of Iowa, 361 Lindquist Center, Iowa City, IA, 52242, USASaba Rasheed Ali - University of IowaStephan Arndt - VA San Diego Healthcare System
- Resource Type
- Journal article
- Publication Details
- Drug and alcohol dependence, Vol.205, pp.107624-107624
- DOI
- 10.1016/j.drugalcdep.2019.107624
- ISSN
- 0376-8716
- eISSN
- 1879-0046
- Publisher
- Elsevier BV
- Language
- English
- Date published
- 12/01/2019
- Academic Unit
- Psychiatry; Biostatistics; Nursing; Injury Prevention Research Center; Education Administration; Psychological and Quantitative Foundations
- Record Identifier
- 9984371266102771
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