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

Journal of Substance Abuse Treatment
Andrea AcevedoDolores Acevedo-Garcia

Abstract

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...Continue Reading

Citations

Feb 25, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Junqing LiuSarah Hudson Scholle
Aug 28, 2019·The Journal of Behavioral Health Services & Research·Jennifer MilesMichelle Delk

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