PMID: 9534128Apr 16, 1998Paper

Work and identity in substance abuse recovery

Journal of Substance Abuse Treatment
J A Room

Abstract

Reduction in length of stay due to managed care has forced medical model treatment to focus on detoxification and "medically necessary" services at the expense of "wraparound" social services addressing employment, housing, and family problems. Lower staff and infrastructure costs enable social model programs to offer more (nonmedical) services and a longer stay at comparatively lower cost. Among the services they provide are vocational rehabilitation and job-search training, with the view that participants are better off if re-entry is mediated by sober social networks, stable environments, and employment. This paper demonstrates that employment training/job search activities are integrated into social model programs, and offers qualitative evidence of how staff and advanced residents teach the value of work. Longitudinal quantitative data collected at the same time suggest the focus of social model on employment does make a difference in posttreatment functioning: 1-year follow-up Addiction Severity Index (ASI) scores show decreases in employment problems among social model clients, along with comparable improvement on other composite scores of the ASI.

Citations

Aug 16, 2011·The International Journal on Drug Policy·Cláudia Costa StortiLinda Montanari
Feb 1, 2013·Substance Abuse Treatment, Prevention, and Policy·Paul Duffy, Helen Baldwin
Jul 7, 2007·Substance Use & Misuse·Stephen MaguraAugustin Gomez
Nov 19, 2008·Substance Use & Misuse·Natalia BobrovaRobert Power
Jun 27, 2006·Substance Use & Misuse·Sung-Yeon KangMichael Spinelli
Apr 8, 2006·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Marie Balíková
Apr 26, 2006·Journal of Ethnicity in Substance Abuse·Anne DannerbeckKathy Lloyd
Mar 5, 2019·Work : a Journal of Prevention, Assessment, and Rehabilitation·Andrew M H SiuBenson W M Lau
Oct 30, 2003·Substance Use & Misuse·Stephen Magura
Dec 18, 2004·Substance Use & Misuse·Stephen F ButlerSimon H Budman
Dec 18, 2004·Substance Use & Misuse·Carl LeukefeldAllison Mateyoke-Scrivner
Dec 18, 2004·Substance Use & Misuse·Stephen MaguraElizabeth M Madison
Feb 28, 2002·Substance Use & Misuse·Alexandre B LaudetEdward L Knight
Dec 18, 2004·Substance Use & Misuse·Donald S Shepard, Sharon Reif
Apr 16, 1998·Journal of Substance Abuse Treatment·T J BorkmanD Barrows
Jun 25, 2021·Journal of Prevention & Intervention in the Community·Bronwyn A Hunter, Leonard A Jason
Jan 3, 2021·Pediatrics·Ziming XuanLori Holleran Steiker

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