Historique
Périodique
Employment outcomes for hard-to-reach persons with chronic and severe substance use disorders receiving assertive community treatment
(Trouver un emploi pour des personnes difficiles à atteindre souffrant de troubles graves liés à la consommation de substances psychoactives et suivant un traitement communautaire pour prendre de l'assurance)
Auteur(s) :
GOLD P. B. ;
MEISLER N. ;
DUROSS D. ;
BAILEY, L.
Année
2004
Page(s) :
2425-2489
Langue(s) :
Anglais
Refs biblio. :
181
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
EMPLOI
;
DEPENDANCE
;
REINSERTION PROFESSIONNELLE
;
THERAPIE COMPORTEMENTALE
;
EFFICACITE
;
ACCES AUX SOINS
Note générale :
Substance Use and Misuse, 2004, 39, (13-14), 2425-2489
Note de contenu :
tabl.
Résumé :
ENGLISH :
Many persons with chronic and severe substance use disorders (SUDs) enter and exit public substance dependence treatment systems with limited benefit, but continue overuse of high-cost health and human services. Less than a third holds jobs, earning income below U.S. federal poverty levels. Long-term integrated substance dependency treatment, rehabilitation, and support services will be essential to resolve substance dependence and employment problems. This single-group program evaluation reports adaptation of Assertive Community Treatment (ACT), a multi-component, team-based service model originally designed for persons with severe mental illnesses and multiple disabilities, for effectiveness with persons with severe SUDs. The ACT model delivers an integrated package of treatment, rehabilitation, and support to reduce substance misuse and increase employment. Of the 35 clients admitted 12 months prior to conclusion of this 2-year service demonstration, only one left treatment prematurely. Generally, clients modestly reduced substance misuse and increased employment. However, the evaluation design and small sample limit inferences of causation and generalizability of these promising outcomes. Persuading states to adopt expensive team-based approaches for this population will require firm evidence of favorable cost-benefit ratios. (Review' s abstract)
Affiliation :
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 Président St., P.O. Box 250861, Charleston, SC 29425. E-mail : goldpb@musc.edu
Etats-Unis. United States.
Etats-Unis. United States.