Readiness to change in adults waiting for publicly funded substance abuse treatment

The many purposes of this article is to understand the role and value of case management from the perspective of program directors, case managers and clients. A survey of program directors from publicly funded substance abuse treatment programs in Boston was administered, and in-depth interviews with a sample of program directors, case managers, and clients were conducted. Case management allowed programs to serve more complex clients and increased time available for counselors to focus on the clinical needs of clients. From the perspective of case managers and clients, much of the value of case management came from educating clients about steps they could take to meet their needs and then supporting them in their efforts as they took these steps. Successful steps taken to deal with these needs helped lay the foundation necessary to confront the challenges of treatment. Program directors, case managers, and clients considered case management a valuable enhancement to substance abuse treatment.

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Patient Satisfaction, Use of Services, and One-Year Outcomes in Publicly Funded Substance Abuse Treatment

Psychiatric Services ◽

10.1176/appi.ps.52.9.1230 ◽

2001 ◽

Vol 52 (9) ◽

pp. 1230-1236 ◽

Cited By ~ 80

Author(s):

Matthew J. Carlson ◽

Roy M. Gabriel

Keyword(s):

Substance Abuse ◽

Patient Satisfaction ◽

Substance Abuse Treatment ◽

Publicly Funded ◽

Use Of Services ◽

One Year ◽

Abuse Treatment

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The Employment of Nurses in Publicly Funded Substance Abuse Treatment Programs

Journal of Addictions Nursing ◽

10.1097/jan.0b013e31826f4c25 ◽

2012 ◽

Vol 23 (3) ◽

pp. 174-180 ◽

Cited By ~ 2

Author(s):

Hannah K. Knudsen ◽

Amanda J. Abraham

Keyword(s):

Substance Abuse ◽

Substance Abuse Treatment ◽

Treatment Programs ◽

Publicly Funded ◽

Abuse Treatment

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Rates of pathological gambling in publicly funded outpatient substance abuse treatment

Journal of Gambling Studies ◽

10.1007/bf01015924 ◽

1993 ◽

Vol 9 (3) ◽

pp. 289-293 ◽

Cited By ~ 11

Author(s):

Joseph W. Ciarrocchi

Keyword(s):

Substance Abuse ◽

Substance Abuse Treatment ◽

Pathological Gambling ◽

Publicly Funded ◽

Abuse Treatment

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Transitions from Treatment to Work: Employment Patterns following Publicly Funded Substance Abuse Treatment

Journal of Drug Issues ◽

10.1177/002204260303300210 ◽

2003 ◽

Vol 33 (2) ◽

pp. 497-518 ◽

Cited By ~ 15

Author(s):

Elizabeth M. Ginexi ◽

Mark A. Foss ◽

Christy K. Scott

Keyword(s):

Substance Abuse ◽

Drug Use ◽

Substance Abuse Treatment ◽

Labor Force ◽

Psychological Problems ◽

Work Status ◽

Publicly Funded ◽

Children In Foster Care ◽

Abuse Treatment

This investigation involved a first-attempt at modeling long-term treatment and work trajectories in a large, urban sample of individuals in publicly funded substance abuse treatment: (a) determining the demographic factors that predicted work patterns and (b) examining the longitudinal relationship between work status and continued treatment, persistent drug use, and psychological problems investigated work status across three years. Mixed-effects regression models revealed that significantly more participants were working and looking for work at each follow-up. Gains in labor force participation were greatest at six months while gains in employment were greatest at 24 months. Several demographic variables predicted later work status including age, gender, living arrangement, occupational skills, and having children in foster care. Participants who continued treatment, continued to use drugs, or reported psychological problems were most likely to be out of the labor force. By far, the greatest barrier to long-term employment was continued drug use.

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