Factors Related to the Successful Vocational Rehabilitation of Substance Abusers

1993 ◽  
Vol 24 (3) ◽  
pp. 11-21 ◽  
Author(s):  
A. James Schwab ◽  
Diana M. DiNitto
Keyword(s):  
Substance Abuse ◽  
Vocational Rehabilitation ◽  
Substance Abusers ◽  
Personal Characteristics ◽  
Client Outcomes ◽  
Client Characteristics ◽  
Criminal Involvement ◽  
Service Characteristics ◽  
Psychiatric Status ◽  
Training Services

This study compared vocational rehabilitation clients with substance abuse disabilities to clients with other disabilities, and it compared successfully and unsuccessfully rehabilitated substance abuse clients in order to identify factors which might further promote successful outcomes. Comparisons suggest that substance abusers may have greater obstacles to employment, such as more criminal involvement. Substance abusers received slightly more services, were nearly as likely to be successfully rehabilitated, were less costly to rehabilitate, and received services for shorter periods than other clients. The personal characteristics of the successfully and unsuccessfully rehabilitated substance abusers were nearly identical, but the successful ones were more costly to serve and received more services, particularly (1) diagnostic and evaluation services and (2) education and training services. While the substance abuse literature indicates that clients' personal characteristics (marital and psychiatric status, etc.) are strong predictors of positive client outcomes, regardless of the treatment received, this vocational rehabilitation study suggests the importance of services. Unlike client characteristics which are relatively fixed, service characteristics can be manipulated to produce better outcomes.

Comparisons of Vocational Rehabilitation Counselors' Attitudes Toward Substance Abusers

1999 ◽  
Vol 30 (4) ◽  
pp. 33-37 ◽  
Author(s):  
Steven L. West ◽  
James H. Miller
Keyword(s):  
Substance Abuse ◽  
Vocational Rehabilitation ◽  
Substance Abusers ◽  
Rehabilitation Counselors ◽  
Substance Abusing ◽  
Attitude Survey ◽  
Vocational Rehabilitation Counselors ◽  
Positive Attitudes ◽  
Beliefs And Attitudes

This research was initiated to determine if differences exist in the attitudes of vocational rehabilitation counselors toward substance abusing clients. Using the Substance Abuse Attitude Survey (SMS), ninety-one vocational rehabilitation counselors were surveyed regarding their beliefs and attitudes toward substance abuse and substance abusers. Results comparing those counselors with and without training in substance abuse issues found those with trainning reported significantly more positive attitudes than their non-trained counterparts in only two areas. However, the attitudes of all counselors were found to be somewhat negative.

Recruitment into Treatment of Homeless, Mentally Ill, Chemical Abusing Men

1997 ◽  
Vol 27 (2) ◽  
pp. 315-328 ◽  
Author(s):  
Michael Rahav ◽  
Larry Nuttbrock ◽  
James J. Rivera ◽  
Daisy Ng-Mak
Keyword(s):  
New York ◽  
Substance Abuse ◽  
Mentally Ill ◽  
Substance Abusers ◽  
Treatment Programs ◽  
Client Characteristics ◽  
Community Based ◽  
Homeless Mentally Ill ◽  
Abuse Characteristics ◽  
Two Stages

Under the assumption that the treatment of substance abuse begins well before substance abusers actually enroll in treatment, this paper conceptualizes the process of recruitment into treatment, and investigates attrition of treatment seeking clients during the treatment recruitment stage. The paper identifies two stages prior to treatment enrollment, treatment exploration and treatment recruitment, and presents the results of a study of 1,924 homeless, mentally ill, chemical abusing men who looked for community-based treatment in New York City between 1991 and 1996. Only 326 of these men actually entered treatment. The rest were lost either prior to or during the recruitment stage. The paper focuses on the 823 men who reached the treatment recruitment stage, and attempts to correlate their sociodemographic, psychological, and substance abuse characteristics with the different types of attrition during treatment recruitment. The results show that certain client characteristics predict rejection and certain other characteristics predict acceptance by the treatment programs.

Substance Abuse in Older Psychiatric Inpatients

2017 ◽  
Vol 63 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Tilman Wetterling ◽  
Klaus Junghanns
Keyword(s):  
Substance Abuse ◽  
Substance Abusers ◽  
Psychiatric Inpatient ◽  
Psychiatric Inpatients ◽  
Severe Withdrawal ◽  
Psychiatric Inpatient Treatment ◽  
Clinical Diagnoses ◽  
Multiple Substance ◽  
Icd 10 ◽  
Substance Abuse Disorders

Abstract. Aim: This study investigates the characteristics of older patients with substance abuse disorders admitted to a psychiatric department serving about 250.000 inhabitants. Methods: The clinical diagnoses were made according to ICD-10. The data of the patients with substance abuse were compared to a matched sample of psychiatric inpatients without substance abuse as well as to a group of former substance abusers with long-term abstinence. Results: 19.3 % of the 941 patients aged > 65 years showed current substance abuse, 9.4 % consumed alcohol, 7.9 % took benzodiazepines or z-drugs (zolpidem and zopiclone), and 7.0 % smoked tobacco. Multiple substance abuse was rather common (30.8 %). About 85 % of the substance abusers had psychiatric comorbidity, and about 30 % showed severe withdrawal symptoms. As with the rest of the patients, somatic multimorbidity was present in about 70 % of the substance abusers. Remarkable was the lower rate of dementia in current substance abusers. Conclusion: These results underscore that substance abuse is still a challenge in the psychiatric inpatient treatment of older people.

Employment Outcomes and Job Quality of Vocational Rehabilitation Consumers With Deaf-Blindness

2018 ◽  
Vol 63 (1) ◽  
pp. 13-24 ◽  
Author(s):  
Michele C. McDonnall ◽  
Jennifer Cmar
Keyword(s):  
Vocational Rehabilitation ◽  
Personal Characteristics ◽  
Employment Outcomes ◽  
Job Quality ◽  
Competitive Employment ◽  
Related Factors ◽  
Related Services ◽  
Educational Advancement ◽  
Rehabilitation Services Administration ◽  
Counseling And Guidance

The purpose of this study was to investigate employment outcomes for vocational rehabilitation (VR) consumers with deaf-blindness, a population that has received no attention in the literature. The sample was obtained from Rehabilitation Services Administration Case Service Report (RSA-911) data and included 1,382 consumers with deaf-blindness identified as their primary or secondary disability whose cases were closed during fiscal years 2013, 2014, and 2015. Independent variables consisted of consumer personal characteristics and VR service-related variables. Two measures of employment outcomes were used: obtainment of competitive employment and a composite measure of job quality. Overall, the results indicate that several VR service-related factors are associated with whether deaf-blind consumers obtain competitive employment, but consumers’ personal characteristics are much more important in determining job quality. Implications for improving employment outcomes for consumers who are deaf-blind include providing job-related services, supporting educational advancement, and providing counseling and guidance. Results also support the importance of accounting for employment status at application in RSA-911 analyses and the efficacy of service provision by separate agencies for the blind.

Discriminating between Substance Abusers with Single and Dual Diagnoses Using MMPI Profiles and the MAC Andrews Alcoholism Scale: Axis I and Axis II Subtypes

1988 ◽  
Vol 63 (3) ◽  
pp. 985-986 ◽  
Author(s):  
Ronald H. Rozensky ◽  
Barbara Neirick ◽  
Gary M. Slotnick ◽  
Debra Morse
Keyword(s):  
Substance Abuse ◽  
Dual Diagnosis ◽  
Substance Abusers ◽  
Substance Abusing ◽  
Psychiatric Diagnoses ◽  
Axis Ii ◽  
Heterogeneous Nature ◽  
Dual Diagnoses ◽  
Axis I

The MacAndrews Scale of the MMPI differentiated 21 dual-diagnosis substance abusers with a DSM-III—R, Axis I diagnosis from a group of 21 single-diagnosis substance abusers and 18 dual-diagnosis substance abusers with an Axis II diagnosis. Subjects were 50 substance-abuse only and 39 dual-diagnosis, hospitalized men. Research must take into account the heterogeneous nature of psychiatric diagnoses within the substance-abusing population.

Demographic Variables and Microcog Performance: Relationships for VA Patients under Treatment for Substance Abuse

2001 ◽  
Vol 88 (1) ◽  
pp. 183-188 ◽  
Author(s):  
Shane J. Lopez ◽  
Joseph J. Ryan ◽  
Scott W. Sumerall ◽  
James W. Lichtenberg ◽  
Doug Glasnapp ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Cognitive Performance ◽  
Applied Research ◽  
Substance Abusers ◽  
Medical Center ◽  
Demographic Variables ◽  
Mental Control ◽  
Domain Scores

The associations of demographic variables with cognitive performance, as measured by the MicroCog ability domain scores, were assessed with 222 substance abusers who were patients in a VA medical center. Analysis indicated that age was negatively related to all five outcomes scores, and education was positively related to measures assessing Attention/Mental Control and Reasoning/Calculation. These findings are consistent with past theoretical and applied research. The demographic variables, as a group, accounted for a total of 17% to 37% of the variance in the five domain scores.

Immediate drop-out rate in adolescent substance abusers: an out-patient chart review from North India

2016 ◽  
Vol 29 (6) ◽  
Author(s):  
Sidharth Arya ◽  
Rajiv Gupta ◽  
Sunila Rathee ◽  
Vinay Rawat
Keyword(s):  
Substance Abuse ◽  
Chart Review ◽  
Substance Abusers ◽  
Management Strategies ◽  
Drop Out ◽  
Family Type ◽  
North India ◽  
Substance Users ◽  
Middle Income ◽  
Adolescent Substance

Abstract Introduction: Although a number of management strategies are available for adolescent substance abusers, the outcomes are limited due to high drop out. The factors related to drop out in adolescent substance users, especially in low and middle income countries (LAMIC) have been sparsely studied. Objective: To study the personal, family and clinical variables related to immediate drop out in adolescent substance abusers. Materials and methods: A retrospective outpatient chart review was carried out for adolescent substance abusers aged 12–19 years from January 2012 to December 2014. Results: Of the 89 patients, 57 (64%) dropped out immediately. The majority of adolescent substance users were >17 years (85%), having some education (90%), belonging to a joint family (76%), having good family support (66%). Drop out was higher in those with later onset and less duration of substance abuse (3.42 vs. 2.36, p=0.014), not currently employed/attending school (OR=2.65, 95% CI=1.04–6.70), not having a psychiatric comorbidity, using a single substance and abusing cannabis. Factors like school drop out, background, family type and support and the relationship to the accompanying person were not associated with immediate drop out. Conclusion: Later onset, lesser duration of substance use, not currently employed/attending school, absence of psychiatric illness and using cannabis were associated with drop out from outpatient treatment. These factors must be thoroughly addressed in substance abuse interventions.

scholarly journals A study of socio-demographic profile and pattern of drug use among substance abusers attending mind care de-addiction center in Ahmedabad

2018 ◽  
Vol 6 (1) ◽  
pp. 286
Author(s):  
Bhavesh B. Prajapati ◽  
Mihir R. Dedun ◽  
Harshdev S. Jalfava ◽  
Aparajita A. Shukla
Keyword(s):  
Substance Abuse ◽  
Drug Use ◽  
Substance Abusers ◽  
Cross Sectional Study ◽  
Alcoholic Beverages ◽  
Cross Sectional ◽  
Environmental Aspect ◽  
Economic Class ◽  
Health Related ◽  
Study Participants

Background: Substance abuse has emerged as a global phenomenon and prevalent throughout the world in all the cultures. Abuse of alcoholic beverages and tobacco are endemic in many societies, whilst the abuse of other psychoactive substances is growing concern in India. It has major impact on physical, psychological, social and environmental aspect of life.Methods: A cross sectional study was carried out amongst 100 persons attended at Mind Care de-addiction centre, Ahmedabad during the period of 1st January to 28th February 2018 with the help of pretested semi structured questionnaire.Results: Majority of the substance abusers were males (98%) and within the age group of 31 to 45 years (46%). Out of total abusers 28% were graduate and 47% doing skilled work. Majority of study participants were married (47%), belong to joint families (92%) and belongs to socio economic class I and II (50%). Most commonly used drug was alcohol (64%), followed by tobacco (20%), cannabis (12%) and opium (4%). Majority of users started to use it for social reasons (33%) and stress (26%). They got it for the first time from friends in 62% cases and 36% got by themselves. Health related changes were experienced in more than 50% of cases. Out of them, 84% feel improvement after visiting the centre.Conclusions: Drug use pattern is ever changing and has emerged as a global burden as it causes serious public health problems. There is a felt need for the assessment of the evolving trends of substance abuse. And suitable interventions for primary prevention should be considered. 

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