Predictors of Successful Closure in the State-Federal Vocational Rehabilitation System: Findings from a Sample of Persons with Disability and Substance Use Disorders

2008 ◽  
Vol 39 (2) ◽  
pp. 30-36 ◽  
Author(s):  
Mary McAweeney ◽  
Joseph Keferl ◽  
Dennis Moore ◽  
Joseph Wagner
Keyword(s):  
Substance Use ◽  
Retrospective Study ◽  
Drug Abuse ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Rehabilitation Service ◽  
Accurate Assessment ◽  
Secondary Diagnosis ◽  
Rehabilitation System ◽  
Work Disincentives

Numerous studies have focused on the predictors of successful closure of state-federal vocational rehabilitation (VR) applicants. However, there appears to be only one study focused solely on the predictors of employment with persons who were deemed eligible for services based on their alcohol or drug abuse diagnosis. This retrospective study examined the predictors of employment among this population. A sample of 940 persons with a primary or secondary diagnosis of alcohol or drug abuse and a closure status of 26 or 28 was randomly selected from the 2005 Rehabilitation Service Administration (RSA) 911 data. A combination of consumer characteristics, VR service variables, and work disincentives predicted employment. Knowledge of these predictors suggests ways for counselors to better serve consumers via accurate assessment, appropriate planning, and efficient case coordination.

scholarly journals The Relationship of Manic Episodes and Drug Abuse to Sexual Risk Behavior in Patients with Co-Occurring Bipolar and Substance Use Disorders: a 15-Month Prospective Analysis

2010 ◽  
Vol 15 (8) ◽  
pp. 1829-1833 ◽  
Author(s):  
Christina S. Meade ◽  
Garrett M. Fitzmaurice ◽  
Amy K. Sanchez ◽  
Margaret L. Griffin ◽  
Leah J. McDonald ◽  
...  
Keyword(s):  
Substance Use ◽  
Drug Abuse ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Substance Use Disorders ◽  
Sexual Risk Behavior ◽  
Prospective Analysis ◽  
Relationship Of ◽  
The Relationship

Patterns in Referral and Admission to Vocational Rehabilitation Associated with Coexisting Psychiatric and Substance-Use Disorders

2003 ◽  
Vol 47 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Charles E. Drebing ◽  
Robert Rosenheck ◽  
Russell Schutt ◽  
Wesley J. Kasprow ◽  
Walter Penk
Keyword(s):  
Substance Use ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders

scholarly journals Co -occurring Mental Disorders among In-patients in a Substance use Disorder Treatment Center in Plateau State, Nigeria

2020 ◽  
Vol 3 (1) ◽  
pp. 223-229
Author(s):  
D M Makput
Keyword(s):  
Substance Use ◽  
Drug Abuse ◽  
Mental Disorders ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
Addiction Treatment ◽  
Treatment Center ◽  
Post Traumatic Stress ◽  
Functional Abnormality ◽  
Plateau State

Patients with psychoactive substance use disorders (SUD) often have co- occurring medical and mental disorders. This occurs as a result of a number of factors, for instance, drug abuse may facilitate the full expression of a latent psychiatric disorder; mental disorder may lead to SUD (drugs used for self- medication; or both SUD and mental disorders are caused by the same underlying brain deficit such as genetic vulnerability, neurotransmitter abnormality, structural or functional abnormality, and so on. After obtaining ethical clearance, the case notes of all patients who were admitted in the Centre for Addiction Treatment and Research, (CATR) Vom, Plateau state throughout the first quarter of year 2019 were traced. A systematic random sample of every third consecutive patient was selected beginning with the first patient admitted and relevant data were collected and analyzed. A total of fourty- eight (48) in-patients were analyzed. Ninety -four percent (94%) of the patients were males, the mean age of 23.6 + 5 years with 46% being below 25 years of age. Fourty-six percent (46%) had cannabis as their primary drug followed by alcohol (32%) and opioids (28%). Only 1 % had a history of injecting drug use. Twenty-nine percent (29%) of the SUD patients had co-occurring depression, nine percent (8%) had anxiety disorder, and five percent (4%) had Post Traumatic Stress Disorder (PTSD) in addition to their substance use disorder. In line with sustainable development goals (SDG) goal 3.5 which seeks to “strengthen prevention and treatment of substance abuse including narcotics drug abuse and harmful use of alcohol”; identifying co-occurring mental disorders among patients with substance use disorders is one way of moving closer towards achieving this SDG.

Correlates of vocational outcomes of youth with co-occurring mental illness and substance use disorders: Evidence from a vocational rehabilitation program

2021 ◽  
pp. 1-12
Author(s):  
Olayemi A. Akinola ◽  
Euchay Ngozi Horsman ◽  
Lisa Dunkley
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
The United States ◽  
Rehabilitation Program ◽  
Rehabilitation Services ◽  
Competitive Employment ◽  
Personal Factors ◽  
Vocational Outcomes

Abstract Youth with co-occurring mental illness and substance use disorders are at higher risk for vocational rehabilitation exclusion. This study aimed to (a) explore the personal factors associated with vocational outcomes of youth with co-occurring mental illness and substance use disorders and (b) highlight services that have shown the greatest promise for this population in the state-federal rehabilitation program in the United States. Our analytic sample was extracted from the Rehabilitation Services Administration’s Case Service Report data set for 2013, 2014, and 2015 fiscal years. Multiple regression analyses results identified personal factors such as gender, race/ethnicity, level of education, and severity of disability as predictors of the achievement of competitive employment, hours worked, and income. The receipt of vocational rehabilitation services such as job search support, job placement assistance, vocational training, and on-the-job support are significantly associated with the achievement of competitive employment, higher work hours, and income. These finding have implications for vocational rehabilitation practice as they highlight who is at higher risk for poor outcomes, effective services, and additional factors to consider when working with youth with co-occurring mental illness and substance use disorders.

Increasing Successful Vocational Rehabilitation Outcomes for Individuals with Substance Use Disorders

2018 ◽  
Vol 49 (1) ◽  
pp. 4-10
Author(s):  
Stephanie L. Lusk ◽  
Frances R. B. Veale
Keyword(s):  
Substance Use ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Job Search ◽  
Recovery Process ◽  
Vital Role ◽  
Chi Square ◽  
Gainful Employment ◽  
Rehabilitation Outcomes ◽  
Case Closure

Employment is essential during the treatment and recovery process for individuals with substance use disorders. As such, rehabilitation counselors play a vital role in ensuring the success of these consumers by offering services that increase the likelihood of employment. State and federal vocational rehabilitation programs can offer any of 19 services to consumers and by identifying services offered to those with substance use disorders who have been rehabilitated successfully, counselors can make a concerted effort to incorporate them when most appropriate. As a replica of a study conducted over 10 years ago, the current study seeks to determine if the services identified as increasing successful employment outcomes using data from 2005 still hold true today especially since gainful employment remain low for this population. After effective services are identified, one may then determine how to best incorporate these services into the overall Individual Plan for Employment (IPE) to better assist those with substance use disorders (SUDs). Rehabilitation Services Administration (RSA) 911 datasets were analyzed for years 2010-2014, and chi-square analyses identified five services as increasing the probability of successful case closure (i.e., employment): 1) job placement, 2) on-the-job supports, 3) maintenance, 4) job search, and 5) other. Descriptions of each service are provided as well as suggestions for application and implementation.

An Exploratory Investigation of Rehabilitation Counselors' Perceived Readiness to Undertake Substance Use Disorder Screening in Vocational Rehabilitation

2008 ◽  
Vol 39 (2) ◽  
pp. 37-42 ◽  
Author(s):  
Margaret K. Glenn ◽  
Joseph Keferl
Keyword(s):  
Substance Use ◽  
Vocational Rehabilitation ◽  
Substance Use Disorder ◽  
Systems Of Care ◽  
Rehabilitation Counselors ◽  
Successful Implementation ◽  
Potential Barriers ◽  
Preliminary Information ◽  
Exploratory Investigation ◽  
Rehabilitation System

Screening for problems related to substance use occurs routinely in many systems of care and human services. However, at present, there is no universally accepted process for performing such a screening in the state-federal vocational rehabilitation system. This exploratory study analyzes data obtained from rehabilitation counselors participating in a substance use disorder screening implementation initiative. The responses provide preliminary information regarding rehabilitation counselors' perceived readiness to undertake such an initiative and potential barriers to its successful implementation.

The Relationship between Substance Use Disorders and Unsuccessful Case Closures in Vocational Rehabilitation Agencies

2008 ◽  
Vol 39 (2) ◽  
pp. 25-29 ◽  
Author(s):  
David Hollar
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Learning Disabilities ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Physical Disabilities ◽  
Rehabilitation Services ◽  
Persons With Disabilities ◽  
Vocational Rehabilitation Services ◽  
The Relationship

Vocational rehabilitation (VR) services can be challenging for certain persons with disabilities, particularly persons with mental illness, traumatic brain injury (TBI), and substance use disorders (SUD). This study focused on successful (status 26) and unsuccessful (status 28) closures contained in the Longitudinal Study of the Vocational Rehabilitation Services Programs (LSVRSP). Individuals with ADHD, mental illness, physical disabilities, SUD, and learning disabilities had the lowest successful closure rates (43.2%, 45.5%, 50.6%, 51.3%, and 51.4%, respectively). Consumers reported a need for additional services, lack of job availability, family problems, discrimination, and transportation issues as leading reasons for unsuccessful closure. The results indicate a need for more comprehensive services directed towards persons with behavioral disabilities.

Policy Issues in Vocational Rehabilitation Related to Consumers with Substance Use Disorders

2008 ◽  
Vol 39 (2) ◽  
pp. 12-18 ◽  
Author(s):  
Dennis Moore ◽  
Mary McAweeney ◽  
Joseph Keferl ◽  
Margaret Glenn ◽  
Jo Ann Ford
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
State Level ◽  
Policy Issues ◽  
National Surveys ◽  
Policy Practice ◽  
Level Data ◽  
Professional Perceptions

State vocational rehabilitation (VR) agencies demonstrate wide reporting variability regarding the prevalence of substance use disorders among consumers of their services. The differences do not appear to correspond with state-level data derived from the general population in national substance use/abuse studies. This study reports findings from national surveys of VR program directors and counselors in regard to policy, practice, and professional perceptions. Results indicate that there are differences in the perceptions of profossionals regarding order of selection, sobriety waiting policies, and estimates of substance abuse but no relationship between state VR policies and the variability found in SUD rates.

Recovery-Oriented Vocational Rehabilitation Services for Individuals With Co-Occurring Psychiatric Disabilities and Substance Use Disorders

2016 ◽  
Vol 30 (3) ◽  
pp. 243-258
Author(s):  
Stephanie L. Lusk ◽  
Lynn C. Koch ◽  
Teresia M. Paul
Keyword(s):  
Substance Use ◽  
Service Delivery ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Psychiatric Disabilities ◽  
Successful Outcome ◽  
Vocational Rehabilitation Services ◽  
Work Related ◽  
Barriers To Service ◽  
Eligibility Requirements

Purpose:In this article, we examined how individuals with co-occurring psychiatric disabilities and substance use disorders encounter numerous challenges when it comes to the vocational rehabilitation (VR) process.Method:A comprehensive review of the literature demonstrated barriers to service delivery (e.g., access to services, exclusionary eligibility requirements) and hindrances to VR planning (e.g., lack of training of VR counselors, lack of work-related skills) which all serve to create obstacles through which they must navigate. This article provides a brief overview of (a) the challenges that these individuals face in treatment and VR and (b) general considerations for providing more recovery-oriented VR services to increase their participation in the VR process, facilitate recovery, and improve VR outcomes.Results:Our review highlighted that VR participation and successful outcome rates among this group as a whole are much lower than the rates of those with other types of disabilities. Researchers have suggested a myriad of strategies that have proven advantageous when working with these individuals all of which serve to increase rates of sustained recovery and employment success.Conclusion:Additional research is still needed to substantiate the barriers to service delivery for this underserved VR population, evaluate how to implement more recovery-oriented practices within the VR system, and determine if such changes do indeed lead to improved outcomes for consumers with co-occurring disabilities.

Sign in / Sign up

Export Citation Format

Share Document