Zanis D A, Coviello D
Graduate School of Social Work, Marywood University, Scranton, Pennsylvania 18509, USA.
J Psychoactive Drugs. 2001 Jan-Mar;33(1):67-73. doi: 10.1080/02791072.2001.10400470.
Employment interventions implemented in drug treatment programs have been marginally successful, but few interventions have been found to address the needs of chronically unemployed clients. Employment case management (ECM) is a comprehensive employment intervention strategy designed to motivate chronically unemployed persons to engage in work, assist in job placement, and provide post employment support through workforce integration, while maintaining progress in drug treatment. This clinical case study reports on a convenience sample of 10 chronically unemployed methadone maintained clients who voluntarily enrolled in the ECM project. Clients received individual ECM services for a period of 26 weeks. Clients were assessed at two- and eight-month follow-up intervals. Nine of the 10 clients were employed at the two-month follow-up assessment and six maintained employment at the eight-month follow-up. Moreover, three clients were able to successfully transition from welfare to competitive private sector employment. Preliminary data suggest that ECM may be an effective intervention strategy to help chronically unemployed methadone clients obtain and maintain employment. Qualitatively, clients reported that post employment intervention services such as motivational counseling, problem solving, and employer advocacy helped sustain employment.
在戒毒治疗项目中实施的就业干预措施取得的成效有限，而且几乎没有发现有干预措施能满足长期失业客户的需求。就业个案管理（ECM）是一项全面的就业干预策略，旨在激励长期失业者参与工作，协助其找到工作，并通过劳动力整合提供就业后支持，同时在戒毒治疗方面保持进展。本临床案例研究报告了10名长期失业的美沙酮维持治疗客户的便利样本，他们自愿参加了ECM项目。客户接受了为期26周的个人ECM服务。在两个月和八个月的随访间隔对客户进行评估。在两个月的随访评估中，10名客户中有9名受雇，在八个月的随访中有6名维持就业。此外，三名客户能够成功地从福利性工作过渡到有竞争力的私营部门就业。初步数据表明，ECM可能是一种有效的干预策略，可帮助长期失业的美沙酮客户获得并维持就业。从定性角度来看，客户报告称，诸如激励性咨询、解决问题和雇主支持等就业后干预服务有助于维持就业。
