Reif Sharon, Horgan Constance M, Ritter Grant A, Tompkins Christopher P
Schneider Institute for Health Policy, Heller School, Brandeis University, Waltham, Massachusetts 02454-9110, USA.
Subst Use Misuse. 2004;39(13-14):2391-424. doi: 10.1081/ja-200034661.
The nationally representative Alcohol and Drug Services Study (ADSS, 1996--1999) is used to examine employment counseling's impact on treatment participation and on postdischarge abstinence and employment. Employment counseling (EC) is among the more frequently received ancillary services in substance user treatment. The ADSS study sample showed it was received by 13% of all (N=988) nonmethadone outpatient clients, and 42% of the 297 clients with a need for it. Clients who received needed EC (met need) are compared to clients who did not receive needed EC (unmet need). Met-need clients had significantly longer treatment duration and greater likelihood of employment postdischarge than unmet-need clients. Both groups were as likely to complete treatment and be abstinent at follow-up. Implications are discussed. Future needed research and unresolved critical issues are also noted.
具有全国代表性的酒精和药物服务研究（ADSS，1996 - 1999年）被用于检验就业咨询对治疗参与度、出院后戒酒及就业情况的影响。就业咨询（EC）是药物使用者治疗中较常接受的辅助服务之一。ADSS研究样本显示，所有（N = 988）非美沙酮门诊患者中有13%接受了就业咨询，在有需求的297名患者中这一比例为42%。将接受了所需就业咨询（满足需求）的患者与未接受所需就业咨询（未满足需求）的患者进行比较。与未满足需求的患者相比，满足需求的患者治疗时间显著更长，出院后就业的可能性更大。两组在完成治疗及随访时保持戒酒的可能性相同。文中讨论了相关影响。还指出了未来所需的研究以及未解决的关键问题。
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