Engagement in Outpatient Substance Abuse Treatment and Employment Outcomes
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This study, a collaboration between an academic research center and Washington State’s health, employment, and correction departments, investigates the extent to which treatment engagement, a widely adopted performance measure, is associated with employment, an important outcome for individuals receiving treatment for substance use disorders. Two-stage Heckman probit regressions were conducted using 2008 administrative data for 7,570 adults receiving publicly funded treatment. The first stage predicted employment in the year following the first treatment visit, and three separate second-stage models predicted the number of quarters employed, wages, and hours worked. Engagement as a main effect was not significant for any of the employment outcomes. However, for clients with prior criminal justice involvement, engagement was associated with both employment and higher wages following treatment. Clients with criminal justice involvement face greater challenge regarding employment, so the identification of any actionable step which increases the likelihood of employment or wages is an important result.
- Kessler RC, House JS, Turner JB. Unemployment and health in a community sample. Journal of Health and Social Behavior. Mar 1987;28(1):51–59.
- Garnick DW, Lee MT, Chalk M, et al. Establishing the feasibility of performance measures for alcohol and other drugs. Journal of Substance Abuse Treatment. Dec 2002;23(4):375–385.
- The state of health care quality 2007. National Committee for Quality Assurance, Washington, D.C.
- National Quality Forum. NQF-Endorsed Standards: NQF no. 0004, Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: a. Initiation, b. Engagement. 2010. http://www.qualityforum.org/Measures_List.aspx?keyword=substance+use&from=header#k=initiation&e=1&st=&sd=&s=&p=1. Accessed August 17, 2010.
- Blumenthal, D, Tavenner, M (2010) The “meaningful use” regulation for electronic health records. N.E.J.M. 363: pp. 501-504 CrossRef
- Garnick DW, Lee MT, Horgan CM, Acevedo A, Washington Circle Public Sector W. Adapting Washington Circle performance measures for public sector substance abuse treatment systems. Journal of Substance Abuse Treatment. Apr 2009;36(3):265–277.
- Magura, S, Staines, GL, Blankertz, L, Madison, EM (2004) The effectiveness of vocational services for substance users in treatment. Substance Use Misuse 39: pp. 2165-2213 CrossRef
- Zanis DA, Coviello D, Alterman AI, Appling SE. A community-based trial of vocational problem-solving to increase employment among methadone patients. Journal of Substance Abuse Treatment. Jul 2001;21(1):19–26.
- Luchansky B, Krupski A, Stark K. Treatment response by primary drug of abuse: Does methamphetamine make a difference? Journal of Substance Abuse Treatment. Jan 2007;32(1):89–96.
- Arria AM, TOPPS-II Interstate Cooperative Study Group. Drug treatment completion and post-discharge employment in the TOPPS-II Interstate Cooperative Study. Journal of Substance Abuse Treatment Jul 2003;25(1):9–18.
- Veach LJ, Remley TP, Jr., Kippers SM, Sorg JD. Retention predictors related to intensive outpatient programs for substance use disorders. American Journal of Drug and Alcohol Abuse. Aug 2000;26(3):417–428.
- Luchansky B, Brown M, Longhi D, Stark K, Krupski A. Chemical dependency treatment and employment outcomes: results from the ‘ADATSA’ program in Washington State. Drug and Alcohol Dependence. Aug 1 2000;60(2):151–159.
- Visher CA, Debus S, Yahner J. Employment after Prison: A Longitudinal Study of Releases in Three States. Washington, DC: Urban Institute Justice Policy Center; 2008. http://www.urban.org/UploadedPDF/411778_employment_after_prison.pdf.
- Garnick DW, Horgan CM, Lee MT, et al. Are Washington Circle performance measures associated with decreased criminal activity following treatment? Journal of Substance Abuse Treatment. Dec 2007;33(4):341–352.
- Zarkin GA, Dunlap LJ, Bray JW, Wechsberg WM. The effect of treatment completion and length of stay on employment and crime in outpatient drug-free treatment. Journal of Substance Abuse Treatment. Dec 2002;23(4):261–271.
- Fosados R, Evans E, Hser YI. Ethnic differences in utilization of drug treatment services and outcomes among proposition 36 offenders in California. Journal of Substance Abuse Treatment. Dec 2007;33(4):391–399.
- Grella, CE, Scott, CK, Foss, MA (2005) Gender differences in long-term drug treatment outcomes in Chicago PETS. Journal of Substance Abuse Treatment 28: pp. S3-S12 CrossRef
- Oggins J, Guydish J, Delucchi K. Gender differences in income after substance abuse treatment. Journal of Substance Abuse Treatment. Apr 2001;20(3):215–224.
- Wickizer, TM, Campbell, K, Krupski, A, Stark, K (2000) Employment outcomes among AFDC recipients treated for substance abuse in Washington state.. Milbank Q 78: pp. 585-608 CrossRef
- Campbell KM. Impact of record-linkage methodology on performance indicators and multivariate relationships. Journal of Substance Abuse Treatment. Jan 2009;36(1):110–117.
- Andersen, RM, Davidson, PL Improving Access to Care in America: Individual and Contextual Indicators. In: Andersen, RM, Rice, TH, Kominski, GF eds. (2007) Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management. Jossey-Bass Inc., San Francisco
- WWAMI Rural Health Research Center. RUCA data. 2007; http://depts.washington.edu/uwruca/ruca-download.php Accessed December 1, 2011.
- Heckman two-stage procedure. Stata Statistical Software: Release 11. StataCorp LP, College Station, TX
- Briggs, DC (2004) Casual Inference and the Heckman Model. Journal of Education and Behavioral Statistics 29: pp. 397-420 CrossRef
- Lalonde, RJ (1986) Evaluating the econometric evaluations of training programs with experimental data. The American Economic Review 76: pp. 604-620
- Greene, WH (1993) Econometric Analysis. Macmillan Publishing Company, New York
- McLellan AT, Cacciola JC, Alterman AI, Rikoon SH, Carise D. The Addiction Severity Index at 25: origins, contributions and transitions. American Journal of Addiction. Mar-Apr 2006;15(2):113–124.
- National Bureau of Economic Research. Determination of the December 2007 Peak in Economic Activity. 2008. http://www.nber.org/dec2008.pdf.
- Washington State Employment Security Department. Resident civilian labor force and employment in Washington State seasonally adjusted. 2012. https://fortress.wa.gov/esd/employmentdata/home.
- McLain RJ, Alexander SJ, Jones ET. Incorporating Understanding of Informal Economic Activity in Natural Resource and Economic Development Policy. General Technical Report. PNW-GTR-755. Portland, OR: U.S. Department of Agriculture, Forest Service, Pacific Northwest Research Station; 2008.
- Garnick DW, Lee MT, O'Brien PL, et al. The Washington Circle engagement performance measures association with adolescent treatment outcomes. Drug and Alcohol Dependence. 2012;124:250–258.
- Harris AH, Humphreys K, Bowe T, Tiet Q, Finney JW. Does meeting the HEDIS substance abuse treatment engagement criterion predict patient outcomes? Journal of Behavioral Health Services & Research. Jan 2010;37(1):25–39.
- Horgan C, Garnick DW. The quality of care for adults with mental and addictive disorders: issues in performance measurement. Background paper for the Institute of Medicine. 2005. http://sihp.brandeis.edu/ibh/pdfs/IOMJan05submitted.pdf. Accessed January 3, 2012.
- Evans E, Grella CE, Murphy DA, Hser YI. Using administrative data for longitudinal substance abuse research. Journal of Behavioral Health Services and Research. Apr 2010;37(2):252–271.
- Hser YI, Evans E. Cross-system data linkage for treatment outcome evaluation: lessons learned from the California Treatment Outcome Project. Evaluation of Program Planning. May 2008;31(2):125–135.
- Engagement in Outpatient Substance Abuse Treatment and Employment Outcomes
The Journal of Behavioral Health Services & Research
Volume 41, Issue 1 , pp 20-36
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- Author Affiliations
- 1. Institute for Behavioral Health, The Heller School for Social Policy and Management, Brandeis University, 415 South Street, MS035, Waltham, MA, 02454-9110, USA
- 2. Division of Behavioral Health and Recovery, Washington State Department of Social and Health Services, Cherry Street Plaza, 626-8th Avenue SE, Box 45330, Olympia, WA, 98504-5330, USA