Twelve-month employment intervention outcomes for drug-involved offenders

Am J Drug Alcohol Abuse. 2014 May;40(3):200-5. doi: 10.3109/00952990.2013.858722. Epub 2014 Jan 9.

Abstract

Background: Employment has been identified as an important part of substance abuse treatment and is a predictor of treatment retention, treatment completion, and decreased relapse. Although employment interventions have been designed for substance abusers, few interventions have focused specifically on drug-involved offenders.

Objectives: The purpose of this study was to examine employment outcomes for drug-involved offenders who received a tailored employment intervention.

Methods: In a randomized controlled trial, baseline and follow-up data were collected from 500 drug-involved offenders who were enrolled in a drug court program. Participants were randomly assigned to drug court as usual (control group) or to the employment intervention in addition to drug court.

Results: Intent-to-treat analyses found that the tailored intervention was associated only with more days of paid employment at follow-up (210.1 vs. 199.9 days). When focusing on those with greater employment assistance needs, a work trajectory analyses, which took into account participants' pre-baseline employment pattern (negative or positive), revealed that intervention group participants had higher rates of employment (82.1% vs. 64.1%), more days paid for employment (188.9 vs. 157.0 days), and more employment income ($8623 vs. $6888) at follow-up than control group participants.

Conclusion: The present study adds to the growing substance abuse and employment literature. It demonstrates the efficacy of an innovative employment intervention tailored for drug-involved offenders by showing positive changes in 12-month employment outcomes, most strongly for those who have not had recent employment success.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Criminals / psychology*
  • Employment*
  • Female
  • Humans
  • Male
  • Substance-Related Disorders / rehabilitation*
  • Young Adult