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A new work placement model for unemployed methadone maintenance patients.
Laura Blankertz1, Stephen Magura, Graham L Staines
1Institute for Treatment and Services Research at National Development and Research Institutes, New York, New York 10010, USA.
Substance Use & Misuse
|December 18, 2004
Summary
The Customized Employment Supports (CES) model helps methadone-maintained patients overcome employment barriers. This vocational rehabilitation approach aims to improve self-efficacy and secure paid work through intensive, individualized support.
Area of Science:
- Vocational Rehabilitation
- Addiction Medicine
- Social Psychology
Background:
- Methadone-maintained patients face significant barriers in traditional vocational rehabilitation.
- Limited employment progress is common due to individual-level challenges.
Purpose of the Study:
- To introduce and evaluate the Customized Employment Supports (CES) model.
- To help patients overcome employment barriers and achieve paid work.
Main Methods:
- Assigning CES counselors small caseloads for intensive interventions.
- Utilizing social psychological techniques like role modeling, persuasion, and minimizing emotional arousal.
- Engaging patients in a working alliance to enhance self-efficacy.
Main Results:
- The CES model facilitates transition to work, including initial steps like training and informal employment.
- The model is currently under evaluation in a randomized clinical trial.
Conclusions:
- The CES model offers a promising approach to vocational rehabilitation for methadone-maintained patients.
- Intensive, individualized support and self-efficacy enhancement are key to improving employment outcomes.