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Integrating fieldwork into employment counseling for methadone-treatment patients

✍ Scribed by Laura Blankertz; Michael Spinelli; Stephen Magura; Priti Bali; Elizabeth M. Madison; Graham L. Staines; Emily Horowitz; Honoria Guarino; Audrey Grandy; Chunki Fong; Augustin Gomez; Amy Dimun; Ellen Friedman


Publisher
American Counseling Association
Year
2005
Tongue
English
Weight
726 KB
Volume
42
Category
Article
ISSN
0022-0787

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✦ Synopsis


An innovative employment counseling model, Customized Employment Supports, was developed for methadone‐treatment patients, a population with historically low employment rates. The effectiveness of a key component of the model, “vocational fieldwork,” the delivery of services in the community rather than only within the clinic, was assessed through a quasi‐experimental study of the first 55 patients receiving the model in 2 clinics. Employment outcomes after 6 months were compared between patients who received vocational fieldwork (n = 18) and those who did not (n = 37). Logistic regression analysis demonstrated that patients receiving vocational fieldwork had significantly better outcomes for competitive work, informal work, and any paid work.