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Abstract

Objective:

People with serious mental illnesses and co-occurring substance use disorders are often excluded from vocational services, despite the lack of evidence that having a substance use disorder prevents them from being able to work. This study explored enrollment in supported employment services among clients with and without co-occurring substance use disorders.

Methods:

With data from electronic medical records from a psychiatric rehabilitation agency, relationships between co-occurring substance use disorders and supported employment were examined among 1,748 clients with serious mental illnesses who were consecutively admitted to the agency over a two-year period.

Results:

Despite a similar interest in employment, clients with a co-occurring substance use disorder were 52% less likely than those without to enroll in a supported employment program. Those who were enrolled had similar competitive employment rates (25% for those with co-occurring disorders and 28% for those without).

Conclusions:

People with co-occurring substance disorders have reduced rates of enrollment in supported employment services. (Psychiatric Services 62:545–547, 2011)

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Table 1 Characteristics of persons with a serious mental illness with or without a co-occurring substance use disorder who were or were not enrolled in a supported employment program

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Go to Psychiatric Services
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Cover: The Lee Shore, by Edward Hopper, 1941. Oil on canvas, 28 × 43 inches. Private collection. Photo © Art Resource, New York.
Psychiatric Services
Pages: 545 - 547
PubMed: 21532083

History

Published online: 1 May 2011
Published in print: May 2011

Authors

Affiliations

Rochelle L. Frounfelker, M.P.H., M.S.S.W. [email protected]
Ms. Frounfelker, Dr. Wilkniss, and Dr. Devitt are affiliated with the Thresholds Institute, Thresholds Psychiatric Rehabilitation Centers, 4101 North Ravenswood Ave., Chicago, IL 60613 (e-mail: [email protected]).
Sandra M. Wilkniss, Ph.D. [email protected]
Ms. Frounfelker, Dr. Wilkniss, and Dr. Devitt are affiliated with the Thresholds Institute, Thresholds Psychiatric Rehabilitation Centers, 4101 North Ravenswood Ave., Chicago, IL 60613 (e-mail: [email protected]).
Gary R. Bond, Ph.D.
Dr. Bond and Dr. Drake are with the Dartmouth Psychiatric Research Center, Dartmouth College, Lebanon, New Hampshire.
Timothy S. Devitt, Psy.D.
Dr. Bond and Dr. Drake are with the Dartmouth Psychiatric Research Center, Dartmouth College, Lebanon, New Hampshire.
Robert E. Drake, M.D., Ph.D.

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