Employment Outcomes for Hard-to-Reach Persons with Chronic and Severe Substance Use Disorders Receiving Assertive Community Treatment

2004 ◽  
Vol 39 (13-14) ◽  
pp. 2425-2489 ◽  
Author(s):  
Paul B. Gold ◽  
Neil Meisler ◽  
Deborah DuRoss ◽  
Linda Bailey
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Assertive Community Treatment ◽  
Employment Outcomes ◽  
Community Treatment

scholarly journals Substance Use Disorders as a Critical Element for Decision-Making in Forensic Assertive Community Treatment: A Systematic Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Thomas Marquant ◽  
Meike Van Nuffel ◽  
Bernard Sabbe ◽  
Kris Goethals
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Outcome Measures ◽  
Assertive Community Treatment ◽  
Community Treatment ◽  
Critical Element ◽  
Evidence Based ◽  
Care Continuum

Introduction: The prevalence of substance use disorders in forensic populations is high. They are an important factor linked to negative outcomes in mentally ill offenders and are detrimental to forensic or non-forensic outcome measures. In contrast, substance use disorders are often underdiagnosed and undertreated, especially in forensic settings. Forensic Assertive Community Treatment is a forensic adaptation of regular assertive community treatment, combined with essential elements of forensic rehabilitation theories. Little is known however on the effectivity of forensic assertive community treatment when it comes to substance use disorders or what their exact role is on the outcome measures. In this paper, we explore how SUD is treated in Forensic assertive community treatment and how it relates to the forensic and non-forensic outcome measures.Methods: We performed a systematic review (PRISMA) of forensic Assertive community treatment teams that followed the main evidence-based principles of regular assertive community treatment and added basic elements of forensic rehabilitation. We analyzed articles the Psychinfo and Medline databases dating from 2005 to 2020. Fifteen studies fit the search criteria and were included in the analysis. The Quality of the studies was assessed using the Newcastle-Ottawa scale.Results: SUD was highly prevalent in all studies. Patients entered FACT through two pathways, either from a care continuum or directly from prison. The severity of SUD at intake emerges as a critical element when deciding which pathway to choose, as a high severity-score at the start of FACT follow-up was linked to recidivism. While differing in method all studies offered integrated SUD treatment. These included evidence-based techniques like CBT, therapeutic communities, and Substance Abuse Management Module. Though results on SUD outcomes were mixed 4 studies mentioned abstinence in 50–75%. The severity of SUD tended to increase initially and to stabilize afterwards.Conclusion: Severity of SUD at intake emerges as a decisive element in decision-making on entering FACT teams directly from prison or through a care-continuum. The ways to provide SUD treatment varied and outcomes for SUD were mixed. SUD was found to be detrimental to forensic and non-forensic outcome measures, such as recidivism or hospitalizations during FACT treatment.

Client Outcomes and the Working Alliance in Assertive Community Treatment Programs

2004 ◽  
Vol 5 (4) ◽  
pp. 199-202 ◽  
Author(s):  
Robert J. Calsyn ◽  
Gary A. Morse ◽  
W. Dean Klinkenberg ◽  
Matthew R. Lemming
Keyword(s):  
Substance Use ◽  
Working Alliance ◽  
Assertive Community Treatment ◽  
Psychiatric Symptoms ◽  
Case Manager ◽  
Self Report ◽  
Community Treatment ◽  
Treatment Programs ◽  
Client Outcome ◽  
Abuse Treatment

This study examined the relationship between outcomes and the working alliance in clients who were receiving assertive community treatment only or integrated assertive community treatment (assertive community treatment plus substance abuse treatment). All 98 participants had a severe mental illness and a substance use disorder. The Working Alliance Inventory assessed the alliance from the perspective of both the client and the case manager at 3 and 15 months into treatment. The six outcome measures were stable housing, client rating of psychiatric distress, interviewer rating of psychiatric symptoms, self-report of days used alcohol or drugs, and interviewer rating of substance use. Only 4 of 24 correlations were significant, indicating little relationship between the strength of the working alliance and client outcome.

Stress and Length of Stay in Therapeutic Community Treatment for Adolescents With Substance Use Disorders

2013 ◽  
Vol 12 (4) ◽  
pp. 175-182 ◽  
Author(s):  
Marianne T. Marcus ◽  
Joy Schmitz ◽  
Frederick Gerald Moeller ◽  
Patricia Liehr ◽  
Paul Swank ◽  
...  
Keyword(s):  
Substance Use ◽  
Length Of Stay ◽  
Substance Use Disorders ◽  
Therapeutic Community ◽  
Community Treatment ◽  
Therapeutic Community Treatment

scholarly journals Web-based, psychosocial treatment for substance use disorders in community treatment settings.

2012 ◽  
Vol 9 (2) ◽  
pp. 212-214 ◽  
Author(s):  
Aimee N. C. Campbell ◽  
Gloria M. Miele ◽  
Edward V. Nunes ◽  
Scott McCrimmon ◽  
Udi E. Ghitza
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychosocial Treatment ◽  
Community Treatment ◽  
Web Based ◽  
Treatment Settings

Prediction of employment outcomes among veterans with substance use disorders: A chi-squared interaction detector analysis

2015 ◽  
Vol 43 (2) ◽  
pp. 113-127
Author(s):  
Shana K. Bakken-Gillen ◽  
Norman L. Berven ◽  
Fong Chan ◽  
Jessica Brooks ◽  
Sandra G. Resnick
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Employment Outcomes ◽  
Chi Squared
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