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In three high drug use urban areas in England, treatment staff were placed in job centres to facilitate the referral of unemployed substance users in to treatment. It worked, but not well enough to recommend a national roll out.
Abstinence and recovery characterised by employment are priority UK policy objectives to which the extension of mutual aid is considered a major route. This US study illustrates that both the route and the objectives are not just compatible with, but may be promoted by opiate maintenance prescribing.
Experience in California of developing and implementing a system for assessing patients' needs and matching to appropriate services offers an unusually fully developed model for promoting recovery and judging the outcomes achieved by a service in the light of its patient profile.
REVIEW 2010 HTM file
Pathways to employment in London: A guide for drug and alcohol services
Recommendations for British drug and alcohol services on how to help their clients gain employment based on field research and review of the literature in substance misuse and related sectors.
STUDY 2010 HTM file
Alcohol misusers' experiences of employment and the benefit system
Substantial barriers to employment were revealed by interviews with alcohol service clients in Britain and with staff working in or with treatment agencies. Holistic recovery rather than just completing treatment was the key. Reviews relevant international research.
STUDY 2010 HTM file
Population estimates of alcohol misusers who access DWP benefits
Estimates the number of problem drinkers in Britain who draw the main unemployment and welfare benefits in order to assess how many claimants may need additional help for addiction and related problems before they can move into employment. Contrasts with similar figures for problem drug users.
STUDY 2010 HTM file
Problem drug users’ experiences of employment and the benefit system
Substantial barriers to employment were revealed by interviews with problem drug users in England currently or recently in treatment and with staff who worked with drug users. Includes review of relevant international research.
STUDY 2006 PDF file 111Kb
Lessons of failure of Scottish scheme to link released prisoners to services
From 2001 an innovative Scottish scheme aimed to seamlessly link problem drug users released from prison to the services they needed to stay out of trouble; its failure shows how intensive and systematic such attempts must be to overcome logistical barriers and motivate the offender.
STUDY 2006 PDF file 171Kb
Matching resources to needs is key to achieving 'wrap-around' care objectives
Linking treatment intake assessments to a computerised guide to local welfare and medical services transformed the assessments from redundant paperwork into a practical route to the reintegration services being advocated in Britain – and treatment completion rates doubled.
STUDY 2006 PDF file 207Kb
Methadone maintenance: the original
In the mid-60s even its originators doubted whether methadone maintenance could work when everything else had failed, gnawing their nails as they waited for patients to return from the temptations outside the ward. What they saw instead was a 'miraculous' transformation.
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