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Patterns in Referral and Admission to Vocational Rehabilitation Associated with Coexisting Psychiatric and Substance-Use Disorders
- Source :
- Rehabilitation Counseling Bulletin. 47:15-23
- Publication Year :
- 2003
- Publisher :
- SAGE Publications, 2003.
-
Abstract
- Archival data from 17,929 homeless adults entering the Veterans Health Administration's Healthcare for Homeless Veterans program were analyzed to identify whether the rate of referral and admission to vocational rehabilitation differed between adults with psychiatric disorders alone and those with psychiatric disorders with a coexisting substance-use disorder (SUD). Participants with an SUD had an 11% greater chance of being referred to vocational rehabilitation than did those with a psychiatric disorder alone. Of the participants referred to vocational rehabilitation, those with an SUD were almost twice as likely to participate. Those with an SUD also had a higher rate of employment prior to evaluation than did those with a psychiatric disorder alone. These advantages were significant after covarying for demographic variables, specific psychiatric diagnosis, and Addiction Severity Index (McLellan, Luborsky, & Woody, 1980) psychiatric composite score. These findings fail to support the hypothesis that there is a bias in the process of referral or admission into vocational rehabilitation and suggest that work and participation in work rehabilitation are not negatively affected by a coexisting SUD.
- Subjects :
- 030506 rehabilitation
medicine.medical_specialty
Referral
Composite score
Addiction severity index
03 medical and health sciences
0302 clinical medicine
Epidemiology of child psychiatric disorders
mental disorders
Health care
medicine
Psychiatry
health care economics and organizations
Applied Psychology
business.industry
Rehabilitation
Public Health, Environmental and Occupational Health
medicine.disease
humanities
030227 psychiatry
Substance abuse
Vocational rehabilitation
Substance use
0305 other medical science
business
Clinical psychology
Subjects
Details
- ISSN :
- 15384853 and 00343552
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- Rehabilitation Counseling Bulletin
- Accession number :
- edsair.doi...........00785a39dc05f9822667c7fa86a86c37