title: Efficacy of the customized employment supports (CES) model of vocational rehabilitation for unemployed methadone patients: preliminary results.
abstract: This article presents initial efficacy data for an innovative vocational rehabilitation model designed for methadone-maintained patients--the Customized Employment Supports (CES) model. In this model, a CES counselor works intensively with a small caseload of patients in order to overcome the vocational as well as nonvocational barriers that hinder their employment, with the goal of attaining rapid placement in competitive employment. The CES model was implemented at two Manhattan methadone treatment programs as part of a randomized clinical trial comparing the model's employment outcomes with those of standard vocational counseling. The study tested the hypothesis that patients in the experimental group will have better employment outcomes than those in the comparison group. The data were collected from May 2001 through September 2003. The sample consisted of the first 121 patients who had completed their 6-month follow-up interviews. The preliminary results supported the hypothesis for two indices of paid employment, i.e., the CES group was more likely to obtain both competitive employment and informal paid employment. The clinical trial is continuing.
authors.affiliation: Institute for Treatment and Services Research at National Development and Research Institutes, New York, New York 10010, USA.
authors.forename: Graham L
authors.initials: GL
authors.lastname: Staines
authors.forename: Laura
authors.initials: L
authors.lastname: Blankertz
authors.forename: Stephen
authors.initials: S
authors.lastname: Magura
authors.forename: Priti
authors.initials: P
authors.lastname: Bali
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Madison
authors.forename: Michael
authors.initials: M
authors.lastname: Spinelli
authors.forename: Emily
authors.initials: E
authors.lastname: Horowitz
authors.forename: Honoria
authors.initials: H
authors.lastname: Guarino
authors.forename: Audrey
authors.initials: A
authors.lastname: Grandy
authors.forename: Chunki
authors.initials: C
authors.lastname: Fong
authors.forename: Augustin
authors.initials: A
authors.lastname: Gomez
authors.forename: Amy
authors.initials: A
authors.lastname: Dimun
authors.forename: Ellen
authors.initials: E
authors.lastname: Friedman
mesh_terms: D000328:Adult; D003376:Counseling; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D008875:Middle Aged; D008962:Models, Theoretical; D009294:Narcotics / Q000627:therapeutic use; D009293:Opioid-Related Disorders / Q000534:rehabilitation*; D011369:Professional-Patient Relations; D016896:Treatment Outcome; D014830:Vocational Guidance
chemical_list: D009294:Narcotics; D008691:Methadone