Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-23T13:37:54.866Z Has data issue: false hasContentIssue false

Correlates of vocational outcomes of youth with co-occurring mental illness and substance use disorders: Evidence from a vocational rehabilitation program

Published online by Cambridge University Press:  13 December 2021

Olayemi A. Akinola*
Affiliation:
The Family Institute at Northwestern University
Euchay Ngozi Horsman
Affiliation:
Southern Arkansas University
Lisa Dunkley
Affiliation:
East Tennessee State University
*
*Corresponding author. Email: oakinola@family-instutute.org
Get access

Abstract

Youth with co-occurring mental illness and substance use disorders are at higher risk for vocational rehabilitation exclusion. This study aimed to (a) explore the personal factors associated with vocational outcomes of youth with co-occurring mental illness and substance use disorders and (b) highlight services that have shown the greatest promise for this population in the state-federal rehabilitation program in the United States. Our analytic sample was extracted from the Rehabilitation Services Administration’s Case Service Report data set for 2013, 2014, and 2015 fiscal years. Multiple regression analyses results identified personal factors such as gender, race/ethnicity, level of education, and severity of disability as predictors of the achievement of competitive employment, hours worked, and income. The receipt of vocational rehabilitation services such as job search support, job placement assistance, vocational training, and on-the-job support are significantly associated with the achievement of competitive employment, higher work hours, and income. These finding have implications for vocational rehabilitation practice as they highlight who is at higher risk for poor outcomes, effective services, and additional factors to consider when working with youth with co-occurring mental illness and substance use disorders.

Type
Articles
Copyright
© The Author(s) 2021. Published by Cambridge University Press and The Australian Journal of Rehabilitation Counselling

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Akinola, O., & Dunkley, L. (2019). Employment and education interventions targeting transition-age youth with mental health conditions: A synthesis. Journal of Psychosocial Rehabilitation and Mental Health, 6(1), 7592. https://doi.org/10.1007/s40737-019-00136-w CrossRefGoogle Scholar
Biegel, D. E., Beimers, D., Stevenson, L. D., Ronis, R. J., & Boyle, P. (2009). Predictors of referral to supported employment among consumers with co-occurring mental and substance use disorders. Community Mental Health Journal, 45(6), 427438.CrossRefGoogle ScholarPubMed
Corbière, M., Bond, G. R., Goldner, E. M., & Ptasinski, T. (2005). The fidelity of supported employment implementation in Canada and the United States. Psychiatric Services, 56(11), 14441447. https://doi.org/10.1176/appi.ps.56.11.1444 CrossRefGoogle ScholarPubMed
Donnell, C. M., Mizelle, N. D., & Zheng, Y. (2009). Consumers of vocational rehabilitation services diagnosed with psychiatric and substance use disorders. Journal of Rehabilitation, 75(3), 4149.Google Scholar
Drake, R. E., O’Neal, E. L., & Wallach, M. A. (2008). A systematic review of psychosocial research on psychosocial interventions for people with co-occurring severe mental and substance use disorders. Journal of Substance Abuse Treatment, 34(1), 123138. https://doi.org/10.1016/j.jsat.2007.01.011 CrossRefGoogle ScholarPubMed
Eklund, M., Jansson, J. Å., Eklund, L., Pooremamali, P., & Gunnarsson, B. A. (2021). Work experiences, resources, and beliefs among vulnerable subgroups of mental health care users. Work, 70(1), 125134. https://doi.org/10.3233/WOR-213559 CrossRefGoogle ScholarPubMed
Hanif, S., Peters, H., McDougall, C., & Lindsay, S. (2017). A systematic review of vocational interventions for youth with physical disabilities. Factors in Studying Employment for Persons with Disability (Research in Social Science and Disability), 10, 181204. https://doi.org/10.1108/S1479-354720170000010008 CrossRefGoogle Scholar
Harris, L. M., Matthews, L. R., Penrose-Wall, J., Alam, A., & Jaworski, A. (2014). Perspectives on barriers to employment for job seekers with mental illness and additional substance-use problems. Health & Social Care in the Community, 22(1), 6777. https://doi.org/10.1111/hsc.12062 CrossRefGoogle ScholarPubMed
Harrison, J., Krieger, M. J., & Johnson, H. A. (2020). Review of individual placement and support employment intervention for persons with substance use disorder. Substance Use & Misuse, 55(4), 636643. https://doi.org/10.1080/10826084.2019.1692035 CrossRefGoogle ScholarPubMed
Horsman, E. N. (2018). Underage drinking as a predictor of alcohol use disorder among African Americans. Journal of Psychology in Africa, 28(4), 323329, https://doi.org/10.1080/14330237.2018.1507097 CrossRefGoogle Scholar
Ji, E., Schaller, J., Pazey, B., & Glynn, K. (2015). Education and employment outcomes from the RSA data file for transition-age African American, White, and Hispanic youth with learning disabilities. Journal of Applied Rehabilitation Counseling, 46(3), 1524. https://doi.org/10.1891/0047-2220.46.3.15 CrossRefGoogle Scholar
Kaya, C. (2018). Demographic variables, vocational rehabilitation services, and employment Outcomes for transition-age youth with intellectual disabilities. Journal of Policy and Practice in Intellectual Disabilities, 15(3), 226236. https://doi.org/10.1111/jppi.12249 CrossRefGoogle Scholar
Kaya, C., Hsu, S., Rumrill, P. D., Hanley-Maxwell, C., & Chan, F. (2021). Differential vocational rehabilitation service patterns and outcomes for transition-age youth with specific learning disabilities: Implications in the COVID-19 era. Journal of Vocational Rehabilitation, 54(1), 5970. https://doi.org/10.3233/JVR-201118 CrossRefGoogle Scholar
Laudet, A. B., Magura, S., Vogel, H. S., & Knight, E. L. (2002). Interest in and obstacles to pursuing work among unemployed dually diagnosed individuals. Substance Use & Misuse, 37(2), 145170. https://doi.org/10.1081/JA-120001975 CrossRefGoogle ScholarPubMed
Lusk, S. L. (2018). Predictors of successful vocational rehabilitation closure among individuals with substance and alcohol use disorders: An analysis of Rehabilitation Services Administration data 2010–2014. Alcoholism Treatment Quarterly, 36(2), 224237. https://doi.org/10.1080/07347324.2017.1420433 CrossRefGoogle Scholar
Lusk, S. L., Koch, L.C. & Paul, T.M (2016). Recovery-oriented vocational rehabilitation services for individuals with co-occurring psychiatric disabilities and substance use disorders. Rehabilitation Research, Policy, and Education, 30(3), 243258. https://doi.org/10.1891/2168-6653.30.3.243 CrossRefGoogle Scholar
Magura, S., & Marshall, T. (2020). The Effectiveness of interventions intended to improve employment outcomes for persons with substance use disorder: An updated systematic review. Substance Use & Misuse, 55(13), 22302236. https://doi.org/10.1080/10826084.2020.1797810 CrossRefGoogle Scholar
McIntosh, J., Bloor, M., & Robertson, M. (2008). Drug treatment and the achievement of paid employment. Addiction Research & Theory, 16(1), 3745. https://doi.org/10.1080/16066350701699197 CrossRefGoogle Scholar
Migliore, A., Timmons, J., Butterworth, J., & Lugas, J. (2012). Predictors of employment and postsecondary education of youth with autism. Rehabilitation Counseling Bulletin, 55(3), 176184. https://doi.org/10.1177/0034355212438943 CrossRefGoogle Scholar
Mitchell, D. P., Betts, A., & Epling, M. (2002). Youth employment, mental health and substance misuse: a challenge to mental health services. Journal of Psychiatric and Mental Health Nursing, 9(2), 191198.CrossRefGoogle ScholarPubMed
Morris, A., Waghorn, G., Robson, E., Moore, L., & Edwards, E. (2014). Implementation of evidence-based supported employment in regional Australia. Psychiatric Rehabilitation Journal, 37(2), 144147. https://doi.org/10.1037/prj0000051 CrossRefGoogle ScholarPubMed
National Survey on Drug Use and Health. (2020). Key substance use and mental health indicators in the United States: Results from the 2019 National Survey on Drug Use and Health. https://www.samhsa.gov/data/data-we-collect/nsduh-national-survey-drug-use-and-health Google Scholar
Otasowie, J. (2021). Co-occurring mental disorder and substance use disorder in young people: etiology, assessment, and treatment. BJPsych Advances, 27(4), 272281.CrossRefGoogle Scholar
Rehabilitation Services Administration. (2013). Reporting manual for the case service report (RSA 911). Department of Special Education, Office of Special Education and Rehabilitative Services. https://rsa.ed.gov/performance/rsa-911-policy-directive Google Scholar
Rinaldi, M., Perkins, R., McNeil, K., Hickman, N., & Singh, S. P. (2010). The Individual Placement and Support approach to vocational rehabilitation for young people with first episode psychosis in the UK. Journal of Mental Health, 19(6), 483491.CrossRefGoogle ScholarPubMed
Sánchez, J. (2018). Employment predictors and outcomes of US state-federal vocational rehabilitation consumers with affective disorders: a CHAID analysis. Journal of Affective Disorders, 239, 4857. https://doi.org/10.1016/j.jad.2018.06.044 CrossRefGoogle Scholar
Sheidow, A. J., McCart, M., Zajac, K., & Davis, M. (2012). Prevalence and impact of substance use among emerging adults with serious mental health conditions. Psychiatric Rehabilitation Journal, 35(3), 235243. https://doi.org/10.2975/35.3.2012.235.243 CrossRefGoogle ScholarPubMed
Turner, W. C., Muck, R. D., Muck, R. J., Stephens, R. L., & Sukumar, B. (2004). Co-occurring disorders in the adolescent mental health and substance abuse treatment systems. Journal of Psychoactive Drugs, 36(4), 455462. https://doi.org/10.1080/02791072.2004.10524428 CrossRefGoogle ScholarPubMed
Vornholt, K., Villotti, P., Muschalla, B., Bauer, J., Colella, A., Zijlstra, F., … Corbiere, M. (2018). Disability and employment–overview and highlights. European Journal of Work and Organizational Psychology, 27(1), 4055. https://doi.org/10.1080/1359432X.2017.1387536 CrossRefGoogle Scholar
Walton, M. T., & Hall, M. T. (2016). The effects of employment interventions on addiction treatment outcomes: A review of the literature. Journal of Social Work Practice in the Addictions, 16(4), 358384. https://doi.org/10.1080/1533256X.2016.1235429 CrossRefGoogle Scholar
White, A. R. (2011). Characteristics of three consumer cohorts in vocational rehabilitation: A comparison of consumers with dual-diagnosis, psychiatric, or substance use related disorders. Journal of Applied Rehabilitation Counseling, 42(1), 1524. https://doi.org/10.1891/0047-2220.42.1.15 CrossRefGoogle Scholar
Xie, H., Drake, R. E., McHugo, G. J., Xie, L., & Mohandas, A. (2010). The 10-year course of remission, abstinence, and recovery in dual diagnosis. Journal of Substance Abuse Treatment, 39(2), 132140.CrossRefGoogle ScholarPubMed