Substance Use Disorder

Substance Use Disorder
This topic area focuses on the effectiveness of interventions designed to improve the health, safety, or employment outcomes for people with Substance Use Disorder (SUD), as well as those that contribute to building a behavioral health workforce to provide treatment for SUD and to support recovery efforts. CLEAR conducted a review of evidence on the topic, drawing on two DOL-funded literature reviews: Workers’ Compensation and the Opioid Epidemic: State of the Field in Opioid Prescription Management and The Role of the Workforce System in Addressing the Opioid Crisis: A Review of the Literature.

Status: Literature reviewed in this topic area includes studies published from 2010 through 2022.

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CLEAR searches the existing literature for research relevant to this topic area's focus. Browse the most recently reviewed research below.

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Displaying 1 - 8 of 8

Individual placement and support (IPS) for methadone maintenance therapy patients: A pilot randomized controlled trial (Lones et al., 2017)
Study Type: Causal Impact Analysis
Causal Evidence Rating: Moderate Causal Evidence
The study's objective was to examine the impact of Individual Placement and Support (IPS) on employment. The study was a randomized control trial that assigned 45 individuals with moderate to…
Effect of job skills training on employment and job seeking behaviors in an American Indian substance abuse treatment sample (Foley et al., 2010)
Study Type: Causal Impact Analysis
Causal Evidence Rating: High Causal Evidence
The study’s objective was to determine whether a job skills training intervention, the Job Seekers’ Workshop (JSW), improved employment outcomes and reduced alcohol use among an American Indian…
A therapeutic workplace for the long-term treatment of drug addiction and unemployment: Eight-year outcomes of a social business intervention (Aklin et al., 2014)
Study Type: Causal Impact Analysis
Causal Evidence Rating: High Causal Evidence
The study's objective was to examine the impact of a therapeutic workplace on employment, earnings and wages, and public benefits receipt. This study used a randomized controlled trial. …
Twelve-month employment intervention outcomes for drug-involved offenders (Webster et al., 2014)
Study Type: Causal Impact Analysis
Causal Evidence Rating: High Causal Evidence
The study’s objective was to examine the effects of an employment intervention tailored for drug-involved offenders on employment and earnings outcomes. The study was a randomized controlled…
A comparison of Reinforcement Based Treatment (RBT) versus RBT plus Recovery Housing (RBT RH) (Tuten et al., 2017)
Study Type: Causal Impact Analysis
Causal Evidence Rating: Low Causal Evidence
The study's objective was to examine the impact of recovery housing on employment and earnings for individuals with opioid use disorders receiving Reinforcement Based Treatment (RBT). …
Randomized multi-site trial of the Job Seekers’ Workshop in patients with substance use disorders (Svikis et al., 2012)
Study Type: Causal Impact Analysis
Causal Evidence Rating: High Causal Evidence
The study's objective was to examine the impact of Job Seekers' Workshop (JSW) on employment outcomes among unemployed or underemployed patients receiving treatment for substance use disorders. …
Employment services utilization and outcomes among substance abusing offenders participating in California's Proposition 36 drug treatment initiative (Evans et al., 2010)
Study Type: Causal Impact Analysis
Causal Evidence Rating: Moderate Causal Evidence
The study's objective was to examine the impact of California's Proposition 36-funded employment services on employment, earnings, public benefit receipt, and health and safety. Using outcome…
An integrated drug counseling and employment intervention for methadone clients (Coviello et al., 2009)
Study Type: Causal Impact Analysis
Causal Evidence Rating: Low Causal Evidence
The study’s objective was to examine the impact of an integrated drug counseling and employment intervention on employment, earnings, drug use, and HIV risk behaviors among clients in methadone…

CLEAR Icon Key

Below is a key for icons used to indicate important details about a study, such as its type, evidence rating, and outcome findings.

High Causal Evidence

Strong evidence the effects are caused by the examined intervention.
Moderate Causal Evidence

Evidence that the effects are caused to some degree by the examined intervention.
Low Causal Evidence

Little evidence that the effects are caused by the examined intervention.
Causal Impact Analysis

Uses quantitative methods to assess the effectiveness of a program, policy, or intervention.
Descriptive Analysis

Describes a program, policy, or intervention using qualitative or quantitative methods.
Implementation Analysis

Examines the implementation of a program, policy, or intervention.
Favorable

The study found at least one favorable impact in the outcome domain, and no unfavorable impacts.
Mixed

The study found some favorable and some unfavorable impacts in the outcome domain.
None

The study found no statistically significant impacts in the outcome domain.
Unfavorable

The study found at least one unfavorable impact in the outcome domain, and no favorable impacts.
Not applicable

Not applicable because no outcomes were examined in the outcome domain.
Favorable - low evidence

The study found at least one favorable impact in the outcome domain, and no unfavorable impacts. The study received a low causal evidence ratings so these findings should be interpreted with caution.
Mixed - low evidence

The study found some favorable and some unfavorable impacts in the outcome domain. The study received a low causal evidence ratings so these findings should be interpreted with caution.
None - low evidence

The study found no statistically significant impacts in the outcome domain. The study received a low causal evidence ratings so these findings should be interpreted with caution.
Unfavorable - low evidence

The study found at least one unfavorable impact in the outcome domain, and no favorable impacts. The study received a low causal evidence ratings so these findings should be interpreted with caution.

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Substance Use Disorder

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CLEAR Icon Key

High Causal Evidence

Moderate Causal Evidence

Low Causal Evidence

Causal Impact Analysis

Descriptive Analysis

Implementation Analysis

Favorable

Mixed

None

Unfavorable

Not applicable

Favorable - low evidence

Mixed - low evidence

None - low evidence

Unfavorable - low evidence