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Adults in Washington state with substance use disorders related to alcohol or other drugs and who were low-income, faced challenges in the labor market, and were incapacitated because of their substance use disorder were eligible for the Alcohol and Drug Addiction Treatment and Support Act (ADATSA) program. The study authors selected a set of 1,215 ADATSA program clients who received assessments in fall 1989. Individuals receiving Aid to Families with Dependent Children and those convicted of a felony in the prior year were excluded from the study. Selected individuals were divided into five groups: (1) 319 clients who finished both chemical dependency treatment and additional vocational services; (2) 287 clients who completed chemical dependency treatment but did not receive vocational services; (3) 138 clients who were eligible for ADATSA program services but did not receive them during the study period; (4) 132 clients who started but did not finish chemical dependency treatment; and (5) 339 clients who received chemical dependency treatment and started, but did not finish, additional vocational services. This review focuses on the comparison between Group 1 (ADATSA clients who completed both chemical dependency treatment and additional vocational services) and Group 2 (ADATSA clients who were eligible for services but only received chemical dependency treatment). Another review examines the comparison of Groups 1 and 3. The authors also present comparisons of Groups 2 and 3, but this contrast is not eligible for review because it does not produce estimates of the impacts of an employment or training program. The authors did not present any other contrasts that would be eligible for review by the Pathways Clearinghouse.
Clients started receiving services in fall 1989. The study follow-up period was 4.5 years after the end of the intervention (typically sometime in 1990), and data was collected on clients for 2 years before the intervention.
Washington State Department of Social and Health Services
Not available
The ADATSA program was created through state legislation passed in 1987. The three additional vocational programs were pilot programs created to provide brief, intensive vocational training to supplement ADATSA program services.
The ADATSA created a program to treat adults addicted to alcohol or other drugs in Washington state. The goals of the ADASTA program were to encourage abstinence and improve vocational, social, and personal coping skills. During any two-year period, ADASTA clients in the intervention group could receive a maximum of six months of chemical dependency treatment (which included treatment, reintegration assistance, and aftercare). Financial support was provided during this treatment. Clients in the intervention group received additional vocational services through three pilot programs: Rapid Rehabilitation Resolution (RRR) in Spokane, WA; the ADATSA Cooperative Employment Program (ACEP) in Seattle, WA; or the Vocational Opportunity Training/Education (VOTE) program in Tacoma, WA. These programs provided various vocational rehabilitation services, including aptitude testing, brief training programs, vocational counseling and guidance, access to job listings, motivational workshops that covered asset identification and job-seeking skills, and additional substance abuse treatment. The duration of the vocational programs varied from six weeks to three months. All individuals in the intervention group completed both the substance use and vocational component of the intervention.
The comparison group included adults who received chemical dependency services but not vocational services during the study period.
None
Clients could receive treatment and financial support through ADATSA for up to six months. Most of them were declared eligible in fall 1989 and completed the program during 1990. Clients received additional vocational services during the same time period that they received chemical dependency treatment through ADATSA. RRR was provided for a maximum of three months, ACEP lasted two months, and VOTE lasted six weeks.
Alcohol and Drug Addiction Treatment and Support Act of 1987
Clients sought assistance through local Community Service Offices and were assessed for eligibility at ADATSA Assessment Centers in Washington state.
I edited the Study name field. Please confirm edits are OK. Original title was "Alcohol and Drug Addiction Treatment and Support - versus chemical dependency treatment only"