Health status of employed and unemployed methadone patients
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Abstract
Employment rates for users of illicit drugs overall are nearly the same as rates for the U.S. civilian population (U.S. Bureau of the Census, 1993), but employment rates for drug-dependent persons are far lower. Reports have ranged from 15 to 35% for untreated samples (Aiken, LoSciuto, Ausetts, & Brown, 1984; McLellan, Luborsky, O'Brien, Barr, & Evans, 1986; Siegal et al, 1995) and from 20 to 45% for in-treatment samples (Gerstein et al., 1994; Livingston, Randall, & Wolkstein, 1990; Metzger & Platt, 1987). Lack of employment is associated with negative effects among drug-dependent individuals, including greater use of drugs and alcohol (Catalano, Dooley, Wilson, & Hough, 1993; Lehelma, Kangas, & Manderbacka, 1995), more mental health problems (Layton, 1986), and more frequent criminal behavior (Platt, 1986). It is, therefore, often suggested that employment is a crucial step in resocialization to conventional society.
