This TIP, Integrating Substance Abuse Treatment and Vocational Services, presents a fundamental rethinking of the importance of integrating vocational services into substance abuse treatment planning. The goal of this TIP is to show how employment can play a key role in recovery from substance abuse disorders. In the wake of legislative reforms and limited resources, the TIP discusses establishing a referral relationship with other agencies to better meet client needs. Not only will clients receive services in areas outside the alcohol and drug counselor's area of expertise, but active referrals may help the client stay in treatment, and agencies can also share resources and funding to provide services more efficiently. Policy and funding issues also are discussed, as are legal issues.

Contents

• What Is a TIP?
• Editorial Advisory Board
• Consensus Panel
• Foreword
• Executive Summary and Recommendations
• Chapter 1—The Need for Vocational Services
  • Employment as a Goal
  • Challenges to Employing Clients in Treatment
  • Vocational Issues
  • Treatment and Employment
  • National Trends Affecting Employment
• Chapter 2—Vocational Programming And Resources
  • Vocational Rehabilitation Counseling
  • Screening and Assessment
  • Vocational Counseling
  • Prevocational and Ongoing Services
  • Training and Education
  • Employment Services
  • Overview of Vocational Resources
• Chapter 3—Clinical Issues Related to Integrating Vocational Services
  • Incorporating Vocational Services
  • Competency Areas for Employment
  • Developing the Treatment Plan
  • Case Studies
• Chapter 4—Integrating Onsite Vocational Services
  • Planning an Integrated Program
  • Implementing and Operating the Integrated Program
  • Outcomes
  • Uniform Data Collection
• Chapter 5—Effective Referrals and Collaborations
  • Collaboration as the Cornerstone of Effective Referral
  • Authentically Connected Referral Networks
  • Building an Authentically Connected Referral Network
• Chapter 6 --Funding and Policy Issues
  • Managed Care Contracts As a Funding Source
  • Impact of Policy and Funding Shifts
  • Future Considerations
  • Federal and State Funding Sources
• Chapter 7—Legal Issues
  • Part I: Discrimination in Employment and Employment-Related Services
  • Part II: The Revolution in Rules Governing Public Assistance
  • Part III: Confidentiality Of Information About Clients
  • A Final Note
• Chapter 8—Working With the Ex-Offender
  • Barriers to Employment: What the Offender Brings To the Process
  • Barriers to Employment: What Society Brings to The Process
  • Program Examples
• Appendix A -- Bibliography
• Appendix B --Resources: Tools and Instruments
• Appendix C—Published Resource Materials
• Appendix D—Addiction Severity Index
• Appendix E—State Employment Agencies
• Appendix F—Federal Funding Sources
• Appendix G—Sample Individualized Written Rehabilitation Program
• Appendix H—Resource Panel
• Appendix I—Field Reviewers
• Figure 1-1: Challenges to Employment
• Figure 1-2: Strategies for Promoting Employment
• Figure 2-1: Vocational Services Provided to a Residential Treatment Facility
• Figure 2-2: Vocational Information From Initial Screen
• Figure 2-3: Assessment Tools
• Figure 2-4: Prevocational Counseling Activities
• Figure 2-5: Job Search Resources: America's Job Bank on the Internet
• Figure 2-6: Vocational Opportunities of Cherokee, Inc.: Rehabilitation Facility Providing Primarily Onsite Services
• Figure 2-7: The Michigan Drug Addiction and Alcoholism Referral and Monitoring Agency: A Case Management Model
• Figure 2-8: Combating Alcohol and Drugs Through Rehabilitation and Education (CADRE)
• Figure 2-9: The Texas Workforce Commission: Project RIO (Re-Integration of Offenders)
• Figure 2-10: Basic Materials for a Vocational Reference Library
• Figure 3-1: Early-Stage Vocational Issues and Approaches
• Figure 3-2: Answering Questions Related to Substance Use History-A Sample Scenario
• Figure 4-1: Steps for Planning an Integrated Program
• Figure 4-2: Job Clubs
• Figure 4-3: Focus on Client Outcomes: The Future for Substance Abuse Treatment Providers
• Figure 5-1: Data-Matching Software
• Figure 5-2: Steps for Establishing an Authentically Connected Network
• Figure 5-3: Characteristics of Authentically Connected Referral Networks
• Figure 6-1: Agency Self-Assessment Categories
• Figure 7-1: Americans With Disabilities Act and Rehabilitation Act Protections
• Figure 7-2: Services Provided Under the Workforce Investment Act of 1996
• Figure 7-3: Sample Consent Form
• Figure 7-4: Making a Referral to a Vocational or Training Program
• Figure 8-1: A Program That Addresses Women's Issues
• Figure 8-2: Summary of Program Examples
• Figure F-1: Federal Funding Sources
• Figure F-2: Federal Sources of Discretionary, Time-Limited Project Grants

Revised 2002, 2003, 2006, 2010, 2012, and 2014

This publication is part of the Substance Abuse Prevention and Treatment Block Grant technical assistance program. This publication was written under contract number 270-95-0013 with The CDM Group, Inc. (CDM). Sandra Clunies, MS, ICADC, served as the CSAT government project officer. Rose M Urban, LCSW, JD, CCAS, served as the CDM TIPs project director. Other CDM TIPs personnel included Raquel Ingraham, MS, project manager; Jonathan Max Gilbert, MA, former managing editor; Susan Kimner, editor; and Cara Smith, former production editor. Special thanks go to consultant John J Benshoff, CRC, PhD, for his considerable contribution to this document. Special thanks also go to Vivian Brown, PhD, and Margaret K. Brooks, Esq., for their valuable contributions to Chapter 8.

Suggested citation:

Center for Substance Abuse Treatment. Integrating Substance Abuse Treatment and Vocational Services. Treatment Improvement Protocol (TIP) Series, No. 38. HHS Publication No. (SMA) 12-4216. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2000.

The opinions expressed herein are the views of the Consensus Panel members and do not reflect the official position of CSAT, SAMHSA, or the U.S. Department of Health and Human Services (DHHS). No official support or endorsement of CSAT, SAMHSA, or DHHS for these opinions or for particular instruments or software that may be described in this document is intended or should be inferred. The guidelines proffered in this document should not be considered as substitutes for individualized client care and treatment decisions.