This report from the Building Evidence on Employment Strategies for Low-Income Families project examines programs that integrate employment services with treatment and recovery services for people with substance use disorders. It explores the role employment plays in recovery and reviews limited but promising evidence on the effectiveness of these integrated programs.
Background and Directions for Future Research
This paper describes the Individual Placement and Support (IPS) model, a framework for providing employment services to those facing barriers to work. MDRC, in partnership with MEF Associates and Abt Associates, is studying IPS as part of the Building Evidence on Employment Strategies for Low-Income Families (BEES) project.
Implementing Individual Placement and Support in a Workforce Setting
Breaking Barriers was a San Diego-based program that provided employment services to low-income individuals with a range of disabilities or other health conditions. Preliminary analyses based on a survey found that the program did not have an impact on the primary outcomes measured — employment, length of employment, and total earnings — during a 15-month follow-up period.
Final Results of the Hard-to-Employ Demonstration and Evaluation Project and Selected Sites from the Employment Retention and Advancement Project
This paper examines issues related to depression severity in this study of a one-year telephone care management intervention for depressed parents who were Medicaid recipients. The original study found effects on getting treatment during the intervention but no impacts on depression severity.
Telephone Care Management for Medicaid Recipients with Depression, Thirty-Six Months After Random Assignment
A telephonic care management program increased the use of mental health services by Medicaid recipients with depression while the program was running, but it did not help individuals sustain treatment after the intervention ended. The program did not reduce depression on average, nor did it have any effect on employment outcomes.
Impacts on Health and Employment at Twelve Months
This demonstration tested the effects of earlier access to health care coverage and related services for new Social Security Disability Insurance (SSDI) beneficiaries. After one year, the program increased health care use, reduced reported unmet medical needs, and modestly improved health and functioning. It also increased job prep and search activities but did not raise employment levels.
Telephone Care Management for Medicaid Recipients with Depression, Eighteen Months After Random Assignment
A telephonic care management program increased the use of mental health services by Medicaid recipients with depression, although that effect faded over time. The program did not reduce depression on average, but it did reduce the number of people who suffered from very severe depression.
Early Results from a Telephone Care Management Program for Medicaid Recipients with Depression
Very early results from a random assignment study suggest that Working toward Wellness increased the use of mental health services and had mixed effects on depression severity. Impacts are concentrated among Hispanic participants.
The Employment Retention and Advancement Project
Participants in an intensive care management program for public assistance recipients with substance abuse problems were slightly more likely to enroll in treatment than participants in less intensive services. However, the intensive program had no effects on employment or public benefit receipt among the full sample.