Adults in treatment for alcohol and/or drug addiction who are unemployed and want to work in the near future Other
Conditions
Interventions
After completion of baseline assessment participants will be randomly assigned to one of the two intervention arms (ratio 1:1) using randomly varying block sizes of 8 and 4. A randomization schedule i
Sponsors
Lund University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18-67 years 2. Willing to work in the near future 3. Unemployed 4. Participate in an IPS-ADAS trial information meeting (in group or individually) 5. Diagnosed with addiction disorder (i.e., alcohol and/or drugs) as primary diagnosis 6. In treatment at outpatient addiction service within the healthcare Region and/or Municipality 7. Financially supported by welfare system (e.g., decision on financial aid/benefit from the Municipality, Public Employment Service or Social Insurance) Note: Eligibility criteria for the study centres will concern being an addiction healthcare provider within the publicly financed healthcare of Region Stockholm and Region Skåne and/or City of Stockholm, Municipality of Södertälje, and Municipality of Lund/Malmö. Addiction services in Sweden are typically divided between Regions and Municipalities and new governmental directives for coproduction and person-centeredness of services is currently presented.
Exclusion criteria
Exclusion criteria: 1. Lack of interest to become employed or to participate in a research trial 2. In acute abstinence treatment 3. Disability caused by another main condition (e.g., serious mental or somatic illness) 4. Acute homelessness 5. Engagement in lengthy legal process 6. Occupied with suicide plans or having had recent attempts (<3 months)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of participants in competitive employment (yes/no, 1 day) retrieved from LISA register (Swedish Longitudinal Integrated Database for Health Insurance and Labour Market Studies) retrospectively at 18 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Vocational outcomes: 1.1 Time to event (employment) retrieved from LISA register retrospectively at 18 months. 1.2 Total time (days) in employment retrieved from LISA register retrospectively at 18 months. 1.3 Job tenure (continuous time period) retrieved from LISA register retrospectively at 18 months 1.4 Total employments retrieved from LISA register retrospectively at 18 months 1.5 Proportion of full-time work (% of 40 h/week) retrieved from LISA register retrospectively at 18 months 1.6 Income (monthly) retrieved from LISA register retrospectively at 18 months Data will be collected by Statistics Sweden from the LISA register and be delivered to the researcher coded. Register data will be validated against users’ own registration of employment status in the Addiction Severity Index (ASI) for Clinical Trials and e-use, and logbooks of employment specialists, by an independent researcher. Self-employment data will also be collected. Clinical, social, and demographic characteristics and outcomes 2. 2. Clinical, social, and demographic characteristics and outcomes (i.e., age, gender/gender identity, ethnicity, civil status, diagnosis, substance use, housing situation, income, benefit type, sick-leave status, education and employment history/status, treatment, care, and support) will be measured using the Addiction Severity Index (ASI) for Clinical Trial and e-use questionnaire at baseline, 6, 12 and 18 months. Health, quality of life, and well-being outcomes: 3.1. Health in terms of empowerment measured using the questionnaire Empowerment Scale questionnaire with 28 statements reflecting five subscales of self-esteem/self-efficacy, power/powerlessness, community activism and autonomy, optimism and control over the future, and righteous anger, at baseline, 6, 12, and 18 months 3.2. Health in terms of engagement level in daily activity and community life measured using the Profiles of Occupational Engagement Scale questionnaire at baseline, 6, 12, and 18 months | — |
Countries
Sweden
Outcome results
None listed