Abstract
The classical approach to methadone treatment is focused on rehabilitation and involves using methadone to stabilize the client physiologically; counseling to address psychosocial needs; and support services to overcome barriers to treatment and a productive life-style. Vocational services traditionally have been included in the latter component as a major factor in enabling clients to become functioning members of society. This paper reviews prior research on vocational services for methadone clients and presents preliminary findings from a randomly controlled trial of a training and employment program with 249 clients in three community-based programs. The results suggest that vocational services can increase access to training and vocational assistance programs significantly, increase school enrollment, and decrease unemployment.
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