The role of employment status, change, and satisfaction for people who have completed substance use disorder treatment.

Abstract

Substance use disorder (SUD) is a complex disabling condition that is not often well understood. Despite decades of SUD research and intervention, prevalence rates remain stable and many traditional treatment options are largely ineffective in helping individuals with SUDs attain long-term abstinence and recovery. One avenue that shows promise in facilitating higher recovery and quality of life (QoL) outcomes in people with SUD is employment that occurs alongside traditional treatment. This study sought to understand the role that meaningful and satisfying employment has in SUD outcomes for treatment completers. Employing a quasi-experimental, cross-sectional, nonequivalent groups design, this study examined 197 individuals with SUDs who completed treatment to explore how their employment status during treatment, employment status change from their treatment to the time of the survey, and job satisfaction influenced their recovery and QOL. Analyses of covariance (ANCOVAs) revealed that those who made the transition from unemployed at treatment to employed at time of survey and those who were employed in "very satisfying" jobs had higher rates of recovery and QOL than those who were in "very dissatisfying" jobs or made the transition from employed during treatment to unemployed at time of survey. The results of this study are promising in that employment and job satisfaction seem to be facilitative of recovery and QOL outcomes for this population of SUD treatment completers.