Abstract
This report evaluates variations in substance abuse screening rates by state vocational rehabilitation (VR) agencies in six states. State agency VR counselors asked customers to complete a screener. The intake rates, the number of screenings offered, the number of screenings completed, the refusal rates and the screen-positive rates varied widely across states. A rapid increase in screenings occurred in three states after project initiation, while two others established and maintained a moderate number of screenings. One state delayed participation and therefore its results are not reported here. Improving employment outcomes by making targeted referrals for substance abuse requires a high level of support by agency leaders.
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