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首页> 外文期刊>Journal of studies on alcohol and drugs. >Characteristics of individuals screening positive for substance use in a welfare setting: implications for welfare and substance-use disorders treatment systems.
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Characteristics of individuals screening positive for substance use in a welfare setting: implications for welfare and substance-use disorders treatment systems.

机译：在福利机构中对药物使用阳性筛查的个人特征：对福利和药物滥用疾病治疗系统的影响。

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OBJECTIVE: This study examined barriers to employability, motivation to abstain from substances and to work, and involvement in multiple service systems among male and female welfare applicants with alcohol- and drug-use problems. METHOD: A representative sample (N= 1,431) of all persons applying for public assistance who screened positive for substance involvement over a 2-year period in a large urban county were recruited in welfare offices. Legal, education, general health, mental health, employment, housing, and child welfare barriers to employability were assessed, as were readiness to abstain from substance use and readiness to work. RESULTS: Only 1 in 20 participants reported no barrier other than substance use, whereas 70% reported at least two other barriers and 40% reported three or more. Moreover, 70% of participants experienced at least one additional barrier classified as "severe" and 30% experienced two or more. The number and type of barriers differed by gender. Latent class analysis revealed four main barriers-plus-readiness profiles among participants: (1) multiple barriers, (2) work experienced, (3) criminal justice, and (4) unstable housing. CONCLUSIONS: Findings suggest that comprehensive coordination among social service systems is needed to address the complex problems of low-income Americans with substance-use disorders. Classifying applicants based on barriers and readiness is a promising approach to developing innovative welfare programs to serve the diverse needs of men and women with substance-related problems.
机译：目的：本研究探讨了男性和女性有酒精和药物使用问题的福利申请人的就业能力障碍，戒毒和工作动机以及参与多种服务系统。方法：从福利城市招募了一个有代表性的样本（N = 1,431），该样本来自一个大型城市县，在两年内对物质参与进行筛查呈阳性的所有公共援助申请者。评估了法律，教育，一般健康，精神健康，就业，住房和儿童福利对就业能力的障碍，以及是否愿意戒毒和准备工作。结果：每20名参与者中只有1名报告称除了使用毒品外没有其他障碍，而70％的参与者报告了至少两个其他障碍，而40％的参与者报告了三个或更多障碍。此外，70％的参与者经历了至少一种被分类为“严重”的障碍，而30％的参与者经历了两种或更多种。障碍的数量和类型因性别而异。潜在阶级分析显示出参与者的四个主要障碍加准备状况：（1）多个障碍;（2）工作经验丰富;（3）刑事司法;（4）住房不稳定。结论：研究结果表明，社会服务系统之间需要全面协调，以解决患有药物滥用疾病的低收入美国人的复杂问题。根据障碍和准备情况对申请人进行分类是开发创新的福利计划以服务有物质相关问题的男人和女人的多样化需求的一种有前途的方法。

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