Home > Service stakeholders' perspectives on methadone maintenance treatment, Special Community Employment schemes and client recovery pathways.

Van Hout, Marie Claire and Bingham, Tim (2014) Service stakeholders' perspectives on methadone maintenance treatment, Special Community Employment schemes and client recovery pathways. Journal of Vocational Rehabilitation , 40 , (1) , pp. 49-58.


BACKGROUND: Previous Irish research on client perspectives on the ‘lived social world’ of methadone maintenance treatment (MMT) and participation in Special Community Employment (SCE) schemes have illustrated how MMT offers clients the opportunity to commence recovery and community reintegration, with participation in the SCE schemes acting primarily as therapeutic support mechanism with improvement needed in work based support and employment related outcomes. OBJECTIVES: The research aimed to explore service providers' views on MMT client experiences of participation in SCE vocational training, education and employment seeking.

METHODS: Five in depth interviews and three focus groups (n = 14) were conducted with key specialist treatment and rehabilitation service providers' in Dublin, Ireland. RESULTS: Narratives were thematically analysed, and indicative of the positive role of MMT in recovery pathways in terms of stimulating initial client stabilisation, reducing client chaotic lifestyles, initiating new positive health and social behaviours with partners, children, families, and facilitating renewed vocational training on SCE schemes. Outcomes whilst positive in terms of personal development when in recovery are compromised by lack of employment prospects and dedicated work-based supports on exit.

CONCLUSIONS: Recommendations were made around the need for long term integrated community care, vocational certification, supported volunteer, employment planning and back to work schemes.

Item Type:Article
Date:2014
Page Range:pp. 49-58
Publisher:IOS Press
Volume:40
Number:1
EndNote:View
Accession Number:HRB (Available)
Subjects:A Substance use, abuse, and dependence > Natural history of substance use > Recovery
B Substances > Opioids (opiates) > Opioid product > Methadone
HJ Treatment method > Substance disorder treatment method > Substance replacement method (substitution) > Methadone maintenance
J Health care, prevention and rehabilitation > Treatment and maintenance > Patient attitude toward treatment
J Health care, prevention and rehabilitation > Rehabilitation > Vocational rehabilitation (employment / occupation)
VA Geographic area > Europe > Ireland

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