Angaben zum Forschungsprojekt
Arbeitslosigkeit und Suchtrehabilitation (ARA-Projekt)
Datenbasis und Stichproben:
Die Datenbasis entstammte der in der Fachklinik Wilhelmsheim in 2001 bis 2004 als Längsstudie durchgeführten ARA-Projekt (N=929). Einbezogen in die vorliegende Auswertung waren 181 Arbeitslose und 314 Erwerbstätige, die während der 6-monatigen Katamnesezeit durchgängig arbeitslos bzw. erwerbstätig waren.
Allgemeine Hospitalgesellschaft Klinik Wilhelmsheim
Hessisches Ministerium für Wissenschaft und Kunst
Predicators of Alcohol Relapses among the Unemployed 6 Month after Treatment: Empirical Results and Conclusions for Treatment and Rehabilitation Programs
This study investigates which personal features present predicators of the relapses among the unemployed who had completed an inpatient treatment program in alcohol addiction. Additionally it was examined whether these features differ from those of the patients who remained employed.
The analyses was carried out by multiple logistic regression. The criterion to be predicted was the alcohol relapse during the 6 month follow up. As predictors 23 sociodemographic, alcohol-related, unemployment-related and psychosocial variables were taken into account mainly selected from diagnostics at the time of discharge, augmented by some features from other times of meassurement.
Data basis and sample:
The data basis derives from a longitudinal study (ARA-project, N=929) carried out in the Fachklinik Wilhelmsheim in 2001-2004. 181 continously unemployed and 314 continuously employed were involved in the current analyses.
Among the unemployed three proved to be significant risk factors of relapse: consumption of psychoactive substances during treatment, high number of previous detoxifications, being dissatisfied with the partner situation as well as being dissatisfied with the arrangement of leisure tme and the length of unemployment before treatment started. Protective factors proved to be: active coping behavior, participation in self help groups and the inability to work at discharge, because this often was the cause for further inpatient meassures of treatment and care which evidently reduced the risk of relapse considerably. The results concerning the goodness of fit of the logistic regression model are satisfactory. In addition to that two high risk groups among the unemployment were identified: those dropped out of treatment as well as those already having received inpatient addiction treatment at least twice. For the employed no stable regression model could be found.
A number of conclusions are drawn to improve rehabilitation programs for the unemployed focussing on relapse prevention.