Unemployed into withdrawal treatment: What happens afterwards?
A fouryear catamnesis
Reintegration into working life is a particular challenge for unemployed, alcohol-dependent rehabilitants after withdrawal treatment. The further away the insured person is from working life, the more difficult reintegration is. What influence does the unemployment of an insured person at the start of withdrawal treatment have on employment four years after withdrawal treatment and how do successful unemployed and unsuccessful unemployed patients differ with regard to taking up employment subject to social insurance contributions after inpatient withdrawal treatment?
The study included 661 insured persons of the DRV Braunschweig-Hannover who underwent inpatient withdrawal treatment for alcohol dependence in 2015. For the comparison when unemployed and non-unemployed patients were admitted, data from the insurance account, in particular the contribution periods from employment subject to compulsory insurance from the year before and the years after the withdrawal treatment, data from the discharge report and the application behaviour were included. Chi2, t-tests were calculated. A regression analysis was performed to predict employment four years after discharge.
The sustainability of occupational reintegration four years after discharge depended on the proximity to the labour market before withdrawal treatment. Equally decisive was that occupational reintegration succeeded within the first year. Unemployed women were less successful with regard to professional reintegration. In the aftercare of unemployed alcohol addicts, the stability of reintegration must be supported for longer against the background of the addiction disease and the personality of the patient.