Interventions for Unemployed Hazardous Drinkers

Sponsored by University of Connecticut Health Center

Phase Quota
Phase N/A

Despite recent improvements in the US economy, unemployment remains a significant concern, and estimates indicate that one-third of unemployed persons drink at hazardous levels, adversely impacting their health and abilities to find jobs. Reinforcement interventions are highly efficacious in reducing substance use, and they can be applied to increase job-seeking activities as well. In partnership with CT United Labor Agency, this project is designed to reduce hazardous drinking and enhance active participation in job-seeking activities among those with job loss. It will evaluate the independent and combined effects of reinforcing negative breathalyzer samples and job-seeking activities to ascertain the simplest and most cost-effective approach to improving outcomes in this population. Unemployed individuals with hazardous drinking (N = 280) will be randomly assigned to one of four conditions using a 2 x 2 design: standard care, standard care with reinforcement for submitting negative breathalyzer samples, standard care with reinforcement for job-seeking activities, or standard care plus reinforcement for both negative breathalyzer samples and job-seeking activities. Participants in all conditions will receive usual services part of CT United Labor Agency, along with a novel remote breath alcohol monitoring procedure. The study interventions will be in effect for three months, and participants will be followed for one year. Alcohol and other drug use, employment, psychiatric symptoms, and global measures of health will be assessed throughout treatment and follow-up. Reinforcing negative breathalyzer samples is expected to significantly reduce drinking, and reinforcing job-seeking activities is expected to increase re-employment rates and reduce time until job attainment. Reinforcing both negative breathalyzer samples and job-seeking activities is hypothesized to improve outcomes along both domains. The reinforcement interventions may also decrease psychiatric distress and slow progression of physical decline, common among the unemployed. If efficacious and cost-effective, results from this study may stimulate adoption of reinforcement interventions in the context of unemployment services. Reducing the adverse consequences of hazardous drinking and improving job re-entry may have pronounced benefits in a highly vulnerable segment of the US population.

Study Start Date: January 2016

Estimated Completion Date: December 2021

Specialties: Psychiatry: Substance Abuse Family Medicine: Substance Abuse Nurse Practitioner: Substance Abuse


  • Behavioral: activity contracting
  • Behavioral: contingency management for alcohol abstinence
  • Behavioral: contingency management for activity completion

Inclusion criteria

  • age 18-65 years
  • receiving unemployment services
  • alcohol use
  • English-speaking and able to read at a 5th grade level
  • have a valid photo ID
  • willing and able to use study equipment and sign an off-campus property transfer form
  • able to pass an informed consent quiz

Exclusion criteria

  • have a condition that may hinder study participation

Study Locations And Contact Information

  • United Labor Agency, Middletown Connecticut
    Contact: Ruth Fetter 860-679-4556

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