Experiences of people with substance use disorders with a novel intervention for reintegration into working life: A qualitative formative evaluation

Abstract

Introduction

In Germany, substance use disorders (SUDs) are highly prevalent and impose a significant burden on both individuals and society, such as unemployment. Participation in working life is crucial for people with SUDs as employment can help to overcome these disorders. However, re-entry into the labour market among this population remains low, which is partly due to insufficient cross-sectoral collaboration at the interface between job centres and rehabilitation. ANDANTE is an innovative intervention for people with SUDs based on the “Individual Placement and Support” model that aims to address these challenges. This study presents the experiences of people with SUDs who participated in the ANDANTE program.

Methods

We conducted n = 11 semi-structured interviews between 04/2023 and 06/2024. Participants were interviewed during the first 8 months of the intervention. We analysed the interviews using a structuring qualitative content analysis with a deductive-inductive approach according to Kuckartz and Rädiker.

Results

The majority of respondents were male (n = 10). Participants spoke predominantly positive about ANDANTE in terms of content and organisation. Some respondents made suggestions for improvement such as a greater focus on stress management or application training. Support from both ANDANTE staff or peers was described as helpful. Participants also perceived positive impacts throughout the intervention, such as an improved daily structure or living situation, as well as more control over substance use.

Conclusion

This study provides insights into the experiences of people with SUDs with an innovative intervention for reintegration into working life. The findings may contribute to targeted adaptations of ANDANTE or the development of future programmes in a similar context in Germany.