A Randomized Clinical Trial of Supported Employment for Inner-city Patients With Severe Mental Disorders

Drake, Robert E.; McHugo, Gregory J.; Bebout, Richard R.; Becker, Deborah R.; Harris, Maxine; Bond, Gary R.; Quimby, Ernest

doi:10.1001/archpsyc.56.7.627

Cited by 345 publications

(306 citation statements)

References 22 publications

Supporting

Mentioning

276

Contrasting

Unclassified

Order By: Relevance

“…There were relatively few differences between the five groups with regard to health, wellness, quality of life, self-esteem, and housing outcomes. This corroborates previous reports that the benefits of vocational services are limited to vocational outcomes [33,[35][36][37][38].…”

Section: Discussionsupporting

confidence: 92%

“…Those who obtain CE via IPS have been shown to have improved self-esteem, quality of life, social inclusion, and psychiatric symptoms [20,[31][32][33], and improvements have been shown to be maintained during follow-up, for as many as 12 yr [7,34]. Although IPS has been associated with improvements in some nonvocational outcomes in observational outcome studies, these improvements have not been greater than those demonstrated by other rehabilitation programs when evaluated in randomized trials [33,[35][36][37][38]. Several other studies that favored IPS with regard to vocational outcomes failed to find greater improvement in non-vocational outcomes [27,37].…”

Section: Supported Employmentmentioning

confidence: 99%

See 1 more Smart Citation

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Leddy¹,

Stefanovics²,

Rosenheck

2014

J Rehabil Res Dev

View full text Add to dashboard Cite

Abstract-Supported employment, specifically individual placement and support (IPS), improves competitive employment (CE) rates for individuals with serious mental illness, but has not shown greater improvement in non-vocational outcomes than other rehabilitation approaches. The Department of Veterans Affairs offers two types of vocational services, IPS and transitional work experience (TWE), but no study has compared the effectiveness of these approaches. This secondary analysis of data from a study of homeless veterans compared 6 mo improvement in diverse outcomes for five employment patterns: never worked, worked only in TWE, worked in TWE followed by CE, worked in CE without IPS, and worked in CE with IPS referral. Veterans referred to IPS were more likely to be competitively employed. Those who worked in CE (whether following TWE or with or without IPS referral) showed the greatest increase in days worked, employment income, and total income and the greatest decrease in public support income when compared with those who worked only in TWE or not at all. Veterans in TWE showed the greatest increase in residential treatment days, but there were no other differences in nonvocational outcomes between groups. There are multiple paths to CE, but few differences in non-vocational outcomes across employment experiences.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Supported Employmentmentioning

confidence: 99%

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Leddy¹,

Stefanovics²,

Rosenheck

2014

J Rehabil Res Dev

View full text Add to dashboard Cite

show abstract

“…Moreover, there were differences in the methods used for addressing this interest among trials. For examples, Drake et al [46] and Howard et al [49] recruited people interested in work and assessed eligibility through introductory meetings, whereas Macias et al [54], due to the nature of their intervention model, did not screen for work interest. The study by Howard et al [49], which included a single introductory session, is likely to have recruited less motivated methodological quality, illustrating that the quality with which employment programs are implemented is particularly relevant in trials designed to assess the effectiveness of these programs.…”

Section: Ijomeh 2017;30(3)mentioning

confidence: 99%

“…In addition, both people with schizophrenia and their families and caregivers must remember that relapse is a possibility in the course of the illness. Therefore, better preparation and close accompaniment for coping with risk factors such as job stress might be useful patients, who would have been excluded from the study by Drake et al [46]. The availability of employment services and the benefit systems could also affect job placement, especially for people with prolonged illness, the long-term unemployed, and those who choose to work non-competitively.…”

Section: Ijomeh 2017;30(3)mentioning

confidence: 99%

Employment outcomes for people with schizophrenia spectrum disorder: A meta-analysis of randomized controlled trials

Carmona

Gómez-Benito

Huedo‐Medina

et al. 2017

Int J Occup Med Environ Health

View full text Add to dashboard Cite

Access to employment plays a critical role in the recovery and functioning of people with schizophrenia. We have investigated the effectiveness of treatments to enhance employment outcomes for people with schizophrenia and evaluated the potential moderators of these outcomes. A literature search was conducted in CINAHL, Cochrane Databases, MED-LINE, ProQuest XML, PsycINFO, Scopus, and Web of Science. Grey literature databases, references lists of the retrieved articles and specialized journals in the field were also inspected. Job placement, job tenure and wages earned were tested. Risk ratios were extracted for job placement and standardized mean differences were calculated for job tenure and wages earned. Twenty-five randomized controlled trials published between 1986 and December 2015 were analyzed. Engaging in a vocational intervention increases the likelihood of obtaining a competitive job (risk ratio (RR) = 2.31, 95% confidence interval (CI): 1.85-2.88) and has a positive impact on hours worked in any job (standardized mean difference (SMD) = 0.42, 95% CI: 0.16-0.68). There was no evidence of intervention efficacy with regard to wages earned from competitive employment. Participation in rehabilitative vocational treatment is not sufficient to ensure work participation for people with schizophrenia. Comprehensive treatments are necessary to address functional deficits that hinder labor stability and job performance for people with schizophrenia. Int J Occup Med Environ Health 2017;30(3):345-366

show abstract

“…En resumen, de este estudio se concluye que el IPS es un sistema de apoyo más efectivo que los otros programas tradicionales. En otro estudio de Drake et al, 51 nuevamente se observan resultados que indican una mayor efectividad del IPS en contraste con los sistemas de inserción tradicionales, tanto en la obtención de empleos competitivos como en el número de horas semanales trabajadas.…”

Section: • Puestos De Trabajo En Empresas Ordinarias En Condiciones Deunclassified

Estrategias de inserción laboral en población con discapacidad mental: una revisión

2013

View full text Add to dashboard Cite

SUMMARYThe employability and access to the productive market are considered key elements for the full integration of the patient with mental disability. The aim of this review was to describe and analyze the scientific literature for the main employability strategies: traditional vocational rehabilitation (sheltered work and social firms) and supported employment (particularly in its mode of individualized supported employment). The results of the review suggest that individualized supported employment is the most effective approach in obtaining employment for people with mental disabilities.Key words: Mental disability, employability, sheltered work, social firms, supported employment. RESUMENLa inserción laboral y el acceso al mercado productivo son considerados elementos claves para la plena integración del paciente con discapacidad mental. El objetivo de la presente revisión fue describir y analizar la literatura científica correspondiente a las principales estrategias de inserción laboral: rehabilitación vocacional tradicional (empleo protegido y empresas sociales) y empleo con apoyo (particularmente en su modalidad de empleo con apoyo individualizado). Los resultados de la revisión indican que el empleo con apoyo individualizado es el abordaje más efectivo en la obtención de empleo en personas con discapacidad mental.Palabras clave: Discapacidad mental, inserción laboral, empleo protegido, empresas sociales, empleo con apoyo.

show abstract

A Randomized Clinical Trial of Supported Employment for Inner-city Patients With Severe Mental Disorders

Cited by 345 publications

References 22 publications

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Employment outcomes for people with schizophrenia spectrum disorder: A meta-analysis of randomized controlled trials

Estrategias de inserción laboral en población con discapacidad mental: una revisión

Contact Info

Product

Resources

About