An update on randomized controlled trials of evidence-based supported employment.

Bond, Gary R.; Drake, Robert E.; Becker, Deborah R.

doi:10.2975/31.4.2008.280.290

Cited by 607 publications

(520 citation statements)

References 54 publications

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“…Although there are evidence-based studies on barriers to and facilitators of employment of persons with a mental disability in HICs [5,12,14], few studies have systematically explored the subject in African countries [15]. This, combined with calls in the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) [16] and the Sustainable Development Goals (SDGs) [17], have advocated concerted action to protect the rights of persons with disabilities and their empowerment through inclusion in socioeconomic programmes.…”

Section: Introductionmentioning

confidence: 99%

Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review

Ebuenyi

Syurina

Bunders

et al. 2018

Global Health Action

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Background: Despite the importance of inclusive employment, described in Goal 8 of the Sustainable Development Goals (SDGs), employment of persons with psychiatric disabilities in Africa is lower than among the general population. Objective: The aim of this scoping review is to explore evidence related to the barriers to and facilitators of employment of persons with psychiatric disabilities in Africa. Methods: A literature search was conducted using six relevant electronic databases of articles published between 1990 and 2017. Results: Eight studies were identified and analysed regarding barriers and facilitators of employment of persons with psychiatric disabilities. The dynamic adaptation of the bio-psycho-social model was used as an analytical framework. Identified barriers include ill health, (anticipated) psychiatric illness, social stigma and discrimination, negative attitudes among employers and the lack of social support and government welfare. Facilitators of employment include stability of mental illness, heightened self-esteem, a personal decision to work despite stigma, competitive and supported employment, reduction in social barriers/stigma and workplace accommodations. Conclusion: Employment of persons with psychiatric disabilities is essential, yet there is dearth of scientific evidence to identify contextual models that might be useful in African countries and other low-and middle countries (LMICs). This gap in information would benefit from further research to improve the employment rates of persons with psychiatric disabilities in Africa.

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Section: Introductionmentioning

confidence: 99%

Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review

Ebuenyi

Syurina

Bunders

et al. 2018

Global Health Action

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“…Continual support should, when required, be provided to increase the employee's chances of retaining employment. This method has proven to be successful in obtaining jobs for people with disabilities, not only in Sweden (Germundsson et al 2012) but also in other countries (Burns et al 2007;Bond, Drake & Becker 2008). Although successful, the method is limited to providing change in labour market status on the individual level; barriers to employment remain for 1.…”

Section: Supported Employmentmentioning

confidence: 99%

Supported Employment and Social Inclusion – Experiences of Workers with Disabilities in Wage Subsidized Employment in Sweden

Gustafsson¹,

Peralta²,

Danermark

2018

Scandinavian Journal of Disability Research

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Labour market policies targeting people with disabilities primarily focus on establishing a working life based on reaching and procuring employment. Less attention is directed towards the qualitative aspects of working conditions or opportunities to retain employment. This study seeks to examine how people with disabilities who, with the help of Supported Employment (SE) methods, are establishing themselves in the labour market, experience social inclusion at their workplaces and how their working conditions influence their experiences with social inclusion. Data were collected in semi-structured interviews. Two themes were prominent in the interviewees' experiences with social inclusion: the importance of being a valued worker and the sense of social belonging. Competence is important to feeling valued, as is working in fair working conditions. Disclosure of disability often helps to create fairness. The sense of social belonging arises from natural support and mattering to others. Important conditions that increase social inclusion are job-matching and natural support. The SE method can therefore contribute to the creation of social inclusion by ensuring that the matching process is well thought out and by utilizing strategies for inclusion, such as encouragement of natural support.

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“…Clinical trials have shown IPS to be associated with higher CE rates, shorter time to entering CE, greater numbers of hours worked per week, and more weeks worked per year among individuals diagnosed with SMI [13,[16][17][18][19][20][21][22][23][24][25][26] and, most recently, among veterans with posttraumatic stress disorder (PTSD) [27]. The program is most effective when fidelity to the model is high [28][29][30].…”

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

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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.

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An update on randomized controlled trials of evidence-based supported employment.

Cited by 607 publications

References 54 publications

Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review

Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review

Supported Employment and Social Inclusion – Experiences of Workers with Disabilities in Wage Subsidized Employment in Sweden

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

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