Can SSDI and SSI Beneficiaries With Mental Illness Benefit From Evidence-Based Supported Employment?

Bond, Gary R.; Xie, Haiyi; Drake, Robert E.

doi:10.1176/ps.2007.58.11.1412

Cited by 49 publications

(7 citation statements)

References 36 publications

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“…There were a number of other subject populations that were not explicitly detailed in the results because they were limited to a single study per population. These include those on social security disability insurance [57], young adults [58], emerging adults ages 17–20 [59], those with general affective disorders [17], homeless populations [42], those receiving methadone treatment [60], minority groups [61], those with a criminal justice history [29, 62], and those with musculoskeletal injuries [38]. All of these studies showed that those in IPS faired better than those in the TAU control on the main measured outcome of competitive employment rates.…”

Section: Discussionmentioning

confidence: 99%

Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support

2019

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Supported employment is a treatment whereby those with severe mental illness (or other disabilities) receive aid searching for competitive employment and mental health (or other) treatments concurrently. The most popular implementation of supported employment is individual placement and support (IPS). We conducted meta-analytic analyses of the randomized controlled trials of IPS. We found that subjects in IPS, compared to usual treatment conditions, had better vocational outcomes (obtained any competitive employment: RR = 1.63, 95%CI = [1.46, 1.82]; job tenure: d = 0.55, 95%CI = [0.33, 0.79]; job length: d = 0.46, 95%CI = [0.35, 0.57]; income: d = 0.48, 95%CI = [0.36, 0.59]) Non-vocational outcomes estimates, while favoring IPS, included the null (quality of life: d = 0.30, 95%CI = [-0.07, 0.67]; global functioning: d = 0.09, 95%CI = [-0.09, 0.27]; mental health: d = 0.03, 95%CI = [-0.15, 0.21]). Analysis of the expected proportion of studies with a true effect on non-vocational outcomes with d>0.2 showed some reason to expect a possible improvement for quality of life for at least some settings (Prop = 0.57, 95%CI = [0.30, 0.84]).

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Section: Discussionmentioning

confidence: 99%

Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support

2019

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“…Longitudinal data show that only 6.5% of enrollees in federal disability programs have their benefits suspended for work in a 10-year period and only 3.7% have their benefits terminated (Liu & Stapleton, 2010). The arduousness of the disability application process and requirement that people prove they are unable to work can have a demoralizing effect, as it requires people describe their health in the most negative terms possible (Bond, Xie, & Drake, 2007). Our Theme 4 suggests that some people start the application process because they feel they have no other choice because of their health care needs.…”

Section: Discussionmentioning

confidence: 99%

“…Our Theme 4 suggests that some people start the application process because they feel they have no other choice because of their health care needs. By the time the application process is over, they view themselves as disabled and unable to work (Bond et al, 2007). Our third theme suggests that, just as describing one’s health in negative terms may demoralize a person, the ability to go to the doctor and receive treatment when needed can improve a person’s feelings about his or her health outcomes.…”

Section: Discussionmentioning

confidence: 99%

Health Care Access Affects Attitudes About Health Outcomes and Decisions to Apply for Social Security Disability Benefits

Chapman

Hall

Moore

2012

Journal of Disability Policy Studies

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This article reports on qualitative findings from a mixed methods study that explored the efficacy of providing enhanced health benefits and services to people with chronic health conditions to reduce their application rates to federal disability programs. Comparing an intervention and control group, the study found that those who received enhanced benefits had reduced health decline. To explore reasons for this reduction, authors conducted focus groups with a sample of participants from both groups. Four themes emerged: (a) Due to the effects of their conditions, most participants believed their health would worsen over time; (b) Intervention group members said their health deterioration would be slowed or prevented, while control group members worried about more rapid decline and the future; (c) Intervention group members related their beliefs about continued health to their ability to access care; (d) Control group members were more likely than intervention group members to indicate they applied or were interested in applying for social security disability benefits. These themes suggest that people who believe they have access to quality health care feel their health can and will improve over time. If health care reform leads to the availability of more comprehensive coverage for people with potentially disabling conditions, growth in federal disability programs may slow.

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“…Fortunately, beneficiaries with SMI can work if they have an interest in employment and receive IPS services. In fact, increases in employment with enrollment in IPS, compared to enrollment in traditional vocational services, are similar for disability beneficiaries as for clients not receiving disability payments (Bond, Xie, & Drake, 2007).…”

Section: Ips Is Consistent With Societal Goalsmentioning

confidence: 98%

Beyond Evidence-Based Practice: Nine Ideal Features of a Mental Health Intervention

Bond

Drake

Becker

2010

Research on Social Work Practice

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Objectives: Recognizing the limitations of conventional frameworks for identifying evidence-based interventions, we sought to develop a comprehensive set of criteria that would have practical and policy relevance. Methods: We identify nine ideal attributes of a mental health practice (well defined, reflecting client goals, consistent with societal goals, effective, minimum side effects, positive long-term outcomes, reasonable costs, easy to implement, and adaptable to diverse communities and client subgroups). Using a case study approach, we applied these criteria to the Individual Placement and Support (IPS) model of supported employment. Findings: IPS generally satisfies all nine criteria, though the evidence is more limited in some areas. Conclusions: This framework provides a template that could be used to evaluate other social work interventions.

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Can SSDI and SSI Beneficiaries With Mental Illness Benefit From Evidence-Based Supported Employment?

Abstract: Evidence-based supported employment could enable many Social Security Administration beneficiaries with psychiatric disabilities to attain competitive employment even though receipt of disability benefits operates as a barrier to employment.

Cited by 49 publications

References 36 publications

Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support

Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support

Health Care Access Affects Attitudes About Health Outcomes and Decisions to Apply for Social Security Disability Benefits

Beyond Evidence-Based Practice: Nine Ideal Features of a Mental Health Intervention

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