Predictors of Competitive Employment Among Consumers With Co-Occurring Mental and Substance Use Disorders

Abstract

Objectives: This study examines consumer and agency level predictors of competitive employment for consumers with co-occurring disorders. Methods: The study sample included 191 consumers from mental health agencies receiving Integrated Dual Diagnosis Treatment services, including a subgroup which was referred for Supported Employment Services. Results: Logistic regression analyses show consumers with schizoaffective disorder, greater psychiatric distress, and those not referred for Supported Employment services were less likely to enter competitively employment. Lack of previous employment and consumers' perceived disability negatively affected employment through referral status. Conclusions: Implications for mental health practice, service delivery, and future research are discussed.

A Pilot Test of Group Based Cognitive Behavioral Therapy to Augment Vocational Services for Persons With Serious Mental Illness

“…One possible explanation for these persistent issues is that individualized vocational services incompletely address many important cognitive and behavioral factors that impact work success (Kukla, McGuire, & Salyers, 2016). For instance, several unsolved vocational barriers include low work-related self-efficacy (Zivin et al, 2016), low self-esteem (Corbière, Lanctôt, Sanquirgo, & Lecomte, 2009), self stigma (Lysaker, Davis, Bryson, & Bell, 2009a), poor work motivation, loss of hope and belief that work is unattainable (Waynor & Pratt, 2011), interpersonal problems (Kukla, Bonfils, & Salyers, 2015), difficulties enacting effective coping skills on the job (Biegel, Stevenson, Beimers, Ronis, & Boyle, 2009), and psychological stress (Kukla et al, 2015;Kukla, McGuire, et al, 2016). In addition, among persons with SMI, job tenure has been associated with one's perception of competence and efficacy related to the job (Williams, Fossey, Corbière, Paluch, & Harvey, 2016).…”

A University–Agency Mental Health Research Collaboration: A Case Example

“…However, relatively little is known about the factors related to consumers' decisions to pursue employment and factors affecting employment entry, especially for consumers with co-occurring substance use and mental disorders. The primary purpose of this study was to improve our understanding of who is referred to SE services and what characteristics predict entry into competitive employment for adult consumers with co-occurring mental and substance use disorders (Beimers, Biegel, Guo, & Stevenson, in press;Biegel, Beimers, Stevenson, Ronis, & Boyle, in press;Biegel, Stevenson, Beimers, Ronis, & Boyle, 2010).…”

Welche Faktoren beeinflussen den Erfolg von Supported Employment?

“…Bei einem Vergleich zwischen dem Erfolg beider Ansätze bei affektiven Störungen zeichnet sich die Überlegenheit von SE nicht mehr so deutlich ab. Jedoch zeigt sich, dass Menschen, die sich selbst als schwer beeinträchtigt beschreiben und/oder drogenabhängig sind, das SE-Angebot seltener in Anspruch nehmen [26]. Gleichzeitig wird der Zusammenhang der Diagnose einer Schizophrenie mit dem Vermittlungserfolg durch SE kontrovers diskutiert.…”

“…Es existieren Hinweise, dass bei SE v. a. durch früher erworbene Arbeitserfahrungen die Arbeitsbereitschaft und die Motivation der Klienten gesteigert wird[16]. So konnten Biegel et al[26] in ihrer Studie aufzeigen, dass v. a. Menschen mit früheren Arbeitserfahrungen das SE-Angebot wahrnehmen. Cobière et al[44] fanden zudem, dass Klienten mit Arbeitserfahrung ein höheres Selbstwertgefühl aufwiesen (• " Tab.…”