The Hartford Study of Supported Employment for Persons With Severe Mental Illness.

Mueser, Kim T.; Clark, Robin E.; Haines, Michael R.; Drake, Robert E.; McHugo, Gregory J.; Bond, Gary R.; Essock, Susan M.; Becker, Deborah R.; Wolfe, Rosemarie; Swain, Karin

doi:10.1037/0022-006x.72.3.479

Cited by 257 publications

(239 citation statements)

References 66 publications

(82 reference statements)

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“…In cases of job tenure and wages earned, when mean and standard deviations were unavailable, SMDs were calculated from t-test values, F-tests or Z-tests. For studies that compared three vocational approaches, using one intervention as a control condition [26,27], we followed the recommendations of the Cochrane Collaboration and divided the control group into two equal groups, so the total number of participants in both groups made up the size of the original sample. Heterogeneity was examined using the Q test [28] Table 1).…”

Section: Data Synthesis and Analysismentioning

confidence: 99%

“…Trials targeting competitive job tenure did not report a significant difference between treatment and control in terms of hours worked (SMD = 0.88, 95% CI: -0.25-2.01, p = 0.12) or weeks used for addressing cognitive impairments for people with schizophrenia; cognitive-behavioral interventions were targeted to address dysfunctional beliefs and to assess their influence on experiences and work. Two studies compared three approaches to vocational rehabilitation [26,27]. The study by Mueser et al [26] used individual placement and support, psychosocial rehabilitation and standard services including supported employment; the study by Tsang et al [27] used integrated supported employment defined as an individual placement and support augmented with social skills training, individual placement and support alone, and traditional vocational rehabilitation, which included pre-vocational training.…”

Section: Job Tenurementioning

confidence: 99%

“…Two studies compared three approaches to vocational rehabilitation [26,27]. The study by Mueser et al [26] used individual placement and support, psychosocial rehabilitation and standard services including supported employment; the study by Tsang et al [27] used integrated supported employment defined as an individual placement and support augmented with social skills training, individual placement and support alone, and traditional vocational rehabilitation, which included pre-vocational training. Twelve studies characterized the treatment similar to "train then place" as the main control group.…”

Section: Job Tenurementioning

confidence: 99%

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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

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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

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Section: Data Synthesis and Analysismentioning

confidence: 99%

Section: Job Tenurementioning

confidence: 99%

Section: Job Tenurementioning

confidence: 99%

See 1 more Smart Citation

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

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“…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%

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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“…Respecto de datos específicos relativos a la obtención de empleo competitivo se observó una diferencia notoria entre el IPS y los otros programas (27% vs. 7%). Por su parte, el equipo de Mueser et al 53 comparó tres métodos de inserción profesional en población psiquiátrica, entre ellos el modelo IPS. Los usuarios de IPS tuvieron una mayor empleabilidad competitiva (73.9%) que los usuarios de los otros dos métodos (18.2% y 27.5%).…”

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

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

2013

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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.

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The Hartford Study of Supported Employment for Persons With Severe Mental Illness.

Cited by 257 publications

References 66 publications

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

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

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

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

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