An update on supported employment for people with severe mental illness

Bond, Gary R.; Drake, Robert E.; Mueser, Kim T.; Becker, Deborah R.

doi:10.1176/ps.48.3.335

Cited by 315 publications

(23 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These positive aspects of the IPS model are well recognised, but research has consistently shown that the benefits of IPS in assisting participants to maintain their employment for lengthy periods are modest [26, 50]. …”

Section: From a Prevocational Training Model To An Individual Placmentioning

confidence: 99%

“…Despite supported employment showing improvements in general vocational performance in people with SMI and higher competitive employment rates than prevocational approaches (50%–70% compared with 35%) [34, 46, 50, 51], several studies confirm the low percentage of participants who experience sustained benefit from it, with the majority of workers experiencing brief job tenure and unsuccessful job endings [52–54]. Empirical research has shown that, on average, clients with SMI maintain their jobs for six months [18, 48, 55].…”

Section: Job Tenurementioning

confidence: 99%

See 1 more Smart Citation

Enhancing Work-Focused Supports for People with Severe Mental Illnesses in Australia

Contreras

Rossell

Fossey

et al. 2012

Rehabilitation Research and Practice

View full text Add to dashboard Cite

Persons with severe mental illness (SMI) have reduced workforce participation, which leads to significant economic and social disadvantage. This theoretical review introduces the strategies that have been implemented to address this issue. These include Individual Placement and Support (IPS) services, the most widely researched form of supported employment, to which cognitive remediation has more recently been recognised in the USA, as an intervention to improve employment outcomes by addressing the cognitive impairments often experienced by people with SMI. The authors review the international literature and discuss specifically the Australian context. They suggest that Australia is in a prime position to engage clients in such a dual intervention, having had recent success with increasing access to supported employment programs and workforce reentry, through implementation of the Health Optimisation Program for Employment (HOPE). Such programs assist with gaining and maintaining employment. However, they do not address the cognitive issues that often prevent persons with SMI from effectively participating in work. Thus, optimising current interventions, with work-focused cognitive skills development is critical to enhancing employment rates that remain low for persons with SMI.

show abstract

Section: From a Prevocational Training Model To An Individual Placmentioning

confidence: 99%

Section: Job Tenurementioning

confidence: 99%

Enhancing Work-Focused Supports for People with Severe Mental Illnesses in Australia

Contreras

Rossell

Fossey

et al. 2012

Rehabilitation Research and Practice

View full text Add to dashboard Cite

show abstract

“…Employment not only provides income, it also improves activity and social contacts in patients with schizophrenia and improves self esteem, quality of life, and perhaps leads to better treatment compliance, symptom reduction and insight [1,2,8-10]. Work or employment is seen both as a treatment outcome and as a highly effective treatment modality in enhancing meaningful community integration [11] as it provides a way of social inclusion and participation as enjoyed by non-mentally ill persons [12].…”

Section: Introductionmentioning

confidence: 99%

Clinical and cognitive correlates of employment among patients with schizophrenia: a cross-sectional study in Malaysia

Midin

Razali

ZamZam

et al. 2011

Int J Ment Health Syst

View full text Add to dashboard Cite

BackgroundGainful employment is one major area of functioning which is becoming an important goal in psychiatric rehabilitation of patients with schizophrenia. Studies in western countries are pointing to evidence that certain sociodemographic and clinical factors may contribute to employment outcomes in this group of people. However, the area is still largely unexplored in Malaysia. The aim of this study was to examine the sociodemographic, clinical and cognitive correlates of employment status among patients with Schizophrenia.MethodsThis was a cross-sectional study. All participants who fulfilled the requirements of the study according to the inclusion and exclusion criteria were enrolled. Study instruments included a demographic data questionnaire, Positive and Negative Symptom Scale (PANSS), Trail Making Tests, Rey's Auditory Verbal Learning Test (RAVLT) and Digit Span. Bivariate analyses were done using chi-square for categorical data and t-test for continuous data and multiple logistic regression analysis was done to identify predictors of employment status.ResultsA total of 95 participants who fulfilled the inclusion criteria were enrolled into the study. Among the sociodemographic, clinical and cognitive variables studied marital status, educational level, mean scores of negative symptoms, Digit Span and RAVLT and Trail Making Tests were found to show significant association with employment status on bivariate analyses. However, when entered into a logistic regression model, only cognitive variables ie. Trail A and B, Digit Span and RAVLT were significant predictors of employment status.ConclusionsThe results from this study support the role of cognitive function, particularly, attention, working memory and executive functioning on attaining and maintaining employment in persons with schizophrenia as measured by the RAVLT, Digit Span and Trail Making Tests. These findings may act as preliminary evidence suggesting the importance of integrating cognitive rehabilitation in the psychosocial rehabilitation program for patients with schizophrenia in Malaysia.

show abstract

“…Nevertheless, the lack of employment represents one of the more relevant problems for people with mental disorders [3, 4]. It is estimated that about 85% of people with serious mental disorders are unemployed [5-7], and that the rate of their access to the labor market is approximately half the rate of people with other types of disability: physical, intellective, sensorial [8, 9].…”

Section: Introductionmentioning

confidence: 99%

Mental Disorders and Work Integration: A Retrospective Study in a Northern Italian Town

Buizza¹,

Pioli²,

Lecchi³

et al. 2014

CPEMH

View full text Add to dashboard Cite

Objectives: The present study was conducted in a vocational integration service of a northern Italian town with two major aims: to assess vocational integration programs undertaken from 1st January 2004 to 1st January 2007; and to identify job tenure-associated predictors.Methods: This is a retrospective study; we collected data such as gender, age, duration, type and outcome of the vocational integration program, and number of interventions performed by the vocational integration service. Self-report questionnaires were also used to assess the satisfaction of users, caregivers, practitioners, and of the company contacts involved in the study.Results: The service has enrolled 84 users during the observation period. Out of these users, 64.3% of them still had their jobs after three years. Users, caregivers and company contacts expressed high levels of satisfaction for the support received by the vocational integration service. The company expressed less satisfaction for the collaboration received by the Departments of Mental Health (DMHs) that coached the users. The only variable associated to the outcome was the number of interventions that the users received before their placement on the job. Conclusions: Despite all the limits of this study, its results show that the chance of taking advantage of a supported job placement service has likely proven itself effective in helping people with mental disorders to obtain and maintain a competitive employment. Our results, however, also point to the necessity of implementing newer strategies meant to develop a greater integration among all services dealing with mentally ill people.

show abstract

An update on supported employment for people with severe mental illness

Cited by 315 publications

References 0 publications

Enhancing Work-Focused Supports for People with Severe Mental Illnesses in Australia

Enhancing Work-Focused Supports for People with Severe Mental Illnesses in Australia

Clinical and cognitive correlates of employment among patients with schizophrenia: a cross-sectional study in Malaysia

Mental Disorders and Work Integration: A Retrospective Study in a Northern Italian Town

Contact Info

Product

Resources

About