Behavioral assessment of psychiatric inpatients and normal controls across different environmental contexts

Rosen, Alexander J.; Sussman, Steven; Mueser, Kim T.; Lyons, John S.; Davis, John M.

doi:10.1007/bf01321349

Cited by 20 publications

(3 citation statements)

References 30 publications

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“…Lack of engagement in meaningful, structured activities is associated with more severe psychiatric symptoms in people with a severe mental illness (Corrigan, Liberman, & Wong, 1993; Rosen, Sussman, Mueser, Lyons, & Davis, 1981; Wong et al, 1987). Involvement of such individuals in paid work is associated with modest reductions in psychiatric symptoms (Bell, Lysaker, & Milstein, 1996; Bond et al, 2001; Mueser, Becker et al, 1997).…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Supported Employment in People With Dual Disorders

Mueser

Campbell

Drake

2011

Journal of Dual Diagnosis

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Objective This study compared the effectiveness of the Individual Placement and Support (IPS) model of supported employment to control vocational rehabilitation programs for improving the competitive work outcomes of people with a severe mental illness and co-occurring substance use disorder. Methods A secondary data analysis was conducted drawing from four randomized controlled trials comparing IPS supported employment to conventional vocational rehabilitation programs for severe mental illness, and focusing on the 106 clients with a recent (past 6 months) substance use disorder. Competitive work outcomes were tracked across an 18-month follow-up period. Analyses compared the IPS and comparison vocational programs on cumulative work over the 18 months, including attainment of work, hours and weeks worked, job tenure, wages earned, and days to first job. Results In the total study group, clients who participated in IPS had better competitive work outcomes than those who participated in a comparison program, with cumulative employment rates of 60% vs. 24%, respectively. Among clients who obtained work during the study period, those receiving IPS obtained their first job significantly more quickly and were more likely to work 20 or more hours per week at some point during the 18-month follow-up. Conclusions The IPS model of supported employment is more effective than alternative vocational rehabilitation models at improving the competitive work outcomes of clients with a dual disorder.

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of Supported Employment in People With Dual Disorders

Mueser

Campbell

Drake

2011

Journal of Dual Diagnosis

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“…This means that changes in the supports available to people that reduce their exposure to stress or facilitate their learning of coping, social, or other skills can have a direct effect on the severity of their symptoms and the likelihood of symptom relapses. For example, engaging a person with psychotic symptoms in some type of structured activity (e.g., work, recreational activity) reduces the severity of those symptoms (Corrigan, Liberman, & Wong, 1993; Rosen, Sussman, Mueser, Lyons, & Davis, 1981; Wong et al, 1987). The dynamic interplay between the environment, the person, and the course of symptoms and relapses raises further questions about the validity of distinguishing between treatment and rehabilitation; symptoms and functioning are intertwined, each affecting the other.…”

Section: What Are the Barriers To A Coordinated Approach To Funding S...mentioning

confidence: 99%

Why can’t we fund supported employment?

Mueser¹,

Cook²

2016

Psychiatric Rehabilitation Journal

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Work is one of the most valued social rules in modern society, contributing to a person's sense of economic well-being, self-esteem, personal identity, and social status. Conversely, the inability to work or sustain employment due to a psychiatric condition is the primary factor in determining eligibility for disability benefits, such as Social Security Disability Income or Social Security Supplemental Income. Just as work is valued strongly by society, it is also important to people with serious mental illness. In this editorial, we contemplate why we cannot "do the right thing" and fully fund supported employment for persons with serious mental illness. (PsycINFO Database Record

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“…Just as overstimulating, stressful environments worsen the symptoms of many psychiatric patients, understimulating and unstructured environments also promote maladaptive behavior (Wing and Freudenberg 1961; Rosen et al 1981; Wong et al 1985). Many programs for the chronically ill include few structured activities and minimal patient-staff contact.…”

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confidence: 99%

Social Learning for Chronic Mental Inpatients

Glynn

Mueser

1986

Schizophrenia Bulletin

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With chronic institutionalized psychiatric patients, an intensive social learning program resulted in greater increases in adaptive functioning, reductions in bizarre behavior, less prescribed medication, and over 98 percent of patients being successfully discharged into the community. The social-learning program was more cost-effective than custodial hospital care, and nonprofessional staff were able to apply the treatment with a high degree of competence. Especially effective elements of the social-learning program included integrated procedures emphasizing the acquisition of patient skills and the reduction of bizarre, inappropriate behavior; a token economy structure; and consistent pacing and generalization training. More recent research in the area has sought to identify the remediative aspects of social-learning programs, to specify patient variables that are related to improvement in a token economy, and to offer patients more specialized interventions (e.g., social skills training) in conjunction with a standard token economy. With the demonstrated and operationalized efficacy of social-learning procedures, the rehabilitation of chronic psychiatric patients has become more feasible.

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Behavioral assessment of psychiatric inpatients and normal controls across different environmental contexts

Cited by 20 publications

References 30 publications

The Effectiveness of Supported Employment in People With Dual Disorders

The Effectiveness of Supported Employment in People With Dual Disorders

Why can’t we fund supported employment?

Social Learning for Chronic Mental Inpatients

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