Cognitive Training for Supported Employment: 2-3 Year Outcomes of a Randomized Controlled Trial

McGurk, Susan R.; Mueser, Kim T.; Feldman, Karin; Wolfe, Rosemarie; Pascaris, Alysia

doi:10.1176/ajp.2007.164.3.437

Cited by 229 publications

(115 citation statements)

References 32 publications

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“…Several randomized controlled trials have suggested promising effects of combining cognitive remediation with supported employment (McGurk, Mueser, Feldman, Wolfe, & Pascaris, 2007;McGurk, Mueser, & Pascaris, 2005) and other models of vocational rehabilitation (Bell, Bryson, Greig, Corcoran, & Wexler, 2001;Bell, Bryson, Greig, Fiszdon, & Wexler, 2005;Lindenmayer et al, 2008;Vauth et al, 2005). These studies have been conducted in a variety of settings, such as at community mental health or rehabilitation centers, or in hospitals, but in all cases the locus of the intervention has been a mental health treatment center.…”

Section: )mentioning

confidence: 99%

Implementation of the thinking skills for work program in a psychosocial clubhouse.

McGurk¹,

Schiano²,

Mueser³

et al. 2010

Psychiatric Rehabilitation Journal

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Section: )mentioning

confidence: 99%

Implementation of the thinking skills for work program in a psychosocial clubhouse.

McGurk¹,

Schiano²,

Mueser³

et al. 2010

Psychiatric Rehabilitation Journal

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“…As summarized in Table 1, the cognitive programs were multi-faceted, and differed in intensity, duration, and types of computerized task practice, as well as use of strategy coaching and compensatory strategies. Furthermore, the level of difficulty of cognitive remediation exercises in two studies was based on clients' performance on the exercises, while other programs (Vauth et al, 2005;McGurk et al, 2005McGurk et al, , 2007 provided a standard curriculum. In addition, there were dif- (Bracy, 1995) over 26 weeks, combined with weekly social and work processing groups.…”

Section: Combination Of Cognitive Remediation and Vocational Rehabilimentioning

confidence: 99%

Cognitive remediation and vocational rehabilitation.

McGurk¹,

Wykes²

2008

Psychiatric Rehabilitation Journal

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Persons with severe mental illness (SMI) who are striving to improve their work prospects are often hindered in work endeavors because of difficulties with cognitive skills, such as paying attention or concentrating, learning and remembering information, responding in a reasonable amount of time to environmental demands, and planning ahead and solving problems. In addition to limiting work functioning, cognitive impairments are obstacles to receiving the full benefits of vocational rehabilitation, including supported employment. Efforts to improve cognition in people with SMI, or cognitive remediation, have produced modest but consistent gains in a variety of cognitive domains. More recent efforts have focused on combining cognitive remediation with vocational rehabilitation in order to improve work functioning. Initial results from four published studies of combined cognitive remediation and vocational programs are encouraging, indicating improvements in both cognitive and work functioning. The approaches to cognitive remediation used in these studies vary considerably, as do the characteristics of participants, the vocational rehabilitation models, and the methods of combining cognitive and vocational therapies. The differences in key components of programs combining cognitive remediation and vocational rehabilitation indicate the need to replicate findings, and raise important questions about what aspects of the programs are associated with improvements in work.

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“…Previous nonrandomized studies have demonstrated promising results in including cognitive rehabilitation in traditional vocational rehabilitation for civilians with TBI [22,[43][44]. In a recent study focused on OIF/OEF Veterans with mTBI to moderate TBI, incorporation of cognitive rehabilitation services and SE was found to be beneficial in reducing mental health symptoms, improving self-report of postconcussive symptoms, and boosting attainment of competitive employment [45].…”

Section: Summary Of Quantitative Findings and Implicationsmentioning

confidence: 99%

“…Unfortunately, despite the many benefits of employment, Veterans and civilians who experience mTBI and/ or have MI often have significant difficulty getting their vocational needs met [10,[21][22][23][24]. Work plays a significant role in how people identify themselves and how they are described by their families, communities, and society.…”

Section: Introductionmentioning

confidence: 99%

“…For example, findings from two nonrandomized studies suggest that including cognitive rehabilitation in traditional vocational rehabilitation improved return to work outcomes for civilians with traumatic brain injury (TBI) [43][44]. McGurk et al conducted a randomized controlled trial comparing a multicomponent cognitive retraining program with traditional SE to traditional SE alone and found that work outcomes were better for those civilians with serious MI in the enhanced model [22]. Recently Twamley et al investigated the effect of a 12 wk cognitive rehabilitation program in Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans with mTBI to moderate TBI that were enrolled in SE [45].…”

Section: Introductionmentioning

confidence: 99%

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Enhanced vocational rehabilitation for Veterans with mild traumatic brain injury and mental illness: Pilot study

et al. 2016

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Abstract-Work plays a significant role in how people identify themselves, and successful return to work is associated with significant psychological and rehabilitative benefits. Unfortunately, despite the many benefits of employment, Veterans who experience mild traumatic brain injury and have mental health issues often have significant difficulty getting their vocational needs met. Considering that a consistent relationship between cognitive dysfunction and difficulties with employability has been firmly established, cognitive rehabilitation may enhance engagement in vocational rehabilitation and return to work outcomes. In this pilot study, we evaluated a 12 wk cognitive rehabilitation intervention embedded within vocational rehabilitation services. Eighteen Veterans were randomly assigned to receive either the embedded cognitive rehabilitation intervention (n = 10) or a control condition offering supportive client-centered therapy that did not focus on employment or cognitive rehabilitation (n = 8); all Veterans (intervention and control groups) received vocational rehabilitation services. This pilot feasibility study demonstrated efficient implementation of an embedded cognitive rehabilitation intervention within vocational rehabilitation. The current pilot data revealed small to moderate effect sizes on employment outcomes. Given these preliminary findings, a larger outcome study is warranted.

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Cognitive Training for Supported Employment: 2-3 Year Outcomes of a Randomized Controlled Trial

Abstract: The findings support the feasibility of integrating cognitive rehabilitation into supported employment programs and suggest that more research is warranted to evaluate the effects of the Thinking Skills for Work Program.

Cited by 229 publications

References 32 publications

Implementation of the thinking skills for work program in a psychosocial clubhouse.

Implementation of the thinking skills for work program in a psychosocial clubhouse.

Cognitive remediation and vocational rehabilitation.

Enhanced vocational rehabilitation for Veterans with mild traumatic brain injury and mental illness: Pilot study

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