Differences in job retention in a supported employment program Chinook clubhouse.

Dorio, JoAnn; Guitar, Allan; Solheim, Lisa; Dvorkin, Connie; Marine, Susan B.

doi:10.1037/h0095013

Cited by 23 publications

(19 citation statements)

References 15 publications

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“…Moreover, clients who believed they were ready to look for work demonstrated improved psychological well-being throughout SE (Liu et al 2007). Some literature suggests that people who had a positive attitude, were accepting, and who demonstrated self-responsibility and reciprocity had the greatest job success (Dorio et al 2002). In addition, an awareness of personal abilities and goals was reported to be important to obtaining employment (Koletsi 2009).…”

Section: Intrinsic Characteristicsmentioning

confidence: 97%

Client, Contextual and Program Elements Influencing Supported Employment: A Literature Review

Kirsh

2016

Community Ment Health J

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Supported employment is an evidence-based practice with a well-established research base. Most studies track such outcomes as employment rates, time to employment and wages earned. Few studies address client and contextual factors that impact outcomes or consider program elements beyond those that comprise the individual placement and support model. This paper reviews existing literature to shed light on the following questions: (1) What impact do labour market trends have on the effectiveness of SE? (2) How lasting are the effects of SE and what factors influence longevity of SE effects? (3) What levels and types of employment are targeted by SE? (4) What are the characteristics of people who benefit from SE? (5) What is the role of peer support in SE? and (6) What are the barriers to effective SE implementation? Research findings are synthesized and suggestions for service enhancements are offered so that the model can continue to evolve.

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Section: Intrinsic Characteristicsmentioning

confidence: 97%

Client, Contextual and Program Elements Influencing Supported Employment: A Literature Review

Kirsh

2016

Community Ment Health J

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“…In both analyses, individual participant counts of days on which employment services were provided and count of different employment service providers independently predicted mainstream employment over and above program attendance and background factors. The study program's employment rate approximated rates published for specialized supported employment programs, suggesting that it is feasible to adapt specialized evidence-based practices to fit multi-service settings without compromising service quality.Keywords Evidence-based practice Á Dissemination Á Supported employment Á Generalist staff Multi-service psychiatric rehabilitation programs that operate in community settings are increasingly adopting evidence-based practices for adults with severe mental illness, including supported employment (SE), cognitive and social skill training, health promotion activities, supported education, supported housing, and supported socialization [1][2][3][4][5]. However, multi-service programs often find it difficult to meet the fidelity requirements established for specialty interventions.…”

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confidence: 99%

“…Keywords Evidence-based practice Á Dissemination Á Supported employment Á Generalist staff Multi-service psychiatric rehabilitation programs that operate in community settings are increasingly adopting evidence-based practices for adults with severe mental illness, including supported employment (SE), cognitive and social skill training, health promotion activities, supported education, supported housing, and supported socialization [1][2][3][4][5]. However, multi-service programs often find it difficult to meet the fidelity requirements established for specialty interventions.…”

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confidence: 99%

Adapting Evidence-Based Interventions to Fit Usual Practice: Staff Roles and Consumer Choice in Psychiatric Rehabilitation

et al. 2010

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This proof-of-concept study tested the viability of adapting a specialized practice to fit multi-service programs by switching from specialist to generalist staff roles. The intervention under study was supported employment, an evidence-based practice for adults with severe mental illness. Program data on participant characteristics, attendance, staff contact, and employment were retrieved for the 2007 calendar year (N = 99). Two hierarchical regression analyses compared (1) participants with any versus no mainstream employment, and (2) participants who started a new job in 2007 versus all other participants. In both analyses, individual participant counts of days on which employment services were provided and count of different employment service providers independently predicted mainstream employment over and above program attendance and background factors. The study program's employment rate approximated rates published for specialized supported employment programs, suggesting that it is feasible to adapt specialized evidence-based practices to fit multi-service settings without compromising service quality.

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Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

“…Research suggests that mobile teams composed of clinicians, social workers, and supported employment specialists might be especially beneficial for people in need of intensive, integrated clinical care (3,20,21). For those less in need of intensive care, membership in a clubhouse should improve work tenure, given that clubhouses develop relationships with local employers that facilitate on-the-job support (22)(23)(24)(25).This randomized controlled trial compared the employment outcomes for two widely disseminated (yet very different) multiservice programs designed to provide supported employment: vocationally integrated assertive community treatment (ACT), which originated at Mendota Mental Health Institute in Madison, Wisconsin (26,27), and a certified clubhouse modeled on Fountain House, Inc., in New York (28,29). Both provide supported employment services with a focus on rapid placement.…”

mentioning

confidence: 99%

Supported Employment Outcomes of a Randomized Controlled Trial of ACT and Clubhouse Models

Macias¹,

Rodican²,

Hargreaves³

et al. 2006

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Objective-In a randomized controlled trial, a vocationally integrated program of assertive community treatment (ACT) was compared with a certified clubhouse in the delivery of supported employment services.Methods-Employment rates, total work hours, and earnings for 121 adults with serious mental illness interested in work were compared with published benchmark figures for exemplary supported employment programs. The two programs were then compared on service engagement, retention, and employment outcomes in regression analyses that controlled for background characteristics, program preference, and vocational service receipt.Results-Outcomes for 63 ACT and 58 clubhouse participants met or exceeded most published outcomes for specialized supported employment teams. Compared with the clubhouse program, the ACT program had significantly (p<.05) better service engagement (ACT, 98 percent; clubhouse, 74 percent) and retention (ACT, 79 percent; clubhouse, 58 percent) over 24 months, but there was no significant difference in employment rates (ACT, 64 percent; clubhouse, 47 percent). Compared with ACT participants, clubhouse participants worked significantly longer (median of 199 days versus 98 days) for more total hours (median of 494 hours versus 234 hours) and earned more (median of $3,456 versus $1,252 total earnings). Better work performance by clubhouse participants was partially attributable to higher pay.Conclusions-Vocationally integrated ACT and certified clubhouses can achieve employment outcomes similar to those of exemplary supported employment teams. Certified clubhouses can effectively provide supported employment along with other rehabilitative services, and the ACT program can ensure continuous integration of supported employment with clinical care.Supported employment is designed to help adults with serious mental illness obtain jobs in socially integrated settings that pay at least minimum wage (1-3). Randomized controlled trials have established supported employment as an evidence-based practice on the basis of higher employment rates for specialized supported employment teams compared with interventions NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript that do not provide supported employment (4-9). The effectiveness of supported employment has been partially attributed to rapid job placement, which bypasses prevocational training, trial jobs, and sheltered work (9-12).However, being hired does not guarantee success on the job. Enrollees express interest in employment when entering a supported employment program, yet typically average only a few months of employment after finding a job (1,8,11,(13)(14)(15)(16). One explanation for brief work tenure is the failure of many supported employment specialists to work closely with treating clinicians (17). Encouraging integration of supported employment with case management and other rehabilitation services, such as supported housing or supported education, also seems beneficial (18,19). Research suggests...

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Differences in job retention in a supported employment program Chinook clubhouse.

Cited by 23 publications

References 15 publications

Client, Contextual and Program Elements Influencing Supported Employment: A Literature Review

Client, Contextual and Program Elements Influencing Supported Employment: A Literature Review

Adapting Evidence-Based Interventions to Fit Usual Practice: Staff Roles and Consumer Choice in Psychiatric Rehabilitation

Supported Employment Outcomes of a Randomized Controlled Trial of ACT and Clubhouse Models

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