Improving Work Outcome in Supported Employment for Serious Mental Illness: Results From 2 Independent Studies of Errorless Learning

Kern, Robert S.; Zárate, Roberto; Glynn, Shirley M.; Turner, Luana R.; Smith, Kellie M.; Mitchell, Scherise; Sugar, Catherine A.; Bell, Morris D.; Liberman, Robert Paul; Kopelowicz, Alex; Green, Michael F.

doi:10.1093/schbul/sbx100

Cited by 18 publications

(26 citation statements)

References 32 publications

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“…These data were similar to those in original WBI validation studies (Bryson et al, 1999; McGuire et al, 2007), but do not include current recommended competitive employment outcomes (Drebing et al, 2012). However, some recent research suggests WBI ratings (based only on supervisor interview) predicted job tenure in SE (Kern et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…It includes a worksite behavioral observation, and a semi-structured interview with work supervisors. It has strong psychometric properties (Bryson et al, 1997; Bryson et al, 1999; Bull et al, 2015) and has been widely used as a functional measure in schizophrenia (Kukla et al, 2018; Kern et al, 2018; Mervis et al, 2017; McGuire et al, 2007). It has demonstrated sensitivity to change in vocational rehabilitation (VR) intervention trials (Bell et al, 2003; Bryson et al, 2003), a characteristic necessary for assessment of functional outcomes (Bellack et al, 2007; Mausbach et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…As VR is increasingly focused on competitive employment via supported employment (SE), the WBI worksite behavioral observation presents some limitations because this observation may be undesirable to the participant and/or not always feasible (Allot et al, 2013; McGuire et al, 2007). A modified WBI assessment protocol based on only the interview with the supervisor may be more acceptable and has been used successfully in a recent trial of augmented SE (Kern et al, 2018). However, the psychometrics of a modified WBI assessment have yet to be evaluated.…”

Section: Introductionmentioning

confidence: 99%

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Modified Work Behavior Inventory assessment: Evaluation of psychometric properties

Peer

Kinnaman

Tenhula

2019

Schizophrenia Research: Cognition

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The Work Behavior Inventory (WBI) is a widely used and validated assessment of work functioning in people with schizophrenia. WBI ratings are based on workplace observation and interview with work supervisors. Workplace observation may not be acceptable in all employment settings. A WBI assessment based only on supervisor interview may offer more utility. The current study evaluated the psychometric properties of a modified WBI among individuals with schizophrenia participating in VA vocational rehabilitation programs – similar to the original WBI validation study. Results suggest evidence for reliability, validity and sensitivity to change for an interview only format. Limitations and future research directions are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Modified Work Behavior Inventory assessment: Evaluation of psychometric properties

Peer

Kinnaman

Tenhula

2019

Schizophrenia Research: Cognition

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“…Thus, by being adequately rewarded and motivated with individualized options, the participants were positively occupied, and the learning process was fostered. [47,48] Third, participants with schizophrenia spectrum were constructively engaged. That is, by designing an usertailored rehabilitative strategy, they were focalized on new adaptive skills.…”

Section: Discussionmentioning

confidence: 99%

Occupational Therapy and Social Skills Training for Enhancing Constructive Engagement of Patients with Schizophrenia: A Review

Perilli¹,

Stasolla²,

Maselli³

et al. 2018

Clin Res Psychol

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Background: Schizophrenia is a psychiatric illness characterized by a disruption of cognitive, communicative, emotional, social, and occupational functioning. Objectives: The objectives of this study were to assess the effectiveness of occupational therapy and social skills training (SST) on the constructive engagement of patients with schizophrenia and to evaluate the suitability of SST on adaptive responding of persons with schizophrenia. Methods: A selective literature review was carried out by retaining some meaningful empirical studies on the use of occupational therapy and social training skills of patients with schizophrenia. Results: Data showed that both strategies were largely helpful, although few failures occurred. The participants relevantly increased their constructive engagement during intervention phases. Conclusion: Occupational therapy and SST were useful for enhancing constructive engagement of patients with schizophrenia.

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“…While employment placement rates have been reported in all studies, employment duration has been reported less frequently. This is notable as supporting sustained employment has been identified as a continuing challenge in IPS programmes (Kern et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Outcomes of an individual placement and support programme incorporating principles of the collaborative recovery model

Scanlan

Feder

Ennals

et al. 2019

Aus Occup Therapy J

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Introduction Engaging in employment enhances mental health recovery and is therefore of central focus for many occupational therapists working in mental health. Individual placement and support (IPS) is an evidence‐based, supported employment model specifically designed for individuals with severe mental illness who have the desire to work. Despite strong support for IPS in Australia, implementation challenges have been encountered. This study evaluates outcomes achieved by participants engaged with WorkWell, an IPS programme delivered by a large Australian non‐government organisation. In addition to following IPS principles, WorkWell was informed by principles of the collaborative recovery model (CRM). Method De‐identified outcomes data for each participant were analysed by an independent research team. The proportion of individuals engaged with the programme who achieved a competitive employment placement was calculated. Average employment duration and weekly wages were calculated for individuals who achieved a competitive employment placement. Finally, the proportion of individuals who achieved some form of vocationally relevant outcome was calculated. Results Ninety‐seven participants were engaged with the programme. Forty‐eight participants (49.5%) gained a competitive employment position. Average employment duration was 151 days (21.6 weeks) and average weekly wage was $478. Overall, 62 participants (63.9%) were supported to achieve some kind of vocationally relevant outcome (e.g. competitive employment, education, work trial or voluntary work) as a result of their engagement with the programme. Conclusion While the addition of CRM principles appears to have supported positive outcomes for participants, especially in terms of employment duration, results for employment placement rates were lower than expected. While the employment placement rate compares favourably to results from the international literature and numerous programmes in Australia, more development is required to increase the proportion of individuals who are supported into competitive employment positions. Future research should focus on the specific elements of CRM that most contribute to enhancing IPS processes.

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Improving Work Outcome in Supported Employment for Serious Mental Illness: Results From 2 Independent Studies of Errorless Learning

Abstract: These data support errorless learning as an adjunctive intervention to enhance supported employment outcomes and implicate the relevance of workplace social difficulties as a key impediment to prolonged job tenure.

Cited by 18 publications

References 32 publications

Modified Work Behavior Inventory assessment: Evaluation of psychometric properties

Modified Work Behavior Inventory assessment: Evaluation of psychometric properties

Occupational Therapy and Social Skills Training for Enhancing Constructive Engagement of Patients with Schizophrenia: A Review

Outcomes of an individual placement and support programme incorporating principles of the collaborative recovery model

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