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

Macias, Cathaleene; Rodican, M.S.W. Charles F.; Hargreaves, William A.; Jones, Danson R.; Barreira, Paul; Wang, Qi

doi:10.1176/appi.ps.57.10.1406

Cited by 55 publications

(45 citation statements)

References 51 publications

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“…This result is similar to findings reported by Macias et al (2006), who found that assertive community treatment (ACT) for the delivery of supported employment services had a higher retention rate when compared to a clubhouse model (79 vs. 58%). Similarly, Mueser et al (2004) found that approximately 50% of participants assigned to a clubhouse model dropped out within a few weeks, compared to less than 10% of IPS participants.…”

Section: Discussionsupporting

confidence: 90%

Factors Associated with Early Attrition from Psychosocial Rehabilitation Programs

Harding

Torres-Harding

Bond

et al. 2008

Community Ment Health J

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This study aimed to identify characteristics associated with early dropout from a vocationally oriented psychosocial rehabilitation (PSR) program for clients with severe mental illness. The sample consisted of 194 individuals who participated in a study comparing a supported employment program to a stepwise vocational program. Study participants who dropped out of the PSR program within 6 months of study entry were compared to those who continued for at least 6 months. Dropouts had poorer competitive employment outcomes than those who continued. Participants with at least a high school diploma, never married, with a schizophrenia-spectrum diagnosis, and those assigned to a stepwise model of vocational rehabilitation were more likely to dropout. The implications of these findings are discussed.

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Section: Discussionsupporting

confidence: 90%

Factors Associated with Early Attrition from Psychosocial Rehabilitation Programs

Harding

Torres-Harding

Bond

et al. 2008

Community Ment Health J

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show abstract

“…A continuous age variable was included to further control for an individual's specific age. A dummy variable for a substance abuse diagnosis was added as a proxy for dual diagnosis Macias et al, 2006), because substance abuse is known to complicate the treatment of severe mental health conditions (Dickey, Fisher, Siegel, Altaffer, & Azeni, 1997). The total number of months a beneficiary was enrolled in Medicaid during the study period was included to account for the increased opportunity an individual has to accumulate cost as the number of enrollment months per member increases (Clark, Samnaliev, & McGovern, 2009;Thomas et al, 2005).…”

Section: Regression Modelsmentioning

confidence: 99%

“…The inclusion of pharmacy data increases the likelihood of identifying individuals with specific pharmacy data for which there is no corresponding diagnosis and for individuals with diagnoses without expected, corresponding pharmacy utilization (Kronick, Bella, & Gilmer, 2009). The CDPS has been validated in the literature as both a predictor of chronic illness (Weir et al, 2008) and as a measure of co-morbidity and health status (Clark et al, 2009;Gilmer et al, 2009;Macias et al, 2006;Thomas et al, 2005). Because the study's population was Medicaid SSI adults, the CDPS+Rx was an appropriate risk adjuster.…”

Section: Regression Modelsmentioning

confidence: 99%

The Impact of Medicaid Peer Support Utilization on Cost

Landers¹,

Zhou²

2014

MMRR

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Background:Peer support programs have proliferated over the past decade, building on recovery oriented programming, yet relationships between peer support services and the costs to public programs have not been well described in literature. The purpose of this study is to fill gaps in the literature related to peer support programs and cost: lack of comparison groups, small sample sizes, and the availability of research examining utilization of Medicaid mental health services. Methods:The study employed a retrospective design with treatment and comparison groups created from three administrative databases. Three ordinary least squares regression models were constructed to predict crisis stabilization cost, psychiatric hospitalization cost, and total Medicaid cost while controlling for other factors. The Chronic Illness and Disability Payment System + Rx was used to control for illness severity.

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“…ACT teams with vocational support have been reported to have client employment rates of up to 64% (Macias et al 2006). Rates of employment have shown to be higher when Individual Placement and Support protocols are used (Twamley et al 2005).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Assertive Community Treatment Programs in Urban Massachusetts and Rural North Carolina

Siskind

Wiley-Exley

2009

Adm Policy Ment Health

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In this pilot study, we compared teams in rural North Carolina (NC) and urban Massachusetts (MA) to examine the how sites vary the implementation of the Assertive Community Treatment (ACT) model to respond to state and local circumstances. We analysed and compared data on: client characteristics using the NC-TOPPS and a modified survey in MA; Regional Demographics and; Team Characteristics. Issues such as driving distances, lack of qualified clinical staff, scarcity of physicians, and more limited oversight created impediments to fidelity in rural NC, despite higher per patient funding. ACT is now national, but variability in implementation of the model remains.

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

Cited by 55 publications

References 51 publications

Factors Associated with Early Attrition from Psychosocial Rehabilitation Programs

Factors Associated with Early Attrition from Psychosocial Rehabilitation Programs

The Impact of Medicaid Peer Support Utilization on Cost

Comparison of Assertive Community Treatment Programs in Urban Massachusetts and Rural North Carolina

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