The New Hampshire study of supported employment for people with severe mental illness.

Drake, Robert E.; McHugo, Gregory J.; Becker, Deborah R.; Anthony, William A.; Clark, Robin E.

doi:10.1037/0022-006x.64.2.391

Cited by 315 publications

(311 citation statements)

References 25 publications

(44 reference statements)

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“…Those who obtain CE via IPS have been shown to have improved self-esteem, quality of life, social inclusion, and psychiatric symptoms [20,[31][32][33], and improvements have been shown to be maintained during follow-up, for as many as 12 yr [7,34]. Although IPS has been associated with improvements in some nonvocational outcomes in observational outcome studies, these improvements have not been greater than those demonstrated by other rehabilitation programs when evaluated in randomized trials [33,[35][36][37][38]. Several other studies that favored IPS with regard to vocational outcomes failed to find greater improvement in non-vocational outcomes [27,37].…”

Section: Supported Employmentmentioning

confidence: 98%

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Leddy¹,

Stefanovics²,

Rosenheck

2014

J Rehabil Res Dev

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Abstract-Supported employment, specifically individual placement and support (IPS), improves competitive employment (CE) rates for individuals with serious mental illness, but has not shown greater improvement in non-vocational outcomes than other rehabilitation approaches. The Department of Veterans Affairs offers two types of vocational services, IPS and transitional work experience (TWE), but no study has compared the effectiveness of these approaches. This secondary analysis of data from a study of homeless veterans compared 6 mo improvement in diverse outcomes for five employment patterns: never worked, worked only in TWE, worked in TWE followed by CE, worked in CE without IPS, and worked in CE with IPS referral. Veterans referred to IPS were more likely to be competitively employed. Those who worked in CE (whether following TWE or with or without IPS referral) showed the greatest increase in days worked, employment income, and total income and the greatest decrease in public support income when compared with those who worked only in TWE or not at all. Veterans in TWE showed the greatest increase in residential treatment days, but there were no other differences in nonvocational outcomes between groups. There are multiple paths to CE, but few differences in non-vocational outcomes across employment experiences.

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Section: Supported Employmentmentioning

confidence: 98%

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Leddy¹,

Stefanovics²,

Rosenheck

2014

J Rehabil Res Dev

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“…For example, in the area of work, a recovery goal for many consumers is competitive employment that is congruent with personal preferences and is personally satisfying. These three elements-competitive employment (Drake, McHugo, Becker, Anthony, & Clark, 1996), match with personal preferences (Becker, Drake, Farabaugh, & Bond, 1996), and job satisfaction )-have been operationally defined and measured, although this is not to say that other aspects of community integration in this domain do not warrant more psychometric work.…”

Section: Definition Of Community Integration and Its Relationship Tomentioning

confidence: 99%

How Evidence-Based Practices Contribute to Community Integration

Bond

Salyers

Rollins

et al. 2004

Community Ment Health J

157

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Since the groundbreaking work of the Robert Wood Johnson Conference in 1998 identifying six evidence-based practices (EBPs) for people with severe mental illness (SMI), the mental health field has moved in the direction of re-examination and redesign of service systems. Surprisingly, one area that has not been fully explicated is the role that EBPs play in promoting community integration. In this paper, we explain how community integration is a unifying concept providing direction and vision for community mental health for people with SMI. As one crucial aspect of the recovery process, community integration clarifies the link between EBPs and recovery. We propose an alternate view, grounded in the empirical literature, to the assertion by Anthony, Rogers, and Farkas [2003, Community Mental Health Journal, 39, 101-114] that ''EBP research has rarely demonstrated a positive impact on recovery related outcomes.'' Gary R. Bond and Michelle P. Salyers are affiliated with the

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“…Meanwhile, at the local level, experiments in the provision of services were occurring that had important effects on the ways that people with serious mental illness were being treated. Group homes (Okin 1983), Assertive Community Treatment Teams (Stein and Test 1980), Clubhouses (Sweet 1999), transitional employment services (Drake et al 1996), integrated treatment such as the Village in Long Beach (Chandler et al 1997), consumer-directed and -operated programs and other services of the consumer and survivor movements (Athena 2010;Tomes 2006), all had a major impact on the treatment landscape across America. An emphasis on person-centered care, rehabilitation and recovery, community integration, and experiments in the closure of state hospitals (Okin 1995) similar to Trieste's initiatives in many places supplanted the emphasis on mere symptom control.…”

Section: The San Francisco Mental Health Systemmentioning

confidence: 99%

A Tale of Two Cities: The Exploration of the Trieste Public Psychiatry Model in San Francisco

Portacolone

Segal

Mezzina³

et al. 2015

Cult Med Psychiatry

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According to the World Health Organization (WHO), the ''Trieste model'' of public psychiatry is one of the most progressive in the world. It was in Trieste, Italy, in the 1970s that the radical psychiatrist, Franco Basaglia, implemented his vision of anti-institutional, democratic psychiatry. The Trieste model put the suffering person-not his or her disorders-at the center of the health care system. The model, revolutionary in its time, began with the ''negation'' and ''destruction'' of the traditional mental asylum ('manicomio'). A novel community mental health system replaced the mental institution. To achieve this, the Trieste model promoted the social inclusion and full citizenship of users of mental health services. Trieste has been a collaborating center of the WHO for four decades with a goal of disseminating its practices across the world. This paper illustrates a recent attempt to determine whether the Trieste model could be translated to the city of San Francisco, California. This process revealed a number of obstacles to such a translation. Our hope is that a review of Basaglia's ideas, along with a discussion of the obstacles to their implementation, will facilitate efforts to foster the social integration of persons with mental disorders across the world.

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The New Hampshire study of supported employment for people with severe mental illness.

Cited by 315 publications

References 25 publications

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

How Evidence-Based Practices Contribute to Community Integration

A Tale of Two Cities: The Exploration of the Trieste Public Psychiatry Model in San Francisco

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