Skip to main content

Advertisement

Log in

What Predicts Supported Employment Program Outcomes?

  • Community Psychiatric Practice
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

Numerous state systems and local mental health and vocational rehabilitation programs are currently attempting to implement supported employment. This cross-sectional survey of 26 mental health agencies, partnering with federal-state vocational rehabilitation, identified differences in access to supported employment services and rates of competitive employment (efficiency) as well as predictors of access and efficiency. Access varied from 2 to 100% and was related to the percentage of supported employment specialists per consumers with serious mental illness served by the mental health agency (funding). Efficiency varied from 7 to 75% and was related to implementation of the critical components of evidence-based supported employment and to the local unemployment rate. To help mental health clients achieve their employment goals, state systems and local programs should address consolidation of resources in supported employment and the quality of implementation of supported employment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alverson M., Becker D. R., Drake R. E. (1995). An ethnographic study of coping strategies used by people with severe mental illness participating in supported employment. Psychosocial Rehabilitation Journal 18(4):115–128

    Google Scholar 

  • Bailey J. (1998). I’m just an ordinary person. Psychiatric Rehabilitation Journal 22(1):8–10

    Google Scholar 

  • Becker D.R., Smith J., Tanzman B., Drake R.E., Tremblay T. (2001). Fidelity of supported employment programs and employment outcomes. Psychiatric Services 52(6):834–836

    Article  PubMed  CAS  Google Scholar 

  • Bond, G. R. (2004a). Critical ingredients of supported employment: Research evidence. Paper presented at the UNC/Duke Mental Health Seminar, Durham, NC

  • Bond G. R. (2004b). Supported employment: Evidence for an evidence-based practice. Psychiatric Rehabilitation Journal 27(4):345–359

    Article  Google Scholar 

  • Bond G. R., Becker D. R., Drake R. E., Vogler K. M. (1997). A fidelity scale of the Individual Placement and Support Model of supported employment. Rehabilitation Counseling Bulletin 40(4):265–284

    Google Scholar 

  • Bond G. R., Picone J., Mauer B., Fishbein S., Stout R. (2000). The Quality of Supported Employment Implementation Scale. Journal of Vocational Rehabilitation 14:201–212

    Google Scholar 

  • Catalano R., Drake R. E., Becker D. R., Clark R. E. (1999). Labor market conditions and employment of the mentally ill. The Journal of Mental Health Policy and Economics 2:51–54

    Article  PubMed  Google Scholar 

  • Cook, J. (2005). Executive summary of findings from the employment intervention demonstration program. http://www.psych.uic.edu/eidp/eidpubs.htm

  • Crowther R. E., Marshall M., Bond G. R., Huxley P. (2001). Helping people with severe mental illness to obtain work: Systematic review. British Medical Journal 322:204–208

    Article  PubMed  CAS  Google Scholar 

  • Drake R. E., Fox T. S., Leather P. K., Becker D. R., Musumeci J. S., Ingram W. F. et al. (1998). Regional variation in competitive employment for persons with severe mental illness. Administration and Policy in Mental Health 25:493–504

    Article  Google Scholar 

  • Drake R. E., McHugo G. J., Becker D. R., Anthony W. A., Clark R. E. (1996). The New Hampshire study of supported employment for people with severe mental illness. Journal of Consulting and Clinical Psychology 64(2):391–399

    Article  PubMed  CAS  Google Scholar 

  • Ganju, V. (2004). Evidence-based practice and mental health system transformation. Presentation at the 2004 National Statistics Conference, Washington, DC.

  • Gowdy E. L., Carlson L. S., Rapp C. A. (2003). Practices differentiating high performing from low-performing supported employment programs. Psychiatric Rehabilitation Journal 26(3):232–239

    Article  PubMed  Google Scholar 

  • Johnson & Johnson Community Mental Health Program. (2002). New Brunswick, NJ: Author

  • Latimer, E., Lecomte, T., Becker, D., Drake, R., Duclos, I., & Piat, M., et al. (2005). Generalizability of the IPS model of supported employment for people with severe mental illness: Results and economic implications of a randomized trial in Montreal, Canadian, Abstracts supplement. The Journal of Mental Health Policy and Economics, 8(1)

  • McGrew J., Griss M. (2005). Concurrent and predictive validity of two scales to assess the fidelity of implementation of supported employment. Psychiatric Rehabilitation Journal 29(1):41–47

    Article  PubMed  Google Scholar 

  • McQuilken M., Zahniser J. H., Novak J., Starks R. D., Olmos A., Bond G. R. (2003). The work project survey: Consumer perspectives on work. Journal of Vocational Rehabilitation 18:59–68

    Google Scholar 

  • New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Final Report (DHHS Pub. No. SMA-03–3832), Rockville, MD

  • Noble J. H. (1998). Policy reform dilemmas in promoting employment of persons with severe mental illnesses. Psychiatric Services 49:775–781

    PubMed  Google Scholar 

  • Provencher H. L., Gregg R., Mead S., Mueser K. T. (2002). The role of work in the recovery of persons with psychiatric disabilities. Journal of Psychiatric Rehabilitation 26(2):132–144

    Article  Google Scholar 

  • Purlee G. D. (1993). Predictors of employment outcome for persons with serious mental illness. Unpublished doctoral dissertation, Indiana University, Bloomington

  • Steele K., Berman C. (2001). The Day the Voices Stopped: A Memoir of Madness and Hope. Basic Books, New York

    Google Scholar 

  • Tremblay T., Xie H., Smith J., Drake R. (2004). The impact of specialized benefits counseling services on Social Security Administration disability beneficiaries in Vermont. Journal of Rehabilitation 70:5–11

    Google Scholar 

  • Twamley, E. W., Bartels, S. J., Becker, D., & Jeste, D. V. (2004). Individual Placement and Support for Middle-aged and Older Clients with Schizophrenia. Poster session presented at the International Association of Psychosocial Rehabilitation Services, San Diego, CA

  • Twamley E. W., Jeste D. V., Lehman A. F. (2003). Vocational rehabilitation in schizophrenia and other psychotic disorders: A literature review and meta-analysis of randomized controlled trials. Journal of Nervous and Mental Disease 191:515–523

    Article  PubMed  Google Scholar 

  • Wong K. K., Chiu L., Tang S., Kan H., Kong C., Chu H. et al. (2004). A supported employment program for people with mental illness in Hong Kong. American Journal of Psychiatric Rehabilitation 7:83–96

    Article  Google Scholar 

Download references

Acknowledgment

This study was supported by a gift from the Johnson & Johnson Corporate Contributions Program.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Deborah R. Becker M.Ed..

Additional information

Deborah R. Becker, Haiyi Xie, and Gregory J. McHugo are affiliated with the Dartmouth Medical School, Hanover, NH, USA. John Halliday is affiliated with the Institute for Community Inclusion, University of Massachusetts, Boston, MA, USA. Rick A, Martinez is affiliated with Johnson & Johnson, New Brunswick, NJ, USA.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Becker, D.R., Xie, H., McHugo, G.J. et al. What Predicts Supported Employment Program Outcomes?. Community Ment Health J 42, 303–313 (2006). https://doi.org/10.1007/s10597-006-9037-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-006-9037-8

KEY WORDS

Navigation