Client Predictors of Employment Outcomes in High-Fidelity Supported Employment A Regression Analysis

被引:74
作者
Campbell, Kikuko [1 ]
Bond, Gary R. [2 ,3 ]
Drake, Robert E. [2 ,3 ,4 ]
McHugo, Gregory J. [2 ,3 ,4 ]
Xie, Haiyi [3 ,4 ]
机构
[1] Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46202 USA
[2] Dartmouth Med Sch, Dept Psychiat, Dartmouth, NS, Canada
[3] Dartmouth Psychiat Res Ctr, Lebanon, NH USA
[4] Dartmouth Med Sch, Dept Community & Family Med, Dartmouth, NS, Canada
关键词
Supported employment; individual placement and support; severe mental illness; competitive employment; client predictors; social security; SEVERE MENTAL-ILLNESS; PSYCHIATRIC RATING-SCALE; STRUCTURED CLINICAL INTERVIEW; RANDOMIZED CONTROLLED-TRIAL; NEGATIVE SYNDROME SCALE; VOCATIONAL-REHABILITATION; NEUROCOGNITIVE DEFICITS; INTERRATER RELIABILITY; AXIS-I; PEOPLE;
D O I
10.1097/NMD.0b013e3181ea1e53
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Research on vocational rehabilitation for clients with severe mental illness over the past 2 decades has yielded inconsistent findings regarding client factors statistically related to employment. The present study aimed to elucidate the relationship between baseline client characteristics and competitive employment outcomes-job acquisition and total weeks worked during an 18-month follow-up-in Individual Placement and Support (IPS). Data from 4 recent randomized controlled trials of IPS were aggregated for within-group regression analyses. In the IPS sample (N = 307), work history was the only significant predictor for job acquisition, but receiving Supplemental Security Income-with or without Social Security Disability Insurance-was associated with fewer total weeks worked (2.0%-2.8% of the variance). In the comparison sample (N = 374), clients with a diagnosis of mood disorder or with less severe thought disorder symptoms were more likely to obtain competitive employment. The findings confirm that clients with severe mental illness interested in competitive work best benefit from high-fidelity supported employment regardless of their work history and sociodemographic and clinical background, and highlight the needs for changes in federal policies for disability income support and insurance regulations.
引用
收藏
页码:556 / 563
页数:8
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