Rehabilitative day treatment vs. supported employment: I. Vocational outcomes

1994 ◽  
Vol 30 (5) ◽  
pp. 519-532 ◽  
Author(s):  
Robert E. Drake ◽  
Deborah R. Becker ◽  
Jeremy C. Biesanz ◽  
William C. Torrey ◽  
Gregory J. McHugo ◽  
...  
Keyword(s):  
Supported Employment ◽  
Day Treatment ◽  
Vocational Outcomes

Do long-term day treatment clients benefit from supported employment?

1998 ◽  
Vol 22 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Edward L. Bailey ◽  
Susan K. Ricketts ◽  
Deborah R. Becker ◽  
Haiyi Xie ◽  
Robert E. Drake
Keyword(s):  
Supported Employment ◽  
Day Treatment

Follow-Up at Twelve and Thirty Months of Persons with Traumatic Brain Injury Engaged in Supported Employment Placements

1992 ◽  
Vol 23 (3) ◽  
pp. 48-50 ◽  
Author(s):  
David A. Ellerd ◽  
Stephen C. Moore
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Supported Employment ◽  
Vocational Outcomes ◽  
Individual Placement

This article presents data on the vocational outcomes for 24 persons with traumatic brain injury (TBI) using an individual placement model of supported employment. The results indicated that of the 24 workers with TBI, 17 (71%) were still employed at the end of 12 months, while only nine (38%) were still employed after 30 months. However, substantial mean pay increases were noted between the 12 month and 30 month periods, as well as in the number of days worked per year. Reasons for job losses are discussed.

Converting Day Treatment Centers to Supported Employment Programs in Rhode Island

2001 ◽  
Vol 52 (3) ◽  
pp. 351-357 ◽  
Author(s):  
Deborah R. Becker ◽  
Gary R. Bond ◽  
Daniel McCarthy ◽  
Daniel Thompson ◽  
Haiyi Xie ◽  
...  
Keyword(s):  
Rhode Island ◽  
Supported Employment ◽  
Day Treatment ◽  
Employment Programs ◽  
Supported Employment Programs

Planning a statewide project to convert day treatment to supported employment.

1998 ◽  
Vol 22 (1) ◽  
pp. 30-33 ◽  
Author(s):  
Daniel McCarthy ◽  
Daniel Thompson ◽  
Susan Olson
Keyword(s):  
Supported Employment ◽  
Day Treatment

scholarly journals EFFECT OF SUPPORTED EMPLOYMENT ON THE VOCATIONAL OUTCOMES OF PERSONS WITH TRAUMATIC BRAIN INJURY

1989 ◽  
Vol 22 (4) ◽  
pp. 395-405 ◽  
Author(s):  
Paul Wehman ◽  
Michael West ◽  
Robyn Fry ◽  
Pam Sherron ◽  
Christine Groah ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Supported Employment ◽  
Vocational Outcomes

Cost-effectiveness of cognitive remediation and supported employment for people with mental illness: a randomized controlled trial

2016 ◽  
Vol 47 (1) ◽  
pp. 53-65 ◽  
Author(s):  
S. Yamaguchi ◽  
S. Sato ◽  
N. Horio ◽  
K. Yoshida ◽  
M. Shimodaira ◽  
...  
Keyword(s):  
Mental Illness ◽  
Cost Effectiveness ◽  
Supported Employment ◽  
Cognitive Remediation ◽  
Cost Effective ◽  
Economic Benefits ◽  
Cognitive Improvement ◽  
Vocational Outcomes ◽  
People With Mental Illness ◽  
Significant Difference

BackgroundLittle is known about the economic benefits of cognitive remediation and supported employment (CR + SE). The present study aimed to investigate the cost-effectiveness of CR + SE compared with traditional vocational services (TVS).MethodIndividuals with mental illness and low cognitive function were recruited at six sites in Japan. A total of 111 participants were randomly allocated to the CR + SE group or the TVS group. Clinical and vocational outcomes were assessed at baseline and 12-month follow-up. Service utilization data were collected monthly. The data on outcomes and costs were combined to examine cost-effectiveness.ResultsThe data were obtained from a total of 92 participants. The CR + SE group resulted in better vocational and clinical outcomes (employment rate, 62.2%; work tenures, 78.6 days; cognitive improvement, 0.5) than the TVS group (19.1%, 24.9 days and 0.2). There was no significant difference in mean total costs between the groups (CR + SE group: $9823, s.d. = $6372, TVS group: $11 063, s.d. = $11 263) with and without adjustment for covariates. However, mean cost for medical services in the CR + SE group was significantly lower than that in the TVS group after adjusting covariates (Β = −$3979, 95% confidence interval −$7816 to −$143, p = 0.042). Cost-effectiveness acceptability curves for vocational outcomes illustrated the high probabilities (approximately 70%) of the CR + SE group being more cost-effective than TVS when society is not willing to pay additional costs.ConclusionsCR + SE appears to be a cost-effective option for people with mental illness who have low cognitive functioning when compared with TVS.

scholarly journals The Effects of the Combination of Cognitive Training and Supported Employment on Improving Clinical and Working Outcomes for People with Schizophrenia in Japan

2014 ◽  
Vol 10 (1) ◽  
pp. 18-27 ◽  
Author(s):  
Sayaka Sato ◽  
Kazuhiko Iwata ◽  
Shun-Ichi Furukawa ◽  
Yasuhiro Matsuda ◽  
Norifumi Hatsuse ◽  
...  
Keyword(s):  
Cognitive Functioning ◽  
Social Functioning ◽  
Clinical Outcomes ◽  
Verbal Memory ◽  
Supported Employment ◽  
Psychiatric Symptoms ◽  
Controlled Study ◽  
Employment Rate ◽  
Vocational Outcomes ◽  
Significant Difference

Background: In Japan, Job assistance for SMI have been not active. Compared with mental retardation, employment rate of SMI was low. The needs of the effective job assistance for SMI are growing. The purpose of this study was to determine the effectiveness of the combination approach of Cognitive Remediation (CR) and Supported Employment (SE) in clinical outcomes, including cognitive functioning and psychiatric symptoms besides vocational outcomes. Methods: The participants diagnosed with schizophrenia or schizoaffective disorder were assigned to CR+SE group (n=52) and SE group (n=57). CR comprised computer based trainings using COGPACK and group works. SE was individualized vocational support provided by employment specialists. Outcome measures included cognitive functioning, psychiatric symptoms, social functioning, performance of tasks as clinical outcomes, employment rate, duration of employment, and earned wage as vocational outcome. Results: CR+SE group displayed significantly better psychiatric symptoms (F=3.490, p<.10), interpersonal relations (F=11.695, p<.01), and social and cognitive functioning including verbal memory (F=9.439, p<.01), digit sequencing (F=5.544, p<.05), token motor tasks (F=6.685, p<.05), and overall cognitive functioning (F=8.136, p<.01). We did not find any significant difference between two groups in terms of employment rate and earned wage. Discussions: This is the first controlled study to determine the effectiveness of CR on vocational outcomes in Japan. The results showed that CR and SE programs were feasible in Japan and that CR using COGPACK had favorable effects on cognitive functioning, psychiatric symptoms, and social functioning, which is consistent with previous researches.

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