scholarly journals A Controlled Trial of Supported Employment for People With Severe Mental Illness and Justice Involvement

2015 ◽  
Vol 66 (10) ◽  
pp. 1027-1034 ◽  
Author(s):  
Gary R. Bond ◽  
Sunny Jung Kim ◽  
Deborah R. Becker ◽  
Sarah J. Swanson ◽  
Robert E. Drake ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
Controlled Trial

scholarly journals The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial

The Lancet ◽  
2007 ◽  
Vol 370 (9593) ◽  
pp. 1146-1152 ◽  
Author(s):  
Tom Burns ◽  
Jocelyn Catty ◽  
Thomas Becker ◽  
Robert E Drake ◽  
Angelo Fioritti ◽  
...  
Keyword(s):  
Mental Illness ◽  
Randomised Controlled Trial ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
Controlled Trial ◽  
Randomised Controlled

scholarly journals Web-Based Cognitive Remediation Improves Supported Employment Outcomes in Severe Mental Illness: Randomized Controlled Trial

2017 ◽  
Vol 4 (3) ◽  
pp. e30 ◽  
Author(s):  
Anthony WF Harris ◽  
Tanya Kosic ◽  
Jean Xu ◽  
Chris Walker ◽  
William Gye ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Cognitive Deficits ◽  
Supported Employment ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Cognitive Remediation ◽  
Psychosocial Interventions ◽  
Web Based ◽  
Clinical Trials Registry

Background Finding work is a top priority for most people; however, this goal remains out of reach for the majority of individuals with a severe mental illness (SMI) who remain on benefits or are unemployed. Supported employment (SE) programs aimed at returning people with a severe mental illness to work are successful; however, they still leave a significant number of people with severe mental illness unemployed. Cognitive deficits are commonly found in SMI and are a powerful predictor of poor outcome. Fortunately, these deficits are amenable to treatment with cognitive remediation therapy (CRT) that significantly improves cognition in SMI. CRT combined with SE significantly increases the likelihood of individuals with severe mental illness obtaining and staying in work. However, the availability of CRT is limited in many settings. Objective The aim of this study was to examine whether Web-based CRT combined with a SE program can improve the rate return to work of people with severe mental illness. Methods A total of 86 people with severe mental illness (mean age 39.6 years; male: n=55) who were unemployed and who had joined a SE program were randomized to either a Web-based CRT program (CogRem) or an Internet-based control condition (WebInfo). Primary outcome measured was hours worked over 6 months post treatment. Results At 6 months, those participants randomized to CogRem had worked significantly more hours (P=.01) and had earned significantly more money (P=.03) than those participants randomized to the WebInfo control condition. No change was observed in cognition. Conclusions This study corroborates other work that has found a synergistic effect of combining CRT with a SE program and extends this to the use of Web-based CRT. The lack of any improvement in cognition obscures the mechanism by which an improved wage outcome for participants randomized to the active treatment was achieved. However, the study substantially lowers the barrier to the deployment of CRT with other psychosocial interventions for severe mental illness. Trial Registration Australian and New Zealand Clinical Trials Registry (ANZCTR) 12611000849998; http://www.anzctr.org.au/TrialSearch.aspx?searchTxt=12611000849998&isBasic=True (Archived by WebCite at http://www.webcitation.org/6sMKwpeos)

scholarly journals Characteristics of people with severe mental illness who obtain employment

2010 ◽  
Vol 34 (2) ◽  
pp. 47-50 ◽  
Author(s):  
G. Butler ◽  
L. Howard ◽  
S. Choi ◽  
G. Thornicroft
Keyword(s):  
Mental Illness ◽  
Randomised Controlled Trial ◽  
Severe Mental Illness ◽  
Educational Level ◽  
Supported Employment ◽  
Controlled Trial ◽  
Clinical Implications ◽  
Clinical Factors ◽  
Factors Associated ◽  
Randomised Controlled

Aims and methodWe explored sociodemographic and clinical factors associated with obtaining employment for people with severe mental illness. Standardised validated interviews and questionnaires were administered to participants who had been recruited into a randomised controlled trial of supported employment.ResultsOlder age and diagnosis of schizophrenia were found to be independent predictors of unemployment in the previous year. Other factors of unemployment such as ethnicity and educational level were not associated with obtaining employment.Clinical implicationsOlder people and those with a diagnosis of schizophrenia may need additional targeted help in obtaining employment if they are to be helped to meet their vocational aims. Further research is needed to determine how this can be done most effectively.

scholarly journals Supported employment: randomised controlled trial

2010 ◽  
Vol 196 (5) ◽  
pp. 404-411 ◽  
Author(s):  
Louise M. Howard ◽  
Margaret Heslin ◽  
Morven Leese ◽  
Paul McCrone ◽  
Christopher Rice ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
Controlled Trial ◽  
Intervention Group ◽  
Competitive Employment ◽  
Treatment As Usual ◽  
The Individual ◽  
Randomised Controlled ◽  
The Uk

BackgroundThere is evidence from North American trials that supported employment using the individual placement and support (IPS) model is effective in helping individuals with severe mental illness gain competitive employment. There have been few trials in other parts of the world.AimsTo investigate the effectiveness and cost-effectiveness of IPS in the UK.MethodIndividuals with severe mental illness in South London were randomised to IPS or local traditional vocational services (treatment as usual) (ISRCTN96677673).ResultsTwo hundred and nineteen participants were randomised, and 90% assessed 1 year later. There were no significant differences between the treatment as usual and intervention groups in obtaining competitive employment (13% in the intervention group and 7% in controls; risk ratio 1.35, 95% CI 0.95–1.93, P = 0.15), nor in secondary outcomes.ConclusionsThere was no evidence that IPS was of significant benefit in achieving competitive employment for individuals in South London at 1-year follow-up, which may reflect suboptimal implementation. Implementation of IPS can be challenging in the UK context where IPS is not structurally integrated with mental health services, and economic disincentives may lead to lower levels of motivation in individuals with severe mental illness and psychiatric professionals.

The effects of supported employment in Latino consumers with severe mental illness.

2014 ◽  
Vol 37 (2) ◽  
pp. 113-122 ◽  
Author(s):  
Kim T. Mueser ◽  
Gary R. Bond ◽  
Susan M. Essock ◽  
Robin E. Clark ◽  
Elizabeth Carpenter-Song ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Supported Employment

scholarly journals Predictors of employment for people with severe mental illness: results of an international six-centre randomised controlled trial

2008 ◽  
Vol 192 (3) ◽  
pp. 224-231 ◽  
Author(s):  
Jocelyn Catty ◽  
Pascale Lissouba ◽  
Sarah White ◽  
Thomas Becker ◽  
Robert E. Drake ◽  
...  
Keyword(s):  
Mental Illness ◽  
Randomised Controlled Trial ◽  
Severe Mental Illness ◽  
Controlled Trial ◽  
Patient Characteristics ◽  
Employment Outcomes ◽  
Social Needs ◽  
Vocational Outcomes ◽  
Randomised Controlled ◽  
Ips Model

BackgroundAn international six-centre randomised controlled trial comparing individual placement and support (IPS) with usual vocational rehabilitation for people with serious mental illness found IPS to be more effective for all vocational outcomes.AimsTo determine which patients with severe mental illness do well in vocational services and which process and service factors are associated with better outcomes.MethodPatient characteristics and early process variables were tested as predictors of employment outcomes. Service characteristics were explored as predictors of the effectiveness of IPS.ResultsPatients with previous work history, fewer met social needs and better relationships with their vocational workers were more likely to obtain employment and work for longer. Remission and swifter service uptake were associated with working more. Having an IPS service closer to the original IPS model was the only service characteristic associated with greater effectiveness.ConclusionsThe IPS service was found to be more effective for all vocational outcomes. In addition, maintaining high IPS fidelity and targeting relational skills would be a valuable focus for all vocational interventions, leading to improved employment outcomes. Motivation to find work may be decreased by satisfaction with current life circumstances.

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