Recent research on vocational rehabilitation for persons with severe mental illness

@article{Drake2003RecentRO,
  title={Recent research on vocational rehabilitation for persons with severe mental illness},
  author={Robert E. Drake and Deborah R Becker and Gary R. Bond},
  journal={Current Opinion in Psychiatry},
  year={2003},
  volume={16},
  pages={451–455}
}
&NA; Increasing demands for employment services and for empirical outcomes influence clinical practice. Supported employment has by far the strongest evidence base of any vocational intervention for people with psychiatric disabilities and continues to be disseminated rapidly. Further research is needed to clarify the principles, impacts, and modifications of supported employment. Purpose of review This review examines the 2002 literature on vocational services for people with psychiatric… 

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...

References

SHOWING 1-10 OF 44 REFERENCES

A Working Life for People With Severe Mental Illness

TLDR
The Individual Placement and Support (IPS) method utilizes the supported employment concept, but modifies it for use with the severely mentally ill, and is the only approach that has a strong empirical research base.

Cost-effectiveness of two vocational rehabilitation programs for persons with severe mental illness.

TLDR
The analyses suggest that IPS participants engaged in competitive employment at a higher cost, and the findings illustrate the importance of choice of outcomes in evaluations of employment programs.

Creating job opportunities for people with psychiatric disabilities at a university-based research center.

TLDR
The development of the jobs, employee characteristics, the orientation and training provided to new employees, job characteristics and typical responsibilities, supports and accommodations provided to employees, boundary issues the authors encountered, and the perspectives of employees on rewards and challenges of the job are described.

Improving employment outcomes for persons with severe mental illnesses.

TLDR
The Individual Placement and Support program was more effective than the psychosocial rehabilitation program in helping patients achieve employment goals and achieving job retention remains a challenge with both interventions.

Implementing supported employment as an evidence-based practice.

TLDR
The authors discuss barriers to implementation and strategies for overcoming them based on successful experiences in several states, and the effectiveness of supported employment appears to be generalizable across a broad range of client characteristics and community settings.

The Integration of Treatment and Rehabilitation in Psychiatric Practice and Services: A Case Study of a Community Mental Health Center

TLDR
By taking initiative to forward the integration of treatment and rehabilitation, psychiatrists better serve seriously ill patients and more effectively define their own work and roles.

Helping people with severe mental illness to obtain work: systematic review

TLDR
Supporting employment is more effective than prevocational training at helping people with severe mental illness obtain competitive employment.

An Investigation of Reasonable Workplace Accommodations for People with Psychiatric Disabilities: Quantitative Findings from a Multi-Site Study

TLDR
The functional limitations and reasonable accommodations provided to 191 participants and the characteristics of 204 employers and 22 service provider organizations participating in the study are discussed.

The role of work in the recovery of persons with psychiatric disabilities.

TLDR
This study explored the role of work in the recovery of employed and unemployed persons with psychiatric disabilities by identifying three profiles of recovery: recovery as uncertain, recovery as a self-empowering experience, and Recovery as a challenging experience.

Cognitive correlates of job tenure among patients with severe mental illness.

TLDR
Cognitive performance was a significant predictor of job tenure but not job attainment in the context of a clinical trial of two vocational rehabilitation approaches, and it appears that many persistently unemployed patients are capable of obtaining competitive employment with effective vocational services.