The Hartford study of supported employment for persons with severe mental illness |
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Authors: | Mueser Kim T Clark Robin E Haines Michael Drake Robert E McHugo Gregory J Bond Gary R Essock Susan M Becker Deborah R Wolfe Rosemarie Swain Karin |
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Affiliation: | New Hampshire-Dartmouth Psychiatric Research Center, Dartmouth Medical School, Concord 03301, USA. kim.t.mueser@dartmouth.edu |
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Abstract: | The authors compared 3 approaches to vocational rehabilitation for severe mental illness (SMI): the individual placement and support (IPS) model of supported employment, a psychosocial rehabilitation (PSR) program, and standard services. Two hundred four unemployed clients (46% African American, 30% Latino) with SMI were randomly assigned to IPS, PSR, or standard services and followed for 2 years. Clients in IPS had significantly better employment outcomes than clients in PSR and standard services, including more competitive work (73.9% vs. 18.2% vs. 27.5%, respectively) and any paid work (73.9% vs. 34.8% vs. 53.6%, respectively). There were few differences in nonvocational outcomes between programs. IPS is a more effective model than PSR or standard brokered vocational services for improving employment outcomes in clients with SMI. |
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