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Factors Associated with Early Attrition from Psychosocial Rehabilitation Programs
Authors:Brian Harding  Susan Torres-Harding  Gary R. Bond  Michelle P. Salyers  Angela L. Rollins  Teresa Hardin
Affiliation:(1) Thresholds, Chicago, IL, USA;(2) Department of Psychology, Roosevelt University, 430 S. Michigan Avenue, Chicago, IL 60605, USA;(3) Department of Psychology, Indiana University-Purdue University, 402 N. Blackford St., LD 124, Indianapolis, IN 46202-3275, USA;(4) ACT Center of Indiana, Roudebush VAMC, Indiana University-Purdue University, 1481 W. 10th St. (11H), Indianapolis, IN 46202, USA
Abstract:This study aimed to identify characteristics associated with early dropout from a vocationally oriented psychosocial rehabilitation (PSR) program for clients with severe mental illness. The sample consisted of 194 individuals who participated in a study comparing a supported employment program to a stepwise vocational program. Study participants who dropped out of the PSR program within 6 months of study entry were compared to those who continued for at least 6 months. Dropouts had poorer competitive employment outcomes than those who continued. Participants with at least a high school diploma, never married, with a schizophrenia-spectrum diagnosis, and those assigned to a stepwise model of vocational rehabilitation were more likely to dropout. The implications of these findings are discussed.
Keywords:Psychosocial rehabilitation  Treatment attrition  Vocational rehabilitation  Severe mental illness
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