Accelerating entry into supported employment for persons with severe psychiatric disabilities

  • G.R. B
  • L.L. D
  • J.H. M
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Abstract

Eighty-six clients with serious mental illness were randomly assigned to an Accelerated Approach to supported employment (SE), which bypassed traditional prevocational preparation, or to a Gradual Approach, which consisted of a minimum of 4 months in prevocational preparation followed by SE services. At study admission, only 5% of participants expressed a preference for prevocational training prior to entry into the SE program. Results for 74 clients after 1 year suggested significantly better employment outcomes for Accelerated participants. Over 3 years later, follow-up at one site indicated that 59% of the Accelerated participants were competitively employed, compared to only 6% of Gradual participants. We conclude that for this population, early entry into competitive employment, with intensive support, is more effective than approaches incorporating prevocational training.

Author-supplied keywords

  • *disability
  • *employment
  • *mental deficiency
  • adult
  • article
  • clinical article
  • clinical trial
  • controlled clinical trial
  • controlled study
  • follow up
  • human
  • mental deficiency
  • mental disease
  • population
  • randomized controlled trial
  • statistical analysis
  • vocational rehabilitation

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Authors

  • Bond G.R.

  • Dietzen L.L.

  • McGrew J.H.

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