The Hartford study of supported employment for persons with severe mental illness
Department of Family Medicine and Community Health; Center for Health Policy and Research; Clinical and Population Health Research
Medical Subject Headings
Adult; Diagnostic and Statistical Manual of Mental Disorders; *Employment, Supported; Female; Humans; Male; Mental Disorders; Severity of Illness Index
Health Services Administration | Health Services Research | Public Health
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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Citation: J Consult Clin Psychol. 2004 Jun;72(3):479-90. Link to article on publisher's site