Is Supported Employment Replacing Traditional Vocational Rehabilitation Services?

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
C. Lauber
Keyword(s):  
Mental Illness ◽  
Vocational Rehabilitation ◽  
Supported Employment ◽  
Bipolar Disorders ◽  
Daily Practice ◽  
Rehabilitation Services ◽  
Individual Placement And Support ◽  
Vocational Rehabilitation Services ◽  
Further Development ◽  
Individual Placement

The only study in Europe that compared traditional vocational rehabilitation with Individual Placement and Support (IPS) in people with psychotic and bipolar disorders clearly showed that IPS is more effective. Based on these data, this paper will review the current situation of vocational rehabilitation in Europe and analyse whether these or other research do influence the daily practice in vocational rehabilitation. Moreover, it will summarise potential for further development of Supported Employment in people with severe mental illness.

Vocational rehabilitation in people with severe mental illness

2011 ◽  
Vol 26 (S2) ◽  
pp. 2043-2043
Author(s):  
C. Lauber
Keyword(s):  
Mental Illness ◽  
Multicentre Study ◽  
Vocational Rehabilitation ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
New Method ◽  
Specific Intervention ◽  
Individual Placement And Support ◽  
People With Mental Illness ◽  
Individual Placement

Vocational rehabilitation is an important topic in people with severe mental illness as only about 10–15% have a regular job. This paper will present results of a European multicentre study on a specific intervention of supported employment designed for people with mental illness. This new method is called Individual Placement and Support (IPS). The study found that IPS is much more effective than the traditional vocational rehabilitation. This paper will additionally describe approaches to further develop vocational rehabilitation in people with severe and enduring mental illness.

Posttraumatic Stress Disorder, Supported Employment, and Outcomes in People with Severe Mental Illness

CNS Spectrums ◽  
2004 ◽  
Vol 9 (12) ◽  
pp. 913-925 ◽  
Author(s):  
Kim T. Mueser ◽  
Susan M. Essock ◽  
Michael Haines ◽  
Rosemarie Wolfe ◽  
Haiyi Xie
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Supported Employment ◽  
Stress Disorder ◽  
Work Outcomes ◽  
Individual Placement And Support ◽  
Rehabilitation Programs ◽  
The Individual ◽  
Individual Placement

AbstractObjective: To evaluate whether posttraumatic stress disorder (PTSD) is related to outcomes in persons with severe mental illness (SMI) participating in a study of vocatinal rehabilitation programsBackground: PTSD is a common comorbid disorder in people with SMI, but it is unknown whether PTSD interferes with the ability to benefit from rehabilitation programs such as supported employment.Methods: The relationships between PTSD and symptoms, health, quality of life, and work outcomes was examined in 176 clients with SMI participating in a 2-year randomized controlled trial of three vocational rehabilitation programs: supported employment based on the Individual Placement and Support model, a psychosocial rehabilitation program based on transitional employment, and standard services.Results: The overall rate of current PTSD in the sample was 16%. Compared with clients without PTSD, clients with PTSD had more severe psychiatric symptoms, worse reported health, lower self-esteem, and lower subjective quality of life. Clients with PTSD who participated in the Individual Placement and Support model (the most effective vocational model of the three studied) also had worse employment outcomes over the 2-year study period than clients without PTSD, with lower rates of compeitive work, fewer hours worked, and fewer wages earned. Employment outcomes did not differ between clients with PTSD versus without PTSD in the other two vocational rehabilitation approaches.Conclusion: The findings suggest that PTSD may contribute to worse work outcomes in clients participating in supported employment programs. Effective treatment of these clients with PTSD may improve their ability to benefit from supported employment.

Vocational Rehabilitation Needs of Individuals Dually Diagnosed with Substance Abuse and Chronic Mental Illness

1996 ◽  
Vol 27 (3) ◽  
pp. 3-10 ◽  
Author(s):  
A. Lisa Brown ◽  
Kathleen M. Saura
Keyword(s):  
Substance Abuse ◽  
Mental Illness ◽  
Vocational Rehabilitation ◽  
Dual Diagnosis ◽  
Rehabilitation Services ◽  
Chronic Mental Illness ◽  
Vocational Rehabilitation Services ◽  
Vocational Success ◽  
Barriers To Service ◽  
The Impact

Individuals who have a dual diagnosis of substance abuse and chronic mental illness pose unique challenges in the delivery of vocational rehabilitation services. Barriers to service provision include an underestimation of prevalence; agency classifications that require a separation of disability conditions into primary and secondary disability; a lack of counselors’ awareness of the unique needs of this population; and the impact of negative attitudes and stigma on vocational success. Although individuals with dual diagnosis can benefit from rehabilitation services and stable employment, changes in the traditional service delivery system are recommended. To address the unique needs of this population, rehabilitation practitioners are encouraged to seek specialized training and continuing education through regional training programs and interagency consultation.

The Relationship between Substance Use Disorders and Unsuccessful Case Closures in Vocational Rehabilitation Agencies

2008 ◽  
Vol 39 (2) ◽  
pp. 25-29 ◽  
Author(s):  
David Hollar
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Learning Disabilities ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Physical Disabilities ◽  
Rehabilitation Services ◽  
Persons With Disabilities ◽  
Vocational Rehabilitation Services ◽  
The Relationship

Vocational rehabilitation (VR) services can be challenging for certain persons with disabilities, particularly persons with mental illness, traumatic brain injury (TBI), and substance use disorders (SUD). This study focused on successful (status 26) and unsuccessful (status 28) closures contained in the Longitudinal Study of the Vocational Rehabilitation Services Programs (LSVRSP). Individuals with ADHD, mental illness, physical disabilities, SUD, and learning disabilities had the lowest successful closure rates (43.2%, 45.5%, 50.6%, 51.3%, and 51.4%, respectively). Consumers reported a need for additional services, lack of job availability, family problems, discrimination, and transportation issues as leading reasons for unsuccessful closure. The results indicate a need for more comprehensive services directed towards persons with behavioral disabilities.

scholarly journals Generalisability of the individual placement and support model of supported employment: results of a Canadian randomised controlled trial

2006 ◽  
Vol 189 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Eric A. Latimer ◽  
Tania Lecomte ◽  
Deborah R. Becker ◽  
Robert E. Drake ◽  
Isabelle Duclos ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
Control Group ◽  
Competitive Employment ◽  
Individual Placement And Support ◽  
Vocational Services ◽  
The Usa ◽  
The Individual ◽  
Individual Placement

BackgroundStudies conducted in the USA have found the individual placement and support model of supported employment to be more effective than traditional vocational rehabilitation at helping people with severe mental illness to find and maintain competitive employment.AimsTo determine the effectiveness of the individual placement and support (supported employment) model in a Canadian setting.MethodA total of 150 adults with severe mental illness, who were not currently employed and who desired competitive employment, were randomly assigned to receive either supported employment (n=75) or traditional vocational services (n=75).ResultsOver the 12 months of follow-up, 47% of clients in the supported employment group obtained at least some competitive employment, v. 18% of the control group (P<0.001). They averaged 126 h of competitive work, v. 72 inthe control group (P<0.001).ConclusionsSupported employment proved more effective than traditional vocational services in a setting significantly different from settings in the USA, and may therefore be generalised to settings in other countries.

The Relationship Between Substance Use Disorders and Unsuccessful Case Closures in Vocational Rehabilitation Agencies

2008 ◽  
Vol 39 (3) ◽  
pp. 48-52 ◽  
Author(s):  
David Hollar ◽  
Mary McAweeney ◽  
Dennis Moore
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Learning Disabilities ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Physical Disabilities ◽  
Rehabilitation Services ◽  
Persons With Disabilities ◽  
Vocational Rehabilitation Services ◽  
The Relationship

Vocational rehabilitation (VR) services can be challenging for certain persons with disabilities, particularly persons with mental illness, traumatic brain injury (TBI), and substance use disorders (SUD). This study focused on successful (status 26) and unsuccessful (status 28) closures contained in the Longitudinal Study of the Vocational Rehabilitation Services Programs (LSVRSP). Individuals with ADHD, mental illness, physical disabilities, SUD, and learning disabilities had the lowest successful closure rates (43.2%, 45.5%, 50.6%, 51.3%, and 51. 4%, respectively). Consumers reported a need for additional services, lack of job availability, family problems, discrimination, and transportation issues as leading reasons for unsuccessful closure. The results indicate a need for more comprehensive services directed towards persons with behavioral disabilities.

scholarly journals Supported employment for people with severe mental illness: Systematic review and meta-analysis of the international evidence

2016 ◽  
Vol 209 (1) ◽  
pp. 14-22 ◽  
Author(s):  
Matthew Modini ◽  
Leona Tan ◽  
Beate Brinchmann ◽  
Min-Jung Wang ◽  
Eoin Killackey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Vocational Rehabilitation ◽  
Meta Analysis ◽  
Economic Conditions ◽  
Gdp Growth ◽  
Competitive Employment ◽  
Individual Placement And Support ◽  
Unemployment Rates ◽  
Individual Placement

BackgroundIndividual placement and support (IPS) is a vocational rehabilitation programme that was developed in the USA to improve employment outcomes for people with severe mental illness. Its ability to be generalised to other countries and its effectiveness in varying economic conditions remains to be ascertained.AimsTo investigate whether IPS is effective across international settings and in different economic conditions.MethodA systematic review and meta-analysis of randomised controlled trials comparing IPS with traditional vocational services was undertaken; 17 studies, as well as 2 follow-up studies, were included. Meta-regressions were carried out to examine whether IPS effectiveness varied according to geographic location, unemployment rates or gross domestic product (GDP) growth.ResultsThe overall pooled risk ratio for competitive employment using IPS compared with traditional vocational rehabilitation was 2.40 (95% CI 1.99–2.90). Meta-regressions indicated that neither geographic area nor unemployment rates affected the overall effectiveness of IPS. Even when a country's GDP growth was less than 2% IPS was significantly more effective than traditional vocational training, and its benefits remained evident over 2 years.ConclusionsIndividual placement and support is an effective intervention across a variety of settings and economic conditions and is more than twice as likely to lead to competitive employment when compared with traditional vocational rehabilitation.

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