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

Kim T. Mueser · Susan M. Essock · Rosemarie S. Wolfe · Haiyi Xie

85 citations0/0 files storedCNS Spectrums

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Disability Education and Employment Schizophrenia research and treatment Posttraumatic Stress Disorder Research

Abstract

OBJECTIVE: To evaluate whether posttraumatic stress disorder (PTSD) is related to outcomes in persons with severe mental illness (SMI) participating in a study of vocational rehabilitation programs. BACKGROUND: 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 percent. 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 competitive 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.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 85 citations exist upstream.

References

1965Society and the Adolescent Self-Image 1995Posttraumatic Stress Disorder in the National Comorbidity Survey 1994SF-36 physical and mental health summary scales : a user's manual 1997Structured Clinical Interview for DSM-IV Axis I Disorders 1991Traumatic Events and Posttraumatic Stress Disorder in an Urban Population of Young Adults 1993Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women.1997Full and partial posttraumatic stress disorder: findings from a community survey 1998Trauma and posttraumatic stress disorder in severe mental illness.

Cited by

2017The traumatic experience of first-episode psychosis: A systematic review and meta-analysis 2020The association of traumatic events and posttraumatic stress disorder with greater eating disorder and comorbid symptom severity in residential eating disorder treatment centers 2008Posttraumatic stress disorder and employment in veterans participating in Veterans Health Administration Compensated Work Therapy 2012Work Reintegration for Veterans With Mental Disorders: A Systematic Literature Review to Inform Research

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.