Outcomes-Based Funding for Vocational Services and Employment of People With Mental Health Conditions

Lauren B. Gates · Suzanne W. Klein · Sheila H. Akabas · Marian Schawager · Jan Kaelin-Kee

65 citations0/0 files storedPsychiatric Services

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 Psychiatric care and mental health services Mental Health and Patient Involvement

Abstract

OBJECTIVE: This study explored the likelihood of and identified the factors related to securing and sustaining jobs for people with psychiatric disabilities in New York State who received vocational services through an outcomes-based reimbursement program. METHODS: Quantitative and qualitative data were collected over two years to characterize placement and retention through the performance-based contracting demonstration. Seven social service agencies located statewide were contracted by the New York State Office of Mental Health to provide vocational services to people with mental health conditions through the performance-based contracting milestone structure, which established incremental steps toward the goal of sustained integrated competitive employment at which providers were reimbursed. Intake was continuous throughout the demonstration period, from December 2000 to December 2002. Key outcomes included placement in employment, time to placement, and job retention. RESULTS: Data were examined for the 171 participants who were still active in the demonstration at the end of the study period. A total of 108 participants (63 percent) were successful in securing jobs. Among those placed, 79 (73 percent) retained work at the end of the demonstration, a rate comparable to other best-practice models. Factors related to these outcomes included number of provider hours spent assisting consumers weekly, length of time to placement, consumer enrollment in the state's rehabilitation services program, and quality of the jobs developed. CONCLUSIONS: Outcomes funding was associated with successful employment for people with psychiatric disabilities. The performance-based funding structure may encourage providers to work more intensively with consumers early in the placement process, find jobs that consumers want to keep, and coordinate more effectively with the state rehabilitation agency.

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 — 65 citations exist upstream.

References

2001Implementing Supported Employmentas an Evidence-Based Practice 1996The New Hampshire study of supported employment for people with severe mental illness.1999A Randomized Clinical Trial of Supported Employment for Inner-city Patients With Severe Mental Disorders 1998Principles of the Individual Placement and Support model: Empirical support.1995Accelerating entry into supported employment for persons with severe psychiatric disabilities.1999Research on the Individual Placement and Support Model of Supported Employment 1999Associations between outcome measurement, accountability and learning for non‐profit organisations 2003Practices differentiating high-performing from low-performing supported employment programs.

Cited by

2009Mental Illness and the Criminal Justice System 2009Psychological Approaches to Mental Illness 2009Marital Status and Mental Health 2009Well-Being across the Life Course 2015Reasons for job separations in a cohort of workers with psychiatric disabilities

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.