Effects of local unemployment rate on vocational outcomes in a randomized trial of supported employment for individuals with psychiatric disabilities

Judith Α. Cook · Virginia Mulkern · Dennis D. Grey · Jane K. Burke-Miller · Crystal R. Blyler · Lisa A. Razzano +8 more

48 citations0/0 files storedJournal of Vocational Rehabilitation

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Disability Education and Employment Schizophrenia research and treatment Employment and Welfare Studies

Abstract

The purpose of this study was to explore the effects of local unemployment rates on evidence-based supported employment (SE) programs tailored for people with psychiatric disabilities. Participants (n=1,273) from 7 states in the US were randomly assigned to experimental SE or services as usual/comparison conditions and followed for 24 months. Mixed-effects random regression analysis found that both local unemployment rate and study condition were significant predictors of competitive employment and working 40 or more hours per month. An interaction between study condition and unemployment rate was found, in which participants in areas with low unemployment receiving best practice SE had consistently better outcomes than all others. However, even in areas with high unemployment, those who received evidence-based SE had outcomes superior to those in the control condition. This confirms the influence of local labor market forces on individuals with psychiatric disabilities participating in vocational rehabilitation programs. It also suggests that those who are attempting to return to work in areas with weak local economies are likely to fare especially poorly if they are not receiving high quality SE interventions. Thus, use of evidence-based SE can help to ameliorate the effects of high unemployment on work outcomes.

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References

2001Helping people with severe mental illness to obtain work: systematic review 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.2000Vocational Rehabilitation for Persons With Schizophrenia: Recent Research and Implications for Practice 2005Results of a Multisite Randomized Trial of Supported Employment Interventions for Individuals With Severe Mental Illness 2001Sources of Racial Wage Inequality in Metropolitan Labor Markets: Racial, Ethnic, and Gender Differences 2003Employment of People with Disabilities Following the ADA 1995Accelerating entry into supported employment for persons with severe psychiatric disabilities.

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2008RETRACTED ARTICLE: Individual Placement and Support in Europe: The EQOLISE trial 2014The Impact of Job Accommodations on Employment Outcomes Among Individuals With Psychiatric Disabilities 2013State Unemployment Rates and Vocational Rehabilitation Outcomes 2019Do individual and work-related factors differentiate work participation trajectories before and after vocational rehabilitation?

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