IMPACT OF PUBLIC SUPPORT PAYMENTS, INTENSIVE PSYCHIATRIC COMMUNITY CARE, AND PROGRAM FIDELITY ON EMPLOYMENT OUTCOMES FOR PEOPLE WITH SEVERE MENTAL ILLNESS

Sandra G. Resnick · Michael S. Neale · Robert Alan Rosenheck

36 citations0/0 files storedThe Journal of Nervous and Mental Disease

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Disability Education and Employment Schizophrenia research and treatment Psychiatric care and mental health services

Abstract

This study explored the relationship of public support payments, intensive psychiatric community care (IPCC), and fidelity of implementation to 1-year employment outcomes for 520 veterans with severe mental illness (SMI) in a clinical trial of IPCC. At study entry, 455 (87.5%) participants received public support. At 1 year, 46 (8.8%) participants met criteria to be classified as workers. A multivariate analysis indicated that baseline public support was significantly associated with a lower likelihood of employment, and baseline work was positively associated with employment at 1 year. IPCC patients were three times more likely to be working than control subjects, and a significant interaction favored well-implemented IPCC programs over others. This study points out not only the inhibiting effect of public support payment on employment but also the value of IPCC and the special importance of fidelity to program models for employment for people with SMI.

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1976The Global Assessment Scale 1998Models of Community Care for Severe Mental Illness: A Review of Research on Case Management 2001Implementing Supported Employmentas an Evidence-Based Practice 2001Assertive Community Treatment for People with Severe Mental Illness 1998Program fidelity in assertive community treatment: Development and use of a measure.2001Does competitive employment improve nonvocational outcomes for people with severe mental illness?1997Work and Nonvocational Domains of Functioning in Persons with Severe Mental Illness: A Longitudinal Analysis 1984Predicting the vocational capacity of the chronically mentally ill: Research and policy implications.

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