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Research on the Individual Placement and Support Model of Supported Employment

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Abstract

This paper reviews research on the Individual Placement and Support (IPS) model of supported employment for people with severe mental illness. Current evidence indicates that IPS supported employment is a more effective approach for helping people with psychiatric disabilities to find and maintain competitive employment than rehabilitative day programs or than traditional, stepwise approaches to vocational rehabilitation. There is no evidence that the rapid-job-search, high-expectations approach of IPS produces untoward side effects. IPS positively affects satisfaction with finances and vocational services, but probably has minimal impact on clinical adjustment. The cost of IPS is similar to the costs of other vocational services, and cost reductions may occur when IPS displaces traditional day treatment programs. Future research should be directed at efforts to enhance job tenure and long-term vocational careers.

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REFERENCES

  1. Wehman P, Moon MS: Vocational Rehabilitation and Supported Employment. Baltimore, Paul Brookes, 1984.

    Google Scholar 

  2. Federal Register. Washington, DC, U.S. Government Printing Office, 1987, August 14 (amended 1992, June 24).

  3. Rogers ES, Walsh D, Masotta L, et al: Massachusetts survey of client preferences for community support services. Final report. Boston, Center for Psychiatric Rehabilitation, 1991.

    Google Scholar 

  4. Bond GR: Vocational rehabilitation, in Handbook of Psychiatric Rehabilitation. Edited by Liberman RP. New York, Macmillan, 1992.

    Google Scholar 

  5. Lehman AF: Vocational rehabilitation in schizophrenia. Schizophrenia Bulletin 21:645–656, 1996.

    Google Scholar 

  6. McGurrin MC: An overview of the effectiveness of traditional vocational rehabilitation services in the treatment of long term mental illness. Psychosocial Rehabilitation Journal 17(3):37–54, 1994.

    Google Scholar 

  7. Bond GR, Drake RE, Mueser KT, et al: An update on supported employment for people with severe mental illness. Psychiatric Services 48:335–346, 1997.

    Google Scholar 

  8. Drake RE, Fox TS, Leather PK, et al: Regional variation in competitive employment for persons with severe mental illness. Administration and Policy in Mental Health 25:493–504, 1998.

    Google Scholar 

  9. Becker DR, Drake RE: Individual Placement and Support: A community mental health center approach to vocational rehabilitation. Community Mental Health Journal 45:487–489, 1994.

    Google Scholar 

  10. Bond GR: Principles of the Individual Placement and Support model: Empirical support. Psychiatric Rehabilitation Journal 22:11–23, 1998.

    Google Scholar 

  11. Becker DR, Drake RE: A Working Life. Concord, NH, New Hampshire-Dartmouth Psychiatric Research Center, 1993.

    Google Scholar 

  12. Bond GR, Becker DR, Drake RE, et al: A fidelity scale for the Individual Placement and Support model of supported employment. Rehabilitation Counseling Bulletin 40:265–284, 1997.

    Google Scholar 

  13. Becker DR, Torrey WC, Toscano R, et al: Building recovery-oriented services: Lessons learned from implementing IPS in community mental health centers. Psychiatric Rehabilitation Journal 22:51–54, 1998.

    Google Scholar 

  14. Drake RE, Becker DR, Biesanz JC, et al: Rehabilitative day treatment vs. supported employment: I. Vocational outcomes. Community Mental Health Journal 30:519–532, 1994.

    Google Scholar 

  15. Torrey WC, Becker DR, Drake RE: Rehabilitative day treatment vs. supported employment: II. Consumer, family and staff reactions to a program change. Psychosocial Rehabilitation Journal 18:67–75, 1995.

    Google Scholar 

  16. Drake RE, Becker DR, Biesanz JC, et al: Day treatment versus supported employment for persons with severe mental illness: A replication study. Psychiatric Services 47:473–475, 1996.

    Google Scholar 

  17. Bailey EL, Ricketts SK, Becker DR, et al: Do long-term day treatment clients benefit from supported employment? Psychiatric Rehabilitation Journal 22:24–29, 1998.

    Google Scholar 

  18. McCarthy D, Thompson D, Olson S: Planning a statewide project to convert day treatment to supported employment. Psychiatric Rehabilitation Journal 22:30–33, 1998.

    Google Scholar 

  19. Drake RE, McHugo GM, Becker DR, et al: The New Hampshire study of supported employment for people with severe mental illness. Journal of Consulting and Clinical Psychology 64:391–399, 1996.

    Google Scholar 

  20. Drake RE, McHugo GM, Bebout RR, et al: A randomized clinical trial of supported employment for inner-city patients with severe mental illness. Archives of General Psychiatry 56:627–633, 1999.

    Google Scholar 

  21. Carey MA: The Employment Demonstration Project. Community Support News 11(3):1, 1996.

    Google Scholar 

  22. Chandler D, Meisel J, Hu T et al: A capitated model for a cross-section of severely mentally ill clients: Employment outcomes. Community Mental Health Journal 33:501–516, 1997.

    Google Scholar 

  23. McFarlane WR, Stastny P, Deakins S, et al. Employment outcomes in family-aided assertive community treatment (FACT). Presented at the Institute on Psychiatric Services, Boston, Oct 6–10, 1995.

  24. Test MA, Allness DJ, Knoedler WH: Impact of seven years of assertive community treatment. Presented at the Institute on Psychiatric Services, Boston, Oct 6–10, 1995.

  25. Bond GR, Dincin J: Accelerating entry into transitional employment in a psychosocial rehabilitation agency. Rehabilitation Psychology 31:143–155, 1986.

    Google Scholar 

  26. Bond GR, Dietzen LL, McGrew JH, et al: Accelerating entry into supported employment for persons with severe psychiatric disabilities. Rehabilitation Psychology 40:91–111, 1995.

    Google Scholar 

  27. Shafer MS, Huang HW: The utilization of survival analysis to evaluate supported employment services. Journal of Vocational Rehabilitation 5:103–113, 1995.

    Google Scholar 

  28. Scheid TL, Anderson C: Living with chronic mental illness: Understanding the role of work. Community Mental Health Journal 31:163–176, 1995.

    Google Scholar 

  29. Bell MD, Milstein RM, Lysaker PH: Pay as an incentive in work participation by patients with severe mental illness. Hospital and Community Psychiatry 44:684–686, 1993.

    Google Scholar 

  30. Brekke JS, Levin S, Wolkon GH, et al: Psychosocial functioning and subjective experience in schizophrenia. Schizophrenia Bulletin 19:599–608, 1993.

    Google Scholar 

  31. Torrey WC, Mead S, Ross G: Addressing the social needs of mental health consumers when day treatment programs convert to supported employment: Can consumer-run services play a role? Psychiatric Rehabilitation Journal 22:73–75, 1998.

    Google Scholar 

  32. Mueser KT, Becker DR, Torrey WC, et al: Work and nonvocational domains of functioning in persons with severe mental illness. Journal of Nervous and Mental Disease 185:419–426, 1997.

    Google Scholar 

  33. Mueser KT, Drake RE, Bond GR: Recent advances in psychiatric rehabilitation. Harvard Review of Psychiatry 5:123–137, 1997.

    Google Scholar 

  34. Clark RE: Supported employment and managed care: Can they coexist? Psychiatric Rehabilitation Journal 22:62–68, 1998.

    Google Scholar 

  35. Clark RE, Bush PW, Becker DR, et al: A cost-effectiveness comparison of supported employment and rehabilitative day treatment. Administration and Policy in Mental Health 24:63–77, 1996.

    Google Scholar 

  36. Clark RE, Xie H, Becker DR, et al: Benefits and costs of supported employment. Journal of Behavioral Health Services and Research 25:22–34, 1998.

    Google Scholar 

  37. Becker DR, Drake RE, Bond GR, et al: Job terminations among persons with severe mental illness participating in supported employment. Community Mental Health Journal 34:71–82, 1998.

    Google Scholar 

  38. McHugo GJ, Drake RE, Becker DR: The durability of supported employment effects. Psychiatric Rehabilitation Journal 22:55–61, 1998.

    Google Scholar 

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Authors
  1. Robert E. Drake
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  2. Deborah R. Becker
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  3. Robin E. Clark
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  4. Kim T. Mueser
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Drake, R.E., Becker, D.R., Clark, R.E. et al. Research on the Individual Placement and Support Model of Supported Employment. Psychiatr Q 70, 289–301 (1999). https://doi.org/10.1023/A:1022086131916

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