Article Details

Research Database: Article Details

Citation:  Bond, G., Becker, D., Baker, S., Carlson, L., Flint, L., Howell, R., Lindsay, S., Moore, M., Reeder, S., & Drake, R. (2007). Critical strategies for implementing supported employment. Journal of Vocational Rehabilitation, 27 (1), 13-20.
Title:  Critical strategies for implementing supported employment
Authors:  Bond, G., Becker, D., Baker, S., Carlson, L., Flint, L., Howell, R., Lindsay, S., Moore, M., Reeder, S., & Drake, R.
Year:  2007
Journal/Publication:  Journal of Vocational Rehabilitation
Publisher:  IOS Press
Full text:    |   PDF   
Peer-reviewed?  No
NIDILRR-funded?  Not reported
Research design:  Case history review

Structured abstract:

Background:  Supported employment is considered to be "the most effective approach to increase work opportunities for people with severe mental illness [3–5]" (p. 13). However, access to Supported Employment services is difficult to obtain.
Purpose:  The paper offers "a review of experiences by six states and the District of Columbia in disseminating an evidence-based practice, supported employment (SE). Each jurisdiction had unique strengths and barriers to overcome to effectively implement supported employment services for people with severe mental illness" (p. 13).
Setting:  "Project leaders from the original six states and the District of Columbia" provided information as to how they were able to increase "access to high-quality SE services in their areas" (p. 13).
Study sample:  Maryland, South Carolina, District of Columbia, Oregon, Vermont, Kansas, Connecticut
Intervention:  Individual Placement and Support (IPS) is a systematic approach to helping people with severe mental illness achieve competitive employment. It is based on eight principles: eligibility based on client choice, focus on competitive employment, integration of mental health and employment services, attention to client preferences, work incentives planning, rapid job search, systematic job development, and individualized job supports. Systematic reviews have concluded that IPS is an evidence-based practice
Control or comparison condition:  Control conditions varied across the studies. Conditions included Group skills training, enhanced vocational rehabilitation, psycho-social rehabilitation, diversified placement, train-place, sheltered workshop, brokered vocational rehabilitation, and traditional vocational services.
Data collection and analysis:  Seven states (including the District of Columbia) reported unique aspects of implementing supported employment. The approach used was similar to that of a case study.
Findings:  "Diverse strategies were used to augment implementation of supported employment services: a) Instituting state-level administrative procedures and reconfiguration of local staffing to enhance collaboration between mental health and vocational rehabilitation; b) Promoting SE services through the media, on-line training, and training by early adopters; c) Hiring benefits specialists; d) Teaching outcome-based supervision; and e) Building capacity for supported employment fidelity reviews" (p. 13).
Conclusions:  "Dissemination of evidenced-based supported employment was enhanced when six states and the District of Columbia addressed special aspects. Supported employment implementation included different pathways to good employment outcomes" (p. 13).

Disabilities served:  Chronic mental illness
Populations served:  Gender: Female and Male
Race: Asian
Race: Black / African American
Race: White / Caucasian
Ethnicity: Hispanic or Latino
Interventions:  Benefits counseling
Individual Placement and Support (IPS) model of supported employment
Supported employment
Vocational rehabilitation
Outcomes:  Employment acquisition