Article Details

Research Database: Article Details

Citation:  Becker, D.R., Bond, G.R., McCarthy, D., Thompson, D., Xie, H., McHugo, G.J., & Drake, R.E. (2001). Converting day treatment centers to supported employment programs in Rhode Island. Psychiatric Services, 52 (3), 351-357.
Title:  Converting day treatment centers to supported employment programs in Rhode Island
Authors:  Becker, D.R., Bond, G.R., McCarthy, D., Thompson, D., Xie, H., McHugo, G.J., & Drake, R.E.
Year:  2001
Journal/Publication:  Psychiatric Services
Publisher:  American Psychiatric Association
Full text:    |   PDF   
Peer-reviewed?  Yes
NIDILRR-funded?  Yes
Research design:  Mixed methods

Structured abstract:

Background:  Day treatment centers were originally designed to provide "partial hospitalization" for patients with serious mental disorders who required intensive, comprehensive, and multidisciplinary treatment that was unavailable in an outpatient setting. These programs began to develop rehabilitative services, rather than "hospital diversion". However, research indicates that these centers do not assist clients in obtaining jobs in the community. Because of the expense involved in maintaining these centers, they are coming under closer scrutiny. As such, several day treatment centers were successfully converted to supported employment programs.
Purpose:  The intent of the the study was to determine if phasing out day treatment centers in support of supported employment and other activities can be implemented statewide.
Setting:  Three community day care treatment centers in Rhode Island participated in the study. Two were converted to supported employment programs, while the third remained a day treatment center until after the study was complete, for comparison purposes.
Study sample:  The study sample include 28 day treatment clients with severe mental illness in three community mental health centers.
Intervention:  The intervention related to conversion of two day treatment centers to ones offering supported employment services.
Control or comparison condition:  One of the centers remained as a rehabilitative day center.
Data collection and analysis:  "Participants were assessed at baseline and again at follow-up 30 to 36 months later; follow-up for clients in the converted programs took place 18 months after the conversion was completed. An independent research team conducted the interviews and evaluation." (p. 352)
Findings:  "Former day treatment clients in the converted centers attained higher rates of competitive employment than those in the comparison group (44.2 percent and 56.7 percent versus 19.5 percent). Other employment outcomes also improved, and hospitalization rates and overall social functioning were unchanged." (p. 351)
Conclusions:  "This study supports findings of previous studies suggesting that replacing rehabilitative day treatment programs with supported employment programs yields improvements in employment outcomes without adverse effects." (p. 351)

Disabilities served:  Chronic mental illness
Populations served:  Gender: Female and Male
Race: Asian
Race: Black / African American
Race: White / Caucasian
Ethnicity: Not Hispanic or Latino
Interventions:  Benefits counseling
Career counseling
Individual Placement and Support (IPS) model of supported employment
Supported employment
Vocational assessment
Outcomes:  Employment acquisition
Return to work