Article Details

Research Database: Article Details

Citation:  Bond, G. R., Salyers, M. P., Dincin, J., Drake, R. E., Becker, D. R., Fraser, V. V., & Haines, M. (2007). A randomized controlled trial comparing two vocational models for persons with severe mental illness. Journal of Consulting and Clinical Psychology, 75 (6), 968-982.
Title:  A randomized controlled trial comparing two vocational models for persons with severe mental illness
Authors:  Bond, G. R., Salyers, M. P., Dincin, J., Drake, R. E., Becker, D. R., Fraser, V. V., & Haines, M.
Year:  2007
Journal/Publication:  Journal of Consulting and Clinical Psychology
Publisher:  The American Psychological Association
DOI:  https://doi.org/10.1037/0022-006X.75.6.968
Full text:  http://proxy.library.vcu.edu/login?url=http://psycnet.apa.org/journ...   
Peer-reviewed?  Yes
NIDILRR-funded?  No
Research design:  Randomized controlled trial

Structured abstract:

Background:  Most individuals with severe mental illness (SMI) express a desire to work in competitive jobs, defined as regular community jobs, with nondisabled coworkers, paying minimum wage or higher (McQuilken et al., 2003). Yet surveys typically have found competitive employment rates of 15% or less in this population (Rosenheck et al., 2006; Salkever et al., 2007)pg. 968
Purpose:  The purpose of this study was to compare two vocational rehabilitation models for individuals with severe mental illness. The Individual Placement and Support (IPS)model of supported employment and the Diversified Placement Approach (DPA)were reviewed and compared.
Setting:  This report examined vocational outcomes for clients enrolled in Thresholds, a large psychiatric rehabilitation agency in Chicago, IL.
Study sample:  The sample was 187 clients with severe mental illness.
Intervention:  Employment services were provided. Clients were assigned to either the IPS or DPA group.
Control or comparison condition:  Clients were assigned to one of two groups (IPS or DPA) for employment services.
Data collection and analysis:  Data were obtained through participant interviews, chart review,information from staff and agency records, direct queries to Thresholds staff (to corroborate other data sources), Medicaid claims, and hospital discharge forms. Participants were interviewed quarterly regarding their employment outcomes using an adapted version of the Vocational Update Form (Drake, McHugo, et al., 199). pg 972
Findings:  IPS had significantly better competitive employment outcomes than DPA. Competitive employment rates over the 2-year followup were 75.0% for IPS and 33.7% for DPA. However, IPS and DPA did not differ on paid employment outcomes.
Conclusions:  The authors conclude that IPS is more effective than DPA in achieving competitive employment, but not paid employment.

Disabilities served:  Chronic mental illness
Populations served:  Gender: Female and Male
Interventions:  Individual Placement and Support (IPS) model of supported employment
Other
Outcomes:  Employment acquisition
Full-time employment
Part-time employment