Article Details

Research Database: Article Details

Citation:  Schneider, J., Slade, J., Secker, J., Rinaldi, M., Boyce, M., Johnson, R., ... & Grove, B. (2009). SESAMI* study of employment support for people with severe mental health problems: 12-month outcomes. Health & Social Care in the Community, 17 (2), 151-158.
Title:  SESAMI* study of employment support for people with severe mental health problems: 12-month outcomes
Authors:  Schneider, J., Slade, J., Secker, J., Rinaldi, M., Boyce, M., Johnson, R., ... & Grove, B.
Year:  2009
Journal/Publication:  Health & Social Care in the Community
Publisher:  Blackwell Publishing Ltd.
DOI:  https://doi.org/10.1111/j.1365-2524.2008.00810.x
Full text:  http://proxy.library.vcu.edu/login?url=http://onlinelibrary.wiley.c...   
Peer-reviewed?  Yes
NIDILRR-funded?  No
Research design:  Cross-sectional

Structured abstract:

Background:  Individuals with severe mental illness are underrepresented in the workforce in the United Kingdom. A welfare to work policy was implemented. Guidelines recommend using evidenced based practices, the Individual Placement and Support model, to help people with mental health issues with gaining and maintaining work. It is important to understand what is currently going on to improve existing practices.
Purpose:  This study was undertaken to learn about factors associated with successful employment and the impact of work on individuals with mental illness.
Setting:  Six British agencies that specialized in providing services to individuals with mental illness.
Study sample:  One hundred and eighty two individuals with mental health problems participated in the study. Follow up interviews were conducted with 85% of this sample. The majority or 84% were White British or European. Ages ranged from 22 to 67 years with an mean of 42 years. About a third, or 32% reported depression, 25% anxiety, 25% schizophrenia, hallucinations or hearing voices, 14% bipolar and 4% other in response to being asked to describe his or her condition. Fifty five percent of the participants were unemployed, 29% were unemployed, 9% were in work placement and 5% in sheltered work.
Intervention:  The intervention was supported employment in the United Kingdom.
Control or comparison condition:  There was no comparison or control group.
Data collection and analysis:  The study questionnaire included the following measures. The Empowerment Among Users of Mental Health Services Scale;the Herth Hope Index, Perceived obstacles to work; and behaviours indicating nearness to the labour market. This questionnaire was usually completed during an approximately one hour face to face interview. The first was completed at baseline and another at follow up (12 months later).Statistically significant differences were tested. Analysis of variance was also used. SPSS 15.0 was used to analyze all data.
Findings:  Eighty two percent of those working at baseline were employed one year later. Twenty five percent of those individuals who were unemployed were assisted with gaining work during this time. Financial satisfaction and self esteem increased among those who went to work. In addition, there was a tendency to work part-time.
Conclusions:  Those who worked reported multiple benefits. The evidence from this study should inform service planning and the Individual Placement and Support model should be implemented in England.

Disabilities served:  Anxiety disorder
Bi-polar
Depression
Schizophrenia
Populations served:  Gender: Female and Male
Race: Asian
Other
Interventions:  Individual Placement and Support (IPS) model of supported employment