Article Details

Research Database: Article Details

Citation:  Gewurtz, R. E., Cott, C., Rush, B., & Kirsh, B. (2015). How does outcome-based funding affect service delivery? an analysis of consequences within employment services for people living with serious mental illness. Administration and Policy in Mental Health and Mental Health Services Research, 42 (1), 19-28.
Title:  How does outcome-based funding affect service delivery? an analysis of consequences within employment services for people living with serious mental illness
Authors:  Gewurtz, R. E., Cott, C., Rush, B., & Kirsh, B.
Year:  2015
Journal/Publication:  Administration and Policy in Mental Health and Mental Health Services Research
Publisher:  Springer Science & Business Media
DOI:  https://doi.org/10.1007/s10488-014-0534-8
Full text:  https://search.proquest.com/docview/1642137285?pq-origsite=summon&a...   
Peer-reviewed?  Yes
NIDILRR-funded?  No

Structured abstract:

Background:  While the premise of outcome-based funding appears sound, there is a need to more fully understand the impact of such arrangements on services.
Purpose:  To While the premise of outcome-based funding appears sound, there is a need to more fully understand the impact of such arrangements on services.
Setting:  Disability support program in Ontario, Canada
Data collection and analysis:  Interpretive approach to qualitative research
Findings:  Financial imperative for programs to meet employment targets in order to secure their funding has shifted the focus away from the provision of pre-employment supports to job development and job placements. However, there remains little attention to job matching and career development, and there is concern about access to services among those with complex barriers to employment.
Conclusions:  There is a need to reconcile tensions between the goals of outcome-based funding and on-the-ground service delivery to promote ongoing innovation in employment services for people with serious mental illness.

Disabilities served:  Multiple disabilities
Populations served:  Persons with multiple disabilities (e.g., deaf-blindness, HIV/AIDS, substance abuse)
Interventions:  Supported employment
Outcomes:  Employment acquisition
Return to work