This study compares the effectiveness of two important, popular employment models for persons with SMI. One is called the Diversified Placement Approach (DPA), which has evolved over 30 years at Thresholds, a psychiatric rehabilitation agency in Chicago. DPA offers stepwise preparation for competitive employment, including prevocational training, agency-run businesses, group placements, and individual placements, and ultimately movement into independent employment, all available on a flexible, individualized basis without fixed time limits. The second model is a supported employment model developed in New Hampshire, known as Individual Placement and Support (IPS). Key features include: individualized planning with attention to client job preferences, close coordination between rehabilitation and treatment, and rapid job search. Over a two-year period, 180 new admissions will enter the study. Half of the sample will be African American. Participants must express an interest in competitive employment and attend 2 informational group sessions. Participants will be randomly assigned, evaluated thoroughly at baseline, and followed for 2 years. We predict that: (1) IPS clients will obtain more jobs matching their initial preferences, based on the model's primary emphasis. (2) IPS clients will obtain competitive employment more rapidly, will have longer job tenure, and have greater job satisfaction than will DPA clients. (3) Considering all forms of paid employment, DPA will achieve higher rates than IPS clients. (4) Clients who initially have less supportive social networks or who have less work experience will benefit more from DPA than IPS. (5) Clients receiving group placements will feel less isolated in their work environments. Social networks and other nonvocational outcomes also will be examined. The study will also include a cost-effectiveness component that will examine rehabilitation program and treatment costs from a societal perspective.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH059987-05
Application #
6639125
Study Section
Services Research Review Committee (SER)
Program Officer
Juliano-Bult, Denise M
Project Start
1999-05-15
Project End
2005-03-31
Budget Start
2003-04-01
Budget End
2005-03-31
Support Year
5
Fiscal Year
2003
Total Cost
$572,153
Indirect Cost
Name
Indiana University-Purdue University at Indianapolis
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
603007902
City
Indianapolis
State
IN
Country
United States
Zip Code
46202
Bond, Gary R; Drake, Robert E; Campbell, Kikuko (2016) Effectiveness of individual placement and support supported employment for young adults. Early Interv Psychiatry 10:300-7
Bond, Gary R; Campbell, Kikuko; Becker, Deborah R (2013) A test of the occupational matching hypothesis for rehabilitation clients with severe mental illness. J Occup Rehabil 23:261-9
Bond, Gary R; Campbell, Kikuko; Drake, Robert E (2012) Standardizing measures in four domains of employment outcomes for individual placement and support. Psychiatr Serv 63:751-7
Kukla, Marina; Bond, Gary R; Xie, Haiyi (2012) A prospective investigation of work and nonvocational outcomes in adults with severe mental illness. J Nerv Ment Dis 200:214-22
Campbell, Kikuko; Bond, Gary R; Drake, Robert E (2011) Who benefits from supported employment: a meta-analytic study. Schizophr Bull 37:370-80
Mueser, Kim T; Campbell, Kikuko; Drake, Robert E (2011) The Effectiveness of Supported Employment in People With Dual Disorders. J Dual Diagn 7:90-102
McGuire, Alan B; Bond, Gary R; Clendenning, Daniel R et al. (2011) Service intensity as a predictor of competitive employment in an individual placement and support model. Psychiatr Serv 62:1066-72
Kukla, Marina; Bond, Gary R (2009) The working alliance and employment outcomes for people with severe mental illness enrolled in vocational programs. Rehabil Psychol 54:157-63
Harding, Brian; Torres-Harding, Susan; Bond, Gary R et al. (2008) Factors associated with early attrition from psychosocial rehabilitation programs. Community Ment Health J 44:283-8
Fraser, Virginia V; Jones, Amanda M; Frounfelker, Rochelle et al. (2008) VR closure rates for two vocational models. Psychiatr Rehabil J 31:332-9

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