Outcomes of Supported Employment for Individuals with Severe Mental Illness

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Title: Outcomes of Supported Employment for Individuals with Severe Mental Illness
Author: Pursley, Matthew Ray
Abstract: Individuals with severe mental illnesses such as severe Major Depressive Disorder , Bipolar I Disorder , Schizophrenia , and Schizoaffective Disorder face heavy barriers to employment , including the symptoms of the disorders themselves , medication side effects , and stigma and misconceptions about mental illness from coworkers and employers . Consistent employment has a strong positive impact on recovery prognosis for the severely mentally ill , but up to 90 % are unemployed in spite of their own desire for competitive employment and the presence of federal legislation and incentive programs intended to reduce unemployment in this population . Literature shows that access to and participation in supported employment services is the most powerful predictor of competitive employment for those with severe mental illness , but the presence of differing models of rehabilitation contributes to inconsistent levels of service and results . The medical model and the recovery model are two of the most popular and widespread models of rehabilitation currently in use . Research comparing these models is necessary to determine which is more effective at helping the mentally ill achieve and maintain competitive employment . This thesis reviews relevant literature and presents a research design for a nonequivalent group study inspired by the Metroplex Employment Model , comparing the outcomes of the medical model of rehabilitation and placement with those of supported employment within the recovery model of rehabilitation . The goal is to determine which service format provides the desired results (prompt and sustained employment ) more efficiently and consistently , making process -based and outcomes -based program evaluation a vital part of the design . Samples of program evaluation forms can be found in the Appendix . It is hypothesized that supported employment services following a biopsychosocial , recovery -based model will result in consumers with severe mental illness attaining employment significantly more quickly and sustaining it for longer than rehabilitation services that follow the traditional medical model . Following the literature review and basic design , there is discussion of the importance and implications of the results of such a study , potential improvements upon the design , and variations on how the data may be computed .
URI: http : / /hdl .handle .net /2152 .5 /952
Date: 2011-12-14


Outcomes of Supported Employment for Individuals with Severe Mental Illness. Graduate School of Biomedical Sciences. Available electronically from http : / /hdl .handle .net /2152 .5 /952 .

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