Benefits and costs of supported employment from three perspectives
Abstract
Administrators, consumers, and policy makers are increasingly interested in supported employment as a way of helping persons with severe mental illness get and keep competitive jobs. However, in an atmosphere of increased expectations for performance and declining public financing, administrators want to know the costs and benefits of different approaches before they reallocate scarce treatment or rehabilitative dollars. This article discusses the net benefits of two approaches to supported employment that were compared in a randomized trial: Individual Placement and Support (IPS) and Group Skills Training (GST). The authors analyze costs and benefits from societal, government, and consumer perspectives. Although a previous analysis showed that IPS participants were significantly more likely to find work, worked more hours, and had higher earnings, net benefits of the two programs were not significantly different. The authors also discuss some of the strengths and weaknesses of cost-benefit analysis in mental health care and suggest future directions for policy and research.
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Secondary outcomes for people with disabilities included improved quality of life, enhanced self-confidence, a source of earnings or income, an expanded social network, and a sense of community.
“Secondary outcomes included benefits for people with disabilities themselves such as improved quality of life [53], enhanced self-confidence [18,74,75,77], a source of earnings or income [78,79], an expanded social network [79], and a sense of a community [79].”
From A Systematic Review of the Benefits of Hiring People with Disabilities (2018) · cites this paper as [77]
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A Systematic Review of the Benefits of Hiring People with Disabilities
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- Authors
- Clark, R. E., Xie, H., Becker, D. R., & Drake, R. E.
- Affiliations
- Dartmouth College (US)
- Dartmouth Psychiatric Research Center (US)
- Corresponding author
- Clark, Robin E.
- Venue
- The Journal of Behavioral Health Services & Research
- Published
- 1998-02
- Volume
- 25
- Issue
- 1
- Pages
- 22-34
- ISSN
- 1094-3412 (ISSN-L)
- 1556-3308
- OpenAlex
- W2008795672
- Cited by
- 80
- References
- 34
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 2 · 2013: 5 · 2012: 2
- FWCI
- 6.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- The Journal of Behavioral Health Services & Research (publishedVersion)
- PubMed (publishedVersion)
- eScholarship@UMassChan (submittedVersion)
- Funders
- Healthway
- National Institutes of Health (5k02mh000839-10, 5r18mh047650-03)
- Substance Abuse and Mental Health Services Administration
- National Institute of Mental Health (MH-00839, MH-47650)
- Topics
- Social Sciences › Safety Research › Disability Education and Employment
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- supported employment, severe mental illness, Individual Placement and Support, group skills training, cost-benefit analysis, societal perspective, government perspective, customer perspective, employment effects, earnings, mental health policy
- MeSH terms
- Adult, Cost-Benefit Analysis, Female, Humans, Male, Middle Aged, Rehabilitation, Vocational, Vocational Education, Employment, Supported, Persons with Intellectual Disabilities, Persons with Mental Disabilities
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