Job Acquisition for People with Severe Mental Illness Enrolled in Supported Employment Programs: A Theoretically Grounded Empirical Study
Abstract
Introduction The main purpose of this study was to test a conceptual model based on the theory of planned behaviour (TPB) to explain competitive job acquisition of people with severe mental disorders enrolled in supported employment programs.Methods Using a sample of 281 people with severe mental disorders participating in a prospective study design, the authors examined the contribution of the TPB in a model including clinical (e.g., severity of symptoms), psychosocial (e.g., self-esteem) and work related variables (e.g., length of time absent from the workplace) as predictors of job acquisition. Path analyses were used to test two conceptual models: (1) the model of job acquisition for people with mental illness adapted from the TPB, and (2) the extended TPB including clinical, psychosocial, and work related variables recognized in the literature as significant determinants of competitive employment.Results Findings revealed that both models presented good fit indices. In total, individual factors predicted 26% of the variance in job search behaviours (behavioural actions). However, client characteristics explained only 8% of variance in work outcomes, suggesting that environmental variables (e.g., stigma towards mental disorders) play an important role in predicting job acquisition. About 56% (N = 157) of our sample obtained competitive employment.Conclusion Results suggest that employment specialists can be guided in their interventions by the concepts found in the extended model of work integration since most of these are modifiable, such as perceived barriers to employment, self-efficacy, and self-esteem.
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Psychosocial variables such as strong work ethic, expressed desire to work, maintain habits, self-esteem, self-efficacy, and work history have been identified as predictive of success in return to employment or education.
“Psychosocial variables such as a strong work ethic [25–27], expressed desire to work [28–30], maintain habits [19, 31] and self-esteem, self-efficacy [19, 32–34] and work history [15, 35] have also been investigated and identified as predictive of success in return to employment or education.”
From An enhanced individual placement and support (iPS) intervention based on the model of human occupation (MOHO); a prospective cohort study (2020) · cites this paper as [19]
Demographic factors alone are not sufficient to predict attainment of employment goals for people with SMI.
“Studies examining predictors of success have identified that demographic factors alone are not sufficient to predict attainment of employment goals for people with SMI [18, 19].”
From An enhanced individual placement and support (iPS) intervention based on the model of human occupation (MOHO); a prospective cohort study (2020) · cites this paper as [19]
Recency is relevant to the predictive nature of employment history.
“However, recency is relevant to the predictive nature of employment history [19, 78].”
From An enhanced individual placement and support (iPS) intervention based on the model of human occupation (MOHO); a prospective cohort study (2020) · cites this paper as [19]
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- Authors
- Corbière, M., Zaniboni, S., Lecomte, T., Bond, G., Gilles, P.-Y., Lesage, A., & Goldner, E.
- Affiliations
- Université de Sherbrooke (CA)
- University of Trento (IT)
- Université de Montréal (CA)
- Dartmouth Psychiatric Research Center (US)
- Aix-Marseille Université (FR)
- Institut universitaire en santé mentale de Montréal (CA)
- Simon Fraser University (CA)
- Corresponding author
- Corbière, Marc
- Venue
- Journal of Occupational Rehabilitation
- Published
- 2011-06-09
- Volume
- 21
- Issue
- 3
- Pages
- 342-354
- ISSN
- 1053-0487 (ISSN-L)
- 1573-3688
- OpenAlex
- W2020730049
- Cited by
- 120
- References
- 79
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 6 · 2023: 9 · 2022: 7 · 2021: 11 · 2020: 14 · 2019: 6 · 2018: 8 · 2017: 11 · 2016: 8 · 2015: 6 · 2014: 15 · 2013: 9 · 2012: 4
- FWCI
- 24.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Occupational Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
- Iris (University of Trento) (submittedVersion)
- Virtual Community of Pathological Anatomy (University of Castilla La Mancha) (submittedVersion)
- Funders
- Michael Smith Health Research BC
- Canadian Institutes of Health Research
- Topics
- Social Sciences › Safety Research › Disability Education and Employment
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Keywords
- job acquisition, severe mental illness, supported employment, theory of planned behavior, competitive employment, job search behavior, self-esteem, self-efficacy, stigma, work integration, barriers to employment, absenteeism
- MeSH terms
- Adult, Attitude, Behavior, Mental Disorders, Employment, Female, Humans, Male, Middle Aged, Models, Psychological, Motivation, Prospective Studies, Severity of Illness Index, Social Support, Time Factors, Self Efficacy, Social Stigma
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