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The Hartford Study of Supported Employment for Persons With Severe Mental Illness.
Abstract
The authors compared 3 approaches to vocational rehabilitation for severe mental illness (SMI): the individual placement and support (IPS) model of supported employment, a psychosocial rehabilitation (PSR) program, and standard services. Two hundred four unemployed clients (46% African American, 30% Latino) with SMI were randomly assigned to IPS, PSR, or standard services and followed for 2 years. Clients in IPS had significantly better employment outcomes than clients in PSR and standard services, including more competitive work (73.9% vs. 18.2% vs. 27.5%, respectively) and any paid work (73.9% vs. 34.8% vs. 53.6%, respectively). There were few differences in nonvocational outcomes between programs. IPS is a more effective model than PSR or standard brokered vocational services for improving employment outcomes in clients with SMI.
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“The demographic profile of this present study is similar to other IPS studies [63, 72–76] in that it does not represent the SMI population.”
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 [74]
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Self-citation
Metadata
- Authors
- Mueser, K. T., Clark, R. E., Haines, M., Drake, R. E., McHugo, G. J., Bond, G. R., Essock, S. M., Becker, D. R., Wolfe, R., & Swain, K.
- Affiliations
- Dartmouth Psychiatric Research Center (US)
- Indiana University – Purdue University Indianapolis (US)
- Icahn School of Medicine at Mount Sinai (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2004-06
- Volume
- 72
- Issue
- 3
- Pages
- 479-490
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2000466950
- Cited by
- 289
- References
- 79
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 13 · 2020: 10 · 2019: 7 · 2018: 8 · 2017: 45 · 2016: 12 · 2015: 2 · 2014: 17 · 2013: 13 · 2012: 13
- FWCI
- 60.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Funders
- National Institutes of Health (5k02mh000842-10)
- National Institute of Mental Health (MH-00842, MH-56147, R24MH056147)
- Topics
- Social Sciences › Education › Disability Education and Employment
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Employment and Welfare Studies
- Keywords
- severe mental illness, supported employment, Individual Placement and Support, psychosocial rehabilitation, vocational rehabilitation, employment effects, competitive employment, unemployed people, African American clients, Latino clients
- MeSH terms
- Adult, Mental Disorders, Female, Humans, Male, Severity of Illness Index, Employment, Supported, Diagnostic and Statistical Manual of Mental Disorders
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