Cognitive training and supported employment for persons with severe mental illness: one-year results from a randomized controlled trial
Abstract
This study examined the effectiveness of cognitive training (the Thinking Skills for Work Program) for improving competitive employment outcomes in persons with severe mental illness who have a history of job failure. Forty-four clients receiving services at 2 inner-city community mental health agencies were randomly assigned (within each site) to receive either cognitive training and supported employment (CT + SE) or supported employment only (SE Only). Retention in the CT + SE program was high (91%). Baseline to 3-month assessments showed significantly greater improvements in neurocognitive functioning, depression, and autistic preoccupation on the Positive and Negative Syndrome Scale for the CT + SE set compared to the SE Only group. Employment outcomes over 1 year showed that clients who received CT + SE were significantly more likely to work (69.6 versus 4.8%, respectively), worked more jobs, worked more hours, and earned more wages than clients with SE Only. The findings provide support for the feasibility of implementing the Thinking Skills for Work Program in the context of supported employment and its beneficial effects on cognitive functioning and competitive employment in persons with severe mental illness.
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An early work by McGurk and colleagues found that cognitive training plus SE outperformed SE alone in percentage of subjects employed.
“They found that CT+SE outperformed SE alone in percentage of subjects employed.”
From Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support (2019) · cites this paper as [64]
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Self-citation
- Authors
- McGurk, S. R.
- Affiliations
- Dartmouth Psychiatric Research Center (US)
- Corresponding author
- McGurk, S. R
- ORCID
- McGurk, S. R
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-09-15
- Volume
- 31
- Issue
- 4
- Pages
- 898-909
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- OpenAlex
- W2121644670
- Cited by
- 374
- References
- 71
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 23 · 2021: 11 · 2020: 21 · 2019: 34 · 2018: 13 · 2017: 16 · 2016: 24 · 2015: 20 · 2014: 31 · 2013: 26 · 2012: 34
- FWCI
- 51.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Bulletin (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Safety Research › Disability Education and Employment
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Keywords
- cognitive training, supported employment
- MeSH terms
- Adult, Cognition Disorders, Depression, Employment, Female, Humans, Male, Mental Health Services, Middle Aged, Schizophrenia, Severity of Illness Index, Vocational Guidance, Treatment Outcome, Urban Health Services
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