Client Predictors of Employment Outcomes in High-Fidelity Supported Employment: A Regression Analysis
Abstract
Research on vocational rehabilitation for clients with severe mental illness over the past 2 decades has yielded inconsistent findings regarding client factors statistically related to employment. The present study aimed to elucidate the relationship between baseline client characteristics and competitive employment outcomes-job acquisition and total weeks worked during an 18-month follow-up-in Individual Placement and Support (IPS). Data from 4 recent randomized controlled trials of IPS were aggregated for within-group regression analyses. In the IPS sample (N = 307), work history was the only significant predictor for job acquisition, but receiving Supplemental Security Income-with or without Social Security Disability Insurance-was associated with fewer total weeks worked (2.0%-2.8% of the variance). In the comparison sample (N = 374), clients with a diagnosis of mood disorder or with less severe thought disorder symptoms were more likely to obtain competitive employment. The findings confirm that clients with severe mental illness interested in competitive work best benefit from high-fidelity supported employment regardless of their work history and sociodemographic and clinical background, and highlight the needs for changes in federal policies for disability income support and insurance regulations.
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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 [18]
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- Authors
- Campbell, K., Bond, G. R., Drake, R. E., McHugo, G. J., & Xie, H.
- Affiliations
- Indiana University – Purdue University Indianapolis (US)
- Dartmouth College (US)
- Dartmouth Psychiatric Research Center (US)
- Corresponding author
- Campbell, Kikuko
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2010-08
- Volume
- 198
- Issue
- 8
- Pages
- 556-563
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2017687902
- Cited by
- 85
- References
- 57
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 4 · 2022: 8 · 2021: 6 · 2020: 5 · 2019: 6 · 2018: 9 · 2017: 7 · 2016: 4 · 2015: 5 · 2014: 8 · 2013: 7 · 2012: 7
- FWCI
- 14.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k02mh000839-10, 5r18mh047650-03, 5k02mh000842-10)
- U.S. Public Health Service (H133G990155)
- National Institute of Mental Health (MH-00842, MH-56147, MH-00839, MH 51346, MH-47650, R24MH056147)
- 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
- Individual Placement and Support, supported employment, severe mental illness, vocational rehabilitation, competitive employment, job acquisition, work history, Supplemental Security Income, Social Security Disability Insurance, mood disorders
- MeSH terms
- Adult, Mental Disorders, Competitive Behavior, Disability Evaluation, Employment, Follow-Up Studies, Humans, Income, Probability, Psychiatric Status Rating Scales, Public Policy, Regression Analysis, Rehabilitation, Vocational, Severity of Illness Index, Social Security, United States, Randomized Controlled Trials as Topic, Employment, Supported, Insurance, Disability, Intention to Treat Analysis
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