The Hartford study of supported employment for persons with severe mental illness.
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.
New Hampshire-Dartmouth Psychiatric Research Center, Dartmouth Medical School, Concord 03301, USA. kim.t.mueser@dartmouth.edu
Kim T
KT
Mueser
Robin E
RE
Clark
Michael
M
Haines
Robert E
RE
Drake
Gregory J
GJ
McHugo
Gary R
GR
Bond
Susan M
SM
Essock
Deborah R
DR
Becker
Rosemarie
R
Wolfe
Karin
K
Swain
D000328:Adult; D039721:Diagnostic and Statistical Manual of Mental Disorders; D016832:Employment, Supported; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology*; D012720:Severity of Illness Index