title: Organizational factors differentiating high performing from low performing supported employment programs.
abstract: This study sought to uncover the factors that contributed to differences in competitive employment rates for adults with severe mental illness between high and low performing programs. The five programs with the highest competitive employment rates were compared to the four lowest performing programs. Using qualitative methods, researchers used site visits and in-depth interviews with program directors and supervisors, consumers, and front line staff. Using a combination of constant comparative methods and content analysis, the study found notable and consistent differences between the two groups in administrative practices and the roles of ease managers and therapists. The role of administration has been largely overlooked in the supported work literature yet it may be the administrator's efforts to shape an organizational culture that is the driving force behind the implementation of evidence-based structures and practices.
authors.affiliation: The University of Kansas, School of Social Welfare, Lawrence, 66044-3784, USA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Gowdy
authors.forename: Linda S
authors.initials: LS
authors.lastname: Carlson
authors.forename: Charles A
authors.initials: CA
authors.lastname: Rapp
mesh_terms: D000328:Adult; D019090:Case Management; D003156:Community Mental Health Services / Q000458:organization & administration*; D016832:Employment, Supported / Q000458:organization & administration*; D006302:Health Services Research; D006801:Humans; D007615:Kansas; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D011369:Professional-Patient Relations; D016730:Program Development