title: Clinical factors associated with employment among people with severe mental illness: findings from the employment intervention demonstration program.
abstract: Research has shown that supported employment programs are effective in helping psychiatric outpatients achieve vocational outcomes, yet not all program participants are able to realize their employment goals. This study used 24 months of longitudinal data from a multisite study of supported employment interventions to examine the relationship of patient clinical factors to employment outcomes. Multivariate random regression analysis indicated that, even when controlling for an extensive series of demographic, study condition (experimental versus control), and work history covariates, clinical factors were associated with individuals' ability to achieve competitive jobs and to work 40 or more hours per month. Poor self-rated functioning, negative psychiatric symptoms, and recent hospitalizations were most consistently associated with failure to achieve these employment outcomes. These findings suggest ways that providers can tailor supported employment programs to achieve success with a diverse array of clinical subpopulations.
authors.affiliation: Center on Mental Health Services Research and Policy, Department of Psychiatry, University of Illinois at Chicago, Chicago, Illinois 60603, USA.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Razzano
authors.forename: Judith A
authors.initials: JA
authors.lastname: Cook
authors.forename: Jane K
authors.initials: JK
authors.lastname: Burke-Miller
authors.forename: Kim T
authors.initials: KT
authors.lastname: Mueser
authors.forename: Susan A
authors.initials: SA
authors.lastname: Pickett-Schenk
authors.forename: Dennis D
authors.initials: DD
authors.lastname: Grey
authors.forename: Richard W
authors.initials: RW
authors.lastname: Goldberg
authors.forename: Crystal R
authors.initials: CR
authors.lastname: Blyler
authors.forename: Paul B
authors.initials: PB
authors.lastname: Gold
authors.forename: H Stephen
authors.initials: HS
authors.lastname: Leff
authors.forename: Anthony F
authors.initials: AF
authors.lastname: Lehman
authors.forename: Michael S
authors.initials: MS
authors.lastname: Shafer
authors.forename: Laura E
authors.initials: LE
authors.lastname: Blankertz
authors.forename: William R
authors.initials: WR
authors.lastname: McFarlane
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Toprac
authors.forename: Martha
authors.initials: M
authors.lastname: Ann Carey
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016832:Employment, Supported / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D012050:Rehabilitation, Vocational; D012720:Severity of Illness Index; D014938:Work Capacity Evaluation; D016526:Workload