title: Organizational analysis of Canadian supported employment programs for people with psychiatric disabilities.
abstract: Supported employment (SE) is widely considered to be the most effective intervention for helping people with psychiatric disabilities integrate into the competitive workforce. While fidelity to principles and standards of evidence-based SE, i.e., the Individual Placement and Support model, is positively associated with vocational outcomes, studies have revealed significant heterogeneity in SE programs implemented in Canada. This qualitative study thus aimed to shed light on organizational and contextual factors influencing SE implementation in three Canadian provinces (British Columbia, Ontario and Quebec). The study adopted several key concepts from the field of organizational studies (e.g., coalitions, archetypes, isomorphism) to guide data collection and analysis. Overall, 20 SE programs provided by 15 different agencies were examined. Findings revealed that agencies' exposure to different institutional pressures, their interactions and relationships with other groups and organizations, as well as their values, beliefs and ideologies played determining roles in shaping the evolution of SE services in each province.
authors.affiliation: Laval University, Social and Preventive Medicine, Pavillon Ferdinand-Vandry, 1050 avenue de la Médecine, Local 2443, Québec, Canada G1V 0A6.
authors.forename: Matthew
authors.initials: M
authors.lastname: Menear
authors.forename: Daniel
authors.initials: D
authors.lastname: Reinharz
authors.forename: Marc
authors.initials: M
authors.lastname: Corbière
authors.forename: Nathalie
authors.initials: N
authors.lastname: Houle
authors.forename: Nathalie
authors.initials: N
authors.lastname: Lanctôt
authors.forename: Paula
authors.initials: P
authors.lastname: Goering
authors.forename: Elliot M
authors.initials: EM
authors.lastname: Goldner
authors.forename: Bonnie
authors.initials: B
authors.lastname: Kirsh
authors.forename: Tania
authors.initials: T
authors.lastname: Lecomte
mesh_terms: D002170:Canada; D016832:Employment, Supported / Q000458:organization & administration*; D005380:Financing, Government / Q000458:organization & administration; D006801:Humans; D007373:Interinstitutional Relations; D019989:Persons with Intellectual Disabilities; D036301:Qualitative Research; D012962:Sociology, Medical