Effects of the Indianapolis Vocational Intervention Program (IVIP) on defeatist beliefs, work motivation, and work outcomes in serious mental illness.
Defeatist beliefs and amotivation are prominent obstacles in vocational rehabilitation for people with serious mental illnesses (SMI). The CBT-based Indianapolis Vocational Intervention Program (IVIP) was specifically designed to reduce defeatist beliefs related to work functioning. In the current study, we examined the impact of IVIP on defeatist beliefs and motivation for work, hypothesizing that IVIP would be associated with a reduction in defeatist beliefs and greater motivation for work. We also examined the effects of IVIP on these variables as well as work outcomes during a 12-month follow-up. Participants with SMI (n=64) enrolled in a four-month work therapy program were randomized to IVIP or a support therapy group (SG). Assessments were conducted at baseline, post-treatment (4months), and follow-up (1year). Compared to those in SG condition, individuals randomized to IVIP condition reported greater reductions in defeatist beliefs and greater motivation for work at follow-up, along with greater supported employment retention rates. Specifically treating and targeting negative expectations for work therapy improves outcomes, even once active supports of the IVIP program and work therapy are withdrawn.
Department of Psychology, University of Minnesota, 75 East River Road, Minneapolis, MN, USA. Electronic address: mervi004@umn.edu.
Joshua E
JE
Mervis
Psychology Service, VA Connecticut Healthcare System & Yale University School of Medicine, 950 Campbell Ave, West Haven, CT 06516, USA. Electronic address: Joanna.fiszdon@yale.com.
Joanna M
JM
Fiszdon
Roudebush VA Medical Center, Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address: plysaker@iupui.edu.
Paul H
PH
Lysaker
Minneapolis VA Health Care System, 1 Veterans Dr., Minneapolis, MN 55417, USA. Electronic address: tasha.nienow@va.gov.
Tasha M
TM
Nienow
Department of Psychiatric Vocational Services, The Institute of Living at Hartford Hospital, 200 Retreat Ave, Hartford, CT 06106, USA. Electronic address: Laura.Mathews@hhchealth.org.
Laura
L
Mathews
Department of Psychiatric Vocational Services, The Institute of Living at Hartford Hospital, 200 Retreat Ave, Hartford, CT 06106, USA. Electronic address: Patricia.Wardwell@hhchealth.org.
Patricia
P
Wardwell
Department of Psychiatric Vocational Services, The Institute of Living at Hartford Hospital, 200 Retreat Ave, Hartford, CT 06106, USA. Electronic address: Tammy.Petrik@hhchealth.org.
Tammy
T
Petrik
Schizophrenia Rehabilitation Program, The Institute of Living at Hartford Hospital, 200 Retreat Ave, Hartford, CT 06106, USA. Electronic address: Warren.Thime@hhchealth.org.
Warren
W
Thime
Schizophrenia Rehabilitation Program, The Institute of Living at Hartford Hospital, 200 Retreat Ave, Hartford, CT 06106, USA. Electronic address: Jimmy.Choi@hhchealth.org.
Jimmy
J
Choi
D000328:Adult; D000704:Analysis of Variance; D004651:Employment; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000534:rehabilitation*; D009042:Motivation / Q000502:physiology*; D017063:Outcome Assessment, Health Care; D011569:Psychiatric Status Rating Scales; D012050:Rehabilitation, Vocational / Q000379:methods*; D012649:Self Concept; D016896:Treatment Outcome
Defeatist beliefs; Motivation; Schizophrenia; Serious mental illness; Vocational rehabilitation