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[PMID]:29267419
[Au] Autor:de Pierrefeu I; Corbière M; Pachoud B
[Ad] Endereço:Laboratoire CRPMS, Université Sorbonne Paris Cité, France.
[Ti] Título:[Supervisors and Employment Counselors in Messidor Transitional Social Firms Supporting People with Psychiatric Disability to Gain Competitive Employment].
[Ti] Título:Les accompagnants à l'insertion professionnelle en milieu ordinaire pour les personnes en situation de handicap psychique au sein des ESAT de transition Messidor..
[So] Source:Sante Ment Que;42(2):155-171, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Objectives Some programs have been developed in France for helping people with a psychiatric disability to get competitive employment, especially prevocational programs such as transitional social firms. However, these programs have not been studied until now. Studies on supported employment programs (evidence-based practices) conducted in other countries demonstrated that variation of work outcomes is due, among other factors, to employment specialists' competencies. These results highlight the need for describing more specifically the work of the two professionals, employment counselors and supervisors, working in transitional social firms in order to better understand their role, tasks and competencies. Therefore, the objective of this study aims at describing the roles, tasks and competencies of these two professionals working in transitional social firms, to better understand how they support people with psychiatric disability for eventually obtaining competitive employment.Methods A qualitative method was used to describe roles, tasks and competencies of employment counselors and supervisors working in the transitional social firms of the Messidor's association (7 regions). In sum, 24 individual interviews with employment counselors and supervisors of these social firms as well as 7 focus groups with the two types of professionals, were conducted.Results This study allowed to define the work of the two professionals (role and tasks) and a list of 110 competencies for employment counselors as well as 155 competencies for supervisors working in these transitional social firms, emerged from qualitative analyses. This "double support" has been defined as a complementary approach helping workers to change their own perceptions, becoming more confident in their work abilities, and thus helping them to gain competitive employment. On the one hand, the employment counselor supports each worker in developing strategies and actions to reach competitive employment, and put in place "job development skills" to coordinate his role with key stakeholders (e.g. psychiatrist, employers) involved in the work integration of people with severe mental disorders. On the other hand, the supervisor is following each worker all day long, training and helping them to overcome potential difficulties regarding the work to do, and building confidence and self-esteem in the workers under their supervision, which are all key elements to gain competitive employment.Conclusion Clinical implications are suggested regarding the recruitment of professionals working in transitional social firms, and thus improving work outcomes for people with a severe mental illness.
[Mh] Termos MeSH primário: Conselheiros
Readaptação ao Emprego
Pessoas com Deficiência Mental
[Mh] Termos MeSH secundário: França
Seres Humanos
Transtornos Mentais
Apoio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


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[PMID]:28546319
[Au] Autor:Hellström L; Bech P; Hjorthøj C; Nordentoft M; Lindschou J; Eplov LF
[Ad] Endereço:Copenhagen University Hospital, Mental Health Center Copenhagen, Hellerup, Denmark.
[Ti] Título:Effect on return to work or education of Individual Placement and Support modified for people with mood and anxiety disorders: results of a randomised clinical trial.
[So] Source:Occup Environ Med;74(10):717-725, 2017 Oct.
[Is] ISSN:1470-7926
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The effect of Individual Placement and Support (IPS) on return to work or education among people with mood or anxiety disorders is unclear, while IPS increases return to work for people with severe mental illness. We examined the effect of IPS modified for people with mood and anxiety disorders (IPS-MA) on return to work and education compared with services as usual (SAU). METHODS: In a randomised clinical superiority trial, 326 participants with mood and anxiety disorders were centrally randomised to IPS-MA, consisting of individual mentor support and career counselling (n=162) or SAU (n=164). The primary outcome was competitive employment or education at 24 months, while weeks of competitive employment or education, illness symptoms and level of functioning, and well-being were secondary outcomes. RESULTS: After 24 months, 44.4% (72/162) of the participants receiving IPS-MA had returned to work or education compared with 37.8% (62/164) following SAU (OR=1.34, 95% CI: 0.86 to 2.10, p=0.20). We found no difference in mean number of weeks in employment or education (IPS-MA 32.4 weeks vs SAU 26.7 weeks, p=0.14), level of depression (Hamilton Depression 6-Item Scale score IPS-MA 5.7 points vs SAU 5.0 points, p=0.12), level of anxiety (Hamilton Anxiety 6-Item Scale score IPS-MA 5.8 points vs SAU 5.1 points, p=0.17), level of functioning (Global Assessment of Functioning IPS-MA 59.1 points vs SAU 59.5 points, p=0.81) or well-being measured by WHO-Five Well-being Index (IPS-MA 49.6 points vs SAU 48.5 points, p=0.83) at 24 months. CONCLUSION: The modified version of IPS, IPS-MA, was not superior to SAU in supporting people with mood or anxiety disorders in return to work at 24 months. TRIAL REGISTRATION NUMBER: NCT01721824.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/reabilitação
Transtorno Depressivo/reabilitação
Pessoas com Deficiência/reabilitação
Educação
Readaptação ao Emprego
Retorno ao Trabalho
[Mh] Termos MeSH secundário: Atividades Cotidianas
Adulto
Ansiedade
Aconselhamento
Depressão
Pessoas com Deficiência/psicologia
Feminino
Seres Humanos
Masculino
Tutoria
Meia-Idade
Qualidade de Vida
Trabalho
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170527
[St] Status:MEDLINE
[do] DOI:10.1136/oemed-2016-104248


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[PMID]:28427286
[Au] Autor:Rosenheck RA; Estroff SE; Sint K; Lin H; Mueser KT; Robinson DG; Schooler NR; Marcy P; Kane JM; RAISE-ETP Investigators
[Ad] Endereço:From the Department of Psychiatry, Yale Medical School, New Haven, Conn.; the Department of Psychology, University of North Carolina at Chapel Hill; the Center for Psychiatric Rehabilitation and the Departments of Occupational Therapy, Psychiatry, and Psychology, Boston University, Boston; Psychiatr
[Ti] Título:Incomes and Outcomes: Social Security Disability Benefits in First-Episode Psychosis.
[So] Source:Am J Psychiatry;174(9):886-894, 2017 Sep 01.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Social Security Administration (SSA) disability benefits are an important source of income for people with psychoses and confer eligibility for health insurance. The authors examined the impact of coordinated specialty care on receipt of such benefits in first-episode psychosis, along with the correlates and consequences of receiving them. METHOD: The Recovery After an Initial Schizophrenia Episode-Early Treatment Program (RAISE-ETP) study, a 34-site cluster-randomized trial, compared NAVIGATE, a coordinated specialty care program, to usual community care over 2 years. Receipt of SSA benefits and clinical outcomes were assessed at program entry and every 6 months for 2 years. Piecewise regression analysis was used to identify relative change in outcome trajectories after receipt of disability benefits. RESULTS: Among 399 RAISE-ETP participants, 36 (9%) were receiving SSA disability benefits at baseline; of the remainder, 124 (34.1%) obtained benefits during the 2-year study period. The NAVIGATE intervention improved quality of life, symptoms, and employment but did not significantly reduce the likelihood of receiving SSA disability benefits. Obtaining benefits was predicted by more severe psychotic symptoms and greater dysfunction and was followed by increased total income but fewer days of employment, reduced motivation (e.g., sense of purpose, greater anhedonia), and fewer days of intoxication. CONCLUSIONS: A 2-year coordinated specialty care intervention did not reduce receipt of SSA disability benefits. There were some advantages for those who obtained SSA disability benefits over the 2-year treatment period, but there were also some unintended adverse consequences. Providing income supports without impeding recovery remains an important policy challenge.
[Mh] Termos MeSH primário: Renda/estatística & dados numéricos
Seguro por Invalidez/estatística & dados numéricos
Transtornos Psicóticos/economia
Transtornos Psicóticos/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Readaptação ao Emprego
Feminino
Seres Humanos
Seguro por Invalidez/economia
Masculino
Educação de Pacientes como Assunto
Medicina de Precisão
Autocuidado
Resultado do Tratamento
Estados Unidos
United States Social Security Administration/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2017.16111273


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[PMID]:28213673
[Au] Autor:Lones CE; Bond GR; McGovern MP; Carr K; Leckron-Myers T; Hartnett T; Becker DR
[Ad] Endereço:CODA, Inc., Portland, OR, USA. CarrieLones@codainc.org.
[Ti] Título:Individual Placement and Support (IPS) for Methadone Maintenance Therapy Patients: A Pilot Randomized Controlled Trial.
[So] Source:Adm Policy Ment Health;44(3):359-364, 2017 May.
[Is] ISSN:1573-3289
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Individual Placement and Support (IPS) is an evidence-based employment model for people with severe mental illness, but it has not been evaluated for clients enrolled in substance abuse treatment programs. This study evaluated the effectiveness of IPS for people with opioid use disorders enrolled in an opioid treatment program. Within a randomized controlled experiment, 45 patients receiving methadone maintenance therapy were assigned to either IPS or a 6-month waitlist. The waitlist group received IPS after 6 months. The primary outcome assessed over 1 year compared the attainment of a job for the IPS condition to the waitlist comparison group. During the first 6 months after enrollment, 11 (50%) active IPS participants gained competitive employment compared to 1 (5%) waitlist participant (Χ = 12.0, p < 0.001). Over 12 months of enrollment, 11 (50%) IPS participants gained competitive employment compared to 5 (22%) waitlist participants (Χ = 3.92, p = 0.07). We conclude that IPS holds promise as an employment intervention for people with opioid use disorders in methadone maintenance treatment, but larger trials with longer follow-up are needed.
[Mh] Termos MeSH primário: Readaptação ao Emprego/organização & administração
Metadona/administração & dosagem
Tratamento de Substituição de Opiáceos/métodos
Transtornos Relacionados ao Uso de Opioides/reabilitação
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Projetos Piloto
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
UC6VBE7V1Z (Methadone)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170219
[St] Status:MEDLINE
[do] DOI:10.1007/s10488-017-0793-2


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[PMID]:28213672
[Au] Autor:Karakus M; Riley J; Goldman H
[Ad] Endereço:Westat, 1600 Research Blvd, Rockville, MD, USA. mustafakarakus@westat.com.
[Ti] Título:Federal Policies and Programs to Expand Employment Services Among Individuals with Serious Mental Illnesses.
[So] Source:Adm Policy Ment Health;44(3):339-344, 2017 May.
[Is] ISSN:1573-3289
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Previous studies suggest that providing employment services to individuals with serious mental illnesses can help them obtain competitive, real-world employment. However, these services are still not easily accessible to this population. This paper provides a brief summary of recent federal initiatives that may influence widespread implementation of employment services. While there is an increasing recognition of the need to remove barriers and provide supported employment services to individuals with mental illnesses, a wide-spread coordination across Federal polices, financing and regulatory changes are necessary to promote measurable and lasting effects on the broad availability of employment services among this population.
[Mh] Termos MeSH primário: Emprego/organização & administração
Governo Federal
Financiamento Governamental/organização & administração
Órgãos Governamentais/organização & administração
Transtornos Mentais/reabilitação
[Mh] Termos MeSH secundário: Readaptação ao Emprego/organização & administração
Órgãos Governamentais/economia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170219
[St] Status:MEDLINE
[do] DOI:10.1007/s10488-017-0794-1


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[PMID]:28212170
[Au] Autor:Corbière M; Lecomte T; Reinharz D; Kirsh B; Goering P; Menear M; Berbiche D; Genest K; Goldner EM
[Ad] Endereço:*Department of Education and Pedagogy-Career Counseling, Université du Québec à Montréal; †Department of Psychology, Université de Montréal, Centre de recherche de l'Institut Universitaire en santé mentale de Montréal; ‡Department of Social and Preventive Medicine, Université Laval, Québec; §Department of Occupational Science and Occupational Therapy, and ∥Department of Psychiatry, Centre for Addiction and Mental Health, University of Toronto; ¶Department of Family Medicine and Emergency Medicine, Université Laval, Québec; #Department of Community Health Sciences, Université de Sherbrooke, Longueuil; **Fonds de recherche du Québec-Santé (FRQS), Montréal; and ††Centre for Applied Research in Mental Health, Faculty of Health Sciences, Simon Fraser University, Vancouver, Canada.
[Ti] Título:Predictors of Acquisition of Competitive Employment for People Enrolled in Supported Employment Programs.
[So] Source:J Nerv Ment Dis;205(4):275-282, 2017 Apr.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aims at assessing the relative contribution of employment specialist competencies working in supported employment (SE) programs and client variables in determining the likelihood of obtaining competitive employment. A total of 489 persons with a severe mental illness and 97 employment specialists working in 24 SE programs across three Canadian provinces were included in the study. Overall, 43% of the sample obtained competitive work. Both client variables and employment specialist competencies, while controlling for the quality of SE programs implementation, predicted job acquisition. Multilevel analyses further indicated that younger client age, shorter duration of unemployment, and client use of job search strategies, as well as the working alliance perceived by the employment specialist, were the strongest predictors of competitive employment for people with severe mental illness, with 51% of variance explained. For people with severe mental illness seeking employment, active job search behaviors, relational abilities, and employment specialist competencies are central contributors to acquisition of competitive employment.
[Mh] Termos MeSH primário: Readaptação ao Emprego/estatística & dados numéricos
Emprego/estatística & dados numéricos
Transtornos Mentais/reabilitação
Pessoas Mentalmente Doentes/psicologia
Pessoas Mentalmente Doentes/estatística & dados numéricos
Competência Profissional/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Canadá
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170529
[Lr] Data última revisão:
170529
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170218
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000612


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[PMID]:28176032
[Au] Autor:McLaren J; Lichtenstein JD; Lynch D; Becker D; Drake R
[Ad] Endereço:Autism Spectrum Disorders Program, Department of Child and Adolescent Psychiatry, Geisel School of Medicine at Dartmouth, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA. Jennifer.L.McLaren@Hitchcock.org.
[Ti] Título:Individual Placement and Support for People with Autism Spectrum Disorders: A Pilot Program.
[So] Source:Adm Policy Ment Health;44(3):365-373, 2017 May.
[Is] ISSN:1573-3289
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Young adults with autism spectrum disorder (ASD) experience significant rates of unemployment and underemployment, and the field needs an inexpensive, evidence-based vocational intervention. We examined an approach developed for people with serious mental illness, IPS supported employment, for young adults with ASD. We described a pilot IPS program for young adults with ASD and evaluated the first five participants over 1 year. The first five IPS participants succeeded in competitive employment, expanded independence, and achieved broad psychosocial gains. IPS could help young adults with ASD succeed in competitive employment at a relatively low cost.
[Mh] Termos MeSH primário: Transtorno do Espectro Autista/reabilitação
Readaptação ao Emprego/organização & administração
[Mh] Termos MeSH secundário: Adulto
Emprego/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Projetos Piloto
Índice de Gravidade de Doença
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE
[do] DOI:10.1007/s10488-017-0792-3


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[PMID]:28128784
[Au] Autor:Sundar V
[Ti] Título:Operationalizing workplace accommodations for individuals with disabilities: A scoping review.
[So] Source:Work;56(1):135-155, 2017.
[Is] ISSN:1875-9270
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The provision of workplace accommodations is a proven strategy in supporting individuals with disabilities at work. Accommodations include a wide range of supports and strategies that are not very well defined beyond the Americans with Disabilities Act in the United States. Understanding the landscape of accommodations is important to measure the impact of programs that support employment of individuals with disabilities. OBJECTIVE: To conduct a scoping review and thematic analysis of research literature to identify how workplace accommodations are operationalized and to identify knowledge gaps in its conceptualization. METHODS: Keywords searches were conducted in seven electronic databases. Title, abstract, and full text screening was conducted followed by a thematic analysis of the content to identify how workplace accommodations are operationalized. RESULTS: Overall, 47 studies were selected for review. 433 different types of accommodations were identified, of which assistive technology and specialized equipment represented the most frequently reported type of accommodation (40%). A very small percentage of studies included policy changes (9%) and human assistance (5%) as an accommodation strategy. CONCLUSIONS: This scoping review aims to clarify how accommodations are operationalized in the research literature. Key knowledge gaps identified include the systematic exclusion of certain types of supports or disability types.
[Mh] Termos MeSH primário: Pessoas com Deficiência/reabilitação
Equipamentos de Autoajuda/utilização
Local de Trabalho/normas
[Mh] Termos MeSH secundário: Pessoas com Deficiência/legislação & jurisprudência
Pessoas com Deficiência/estatística & dados numéricos
Readaptação ao Emprego/métodos
Readaptação ao Emprego/estatística & dados numéricos
Seres Humanos
Política Organizacional
Reabilitação Vocacional/estatística & dados numéricos
Equipamentos de Autoajuda/estatística & dados numéricos
Equipamentos de Autoajuda/provisão & distribuição
Local de Trabalho/legislação & jurisprudência
Local de Trabalho/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170128
[St] Status:MEDLINE
[do] DOI:10.3233/WOR-162472


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[PMID]:28115071
[Au] Autor:Ottomanelli L; Goetz LL; Barnett SD; Njoh E; Dixon TM; Holmes SA; LePage JP; Ota D; Sabharwal S; White KT
[Ad] Endereço:Veterans Affairs Health Services Research & Development Center of Innovation on Disability and Rehabilitation Research, James A. Haley Veterans' Hospital, Tampa, FL; Department of Rehabilitation and Mental Health Counseling, University of South Florida, Tampa, FL. Electronic address: lisa.ottoma
[Ti] Título:Individual Placement and Support in Spinal Cord Injury: A Longitudinal Observational Study of Employment Outcomes.
[So] Source:Arch Phys Med Rehabil;98(8):1567-1575.e1, 2017 Aug.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine the effects of a 24-month program of Individual Placement and Support (IPS) supported employment (SE) on employment outcomes for veterans with spinal cord injury (SCI). DESIGN: Longitudinal, observational multisite study of a single-arm, nonrandomized cohort. SETTING: SCI centers in the Veterans Health Administration (n=7). PARTICIPANTS: Veterans with SCI (N=213) enrolled during an episode of either inpatient hospital care (24.4%) or outpatient care (75.6%). More than half the sample (59.2%) had a history of traumatic brain injury (TBI). INTERVENTION: IPS SE for 24 months. MAIN OUTCOME MEASURE: Competitive employment. RESULTS: Over the 24-month period, 92 of 213 IPS participants obtained competitive jobs for an overall employment rate of 43.2%. For the subsample of participants without TBI enrolled as outpatients (n=69), 36 obtained competitive jobs for an overall employment rate of 52.2%. Overall, employed participants averaged 38.2±29.7 weeks of employment, with an average time to first employment of 348.3±220.0 days. Nearly 25% of first jobs occurred within 4 to 6 months of beginning the program. Similar employment characteristics were observed in the subsample without TBI history enrolled as outpatients. CONCLUSIONS: Almost half of the veterans with SCI participating in the 24-month IPS program as part of their ongoing SCI care achieved competitive employment, consistent with their expressed preferences at the start of the study. Among a subsample of veterans without TBI history enrolled as outpatients, employment rates were >50%. Time to first employment was highly variable, but quite long in many instances. These findings support offering continued IPS services as part of ongoing SCI care to achieve positive employment outcomes.
[Mh] Termos MeSH primário: Readaptação ao Emprego/organização & administração
Retorno ao Trabalho/estatística & dados numéricos
Traumatismos da Medula Espinal/reabilitação
Veteranos
[Mh] Termos MeSH secundário: Adulto
Lesões Encefálicas Traumáticas/epidemiologia
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Meia-Idade
Qualidade de Vida
Fatores Socioeconômicos
Traumatismos da Medula Espinal/epidemiologia
Estados Unidos
United States Department of Veterans Affairs
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE


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[PMID]:28062932
[Au] Autor:Johnson-Kwochka A; Bond GR; Becker DR; Drake RE; Greene MA
[Ad] Endereço:The IPS Employment Center, Westat, Inc., Rivermill Commercial Center, 85 Mechanic Street, Suite C3-1, Lebanon, NH, 03766, USA. annaleekwochka@westat.com.
[Ti] Título:Prevalence and Quality of Individual Placement and Support (IPS) Supported Employment in the United States.
[So] Source:Adm Policy Ment Health;44(3):311-319, 2017 May.
[Is] ISSN:1573-3289
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The individual placement and support (IPS) model of supported employment for people with serious mental illness is an evidence-based practice. Factors including a national learning community promoting IPS and enforcement of the Supreme Court's Olmstead decision have spurred the growth of IPS nationwide. In this study we first evaluated the national prevalence and quality of IPS programs. We then evaluated the impact of learning community membership and Olmstead settlements on IPS program penetration and quality across the United States. We interviewed representatives from 48 state behavioral health agencies and 51 state vocational rehabilitation agencies. Survey questions examined the number of IPS programs in each state, the presence of an Olmstead settlement mandating employment services for people with serious mental illness, and the presence of three indicators of quality in IPS programs: collaboration between state behavioral health and vocational rehabilitation agencies, regular, independent fidelity monitoring, and technical assistance and training for IPS programs. Respondents from 38 (75%) states, including 19 states in the IPS Learning Community and 19 outside the learning community, reported a total of 523 IPS programs nationwide (M = 14, SD = 16). The state IPS program penetration rate (number of IPS programs per 1,000,000 people) ranged from 0.05 to 16.62 (M = 3.61, SD = 3.62) among states with IPS. The penetration rate was similar for learning community and non-learning community states with IPS, but learning community states were much more likely than non-learning community states with IPS to report the presence of each of three quality indicators. Eleven states reported Olmstead or other settlements that positively impacted employment services for people with serious mental illness, but among the 38 states with IPS programs, Olmstead states did not differ from non-Olmstead states in IPS program penetration or on the quality indicators. Nationally, most states provide IPS programs, but the within-state penetration rate and quality of implementation vary widely. While learning community and non-learning community states with IPS do not differ in the prevalence of IPS programs, learning community states are much more likely to report key quality indicators, which may enhance these states' potential for sustaining and expanding IPS. Olmstead settlements have not yet shown a direct impact on the penetration and quality of IPS, but as the Department of Justice continues to enforce the Supreme Court's Olmstead decision, their significance may increase.
[Mh] Termos MeSH primário: Readaptação ao Emprego/organização & administração
Transtornos Mentais/reabilitação
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Readaptação ao Emprego/legislação & jurisprudência
Readaptação ao Emprego/normas
Seres Humanos
Capacitação em Serviço/organização & administração
Relações Interinstitucionais
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170108
[St] Status:MEDLINE
[do] DOI:10.1007/s10488-016-0787-5



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