Who benefits from supported employment: a meta-analytic study.
Campbell, Kikuko Bond, Gary R Drake, Robert E
Campbell, Kikuko
Bond, Gary R
Drake, Robert E
Advisors
Editors
Other Contributors
Date
2012-02-01T10:03:42Z
Date Submitted
Keywords
Other Subjects
Subject Mesh
Adult
*Employment, Supported
Evidence-Based Practice
Female
Humans
Income
Male
Middle Aged
Motivation
Randomized Controlled Trials as Topic
*Rehabilitation, Vocational
Schizophrenia/*rehabilitation
*Schizophrenic Psychology
*Employment, Supported
Evidence-Based Practice
Female
Humans
Income
Male
Middle Aged
Motivation
Randomized Controlled Trials as Topic
*Rehabilitation, Vocational
Schizophrenia/*rehabilitation
*Schizophrenic Psychology
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
Abstract
AIMS: This meta-analysis sought to identify which subgroups of clients with severe mental illness (SMI) benefited from evidence-based supported employment. METHODS: We used meta-analysis to pool the samples from 4 randomized controlled trials comparing the Individual Placement and Support (IPS) model of supported employment to well-regarded vocational approaches using stepwise models and brokered services. Meta-analysis was used to determine the magnitude of effects for IPS/control group differences within specific client subgroups (defined by 2 work history, 7 sociodemographic, and 8 clinical variables) on 3 competitive employment outcomes (obtaining a job, total weeks worked, and job tenure). RESULTS: The findings strongly favored IPS, with large effect sizes across all outcomes: 0.96 for job acquisition, 0.79 for total weeks worked, and 0.74 for job tenure. Overall, 90 (77%) of the 117 effect sizes calculated for the 39 subgroups exceeded 0.70, and all 117 favored IPS. CONCLUSIONS: IPS produces better competitive employment outcomes for persons with SMI than alternative vocational programs regardless of background demographic, clinical, and employment characteristics.
Language
eng
ISSN
1745-1701 (Electronic)
0586-7614 (Linking)
0586-7614 (Linking)
eISSN
ISBN
DOI
10.1093/schbul/sbp066
PMID
19661196