114 lines
3.4 KiB
YAML
114 lines
3.4 KiB
YAML
|
abstract: 'Objective: People with psychiatric impairments (primarily schizophrenia
|
||
|
|
|
||
|
|
or a mood disorder) are the largest and fastest-growing group of Social
|
||
|
|
|
||
|
|
Security Disability Insurance (SSDI) beneficiaries. The authors
|
||
|
|
|
||
|
|
investigated whether evidence-based supported employment and mental
|
||
|
|
|
||
|
|
health treatments can improve vocational and mental health recovery for
|
||
|
|
|
||
|
|
this population.
|
||
|
|
|
||
|
|
Method: Using a randomized controlled trial design, the authors tested a
|
||
|
|
|
||
|
|
multifaceted intervention: team-based supported employment, systematic
|
||
|
|
|
||
|
|
medication management, and other behavioral health services, along with
|
||
|
|
|
||
|
|
elimination of barriers by providing complete health insurance coverage
|
||
|
|
|
||
|
|
(with no out-of-pocket expenses) and suspending disability reviews. The
|
||
|
|
|
||
|
|
control group received usual services. Paid employment was the primary
|
||
|
|
|
||
|
|
outcome measure, and overall mental health and quality of life were
|
||
|
|
|
||
|
|
secondary outcome measures.
|
||
|
|
|
||
|
|
Results: Overall, 2,059 SSDI beneficiaries with schizophrenia, bipolar
|
||
|
|
|
||
|
|
disorder, or depression in 23 cities participated in the 2-year
|
||
|
|
|
||
|
|
intervention. The teams implemented the intervention package with
|
||
|
|
|
||
|
|
acceptable fidelity. The intervention group experienced more paid
|
||
|
|
|
||
|
|
employment (60.3\% compared with 40.2\%) and reported better mental
|
||
|
|
|
||
|
|
health and quality of life than the control group.
|
||
|
|
|
||
|
|
Conclusions: Implementation of the complex intervention in routine
|
||
|
|
|
||
|
|
mental health treatment settings was feasible, and the intervention was
|
||
|
|
|
||
|
|
effective in assisting individuals disabled by schizophrenia or
|
||
|
|
|
||
|
|
depression to return to work and improve their mental health and quality
|
||
|
|
|
||
|
|
of life.'
|
||
|
|
affiliation: 'Drake, RE (Corresponding Author), Dartmouth Psychiat Res Ctr, Geisel
|
||
|
|
Sch Med Dartmouth, Hanover, NH USA.
|
||
|
|
|
||
|
|
Drake, Robert E., Dartmouth Psychiat Res Ctr, Geisel Sch Med Dartmouth, Hanover,
|
||
|
|
NH USA.
|
||
|
|
|
||
|
|
Univ Maryland, Sch Med, Dept Psychiat, Baltimore, MD 21201 USA.
|
||
|
|
|
||
|
|
Univ Maryland, Dept Publ Policy, Baltimore, MD USA.
|
||
|
|
|
||
|
|
Univ Texas San Antonio, Sch Med, Dept Psychiat, South Texas Vet Hlth Care Syst,
|
||
|
|
San Antonio, TX USA.'
|
||
|
|
author: Drake, Robert E. and Frey, William and Bond, Gary R. and Goldman, Howard H.
|
||
|
|
and Salkever, David and Miller, Alexander and Moore, Troy A. and Riley, Jarnee and
|
||
|
|
Karakus, Mustafa and Milfort, Roline
|
||
|
|
author-email: robert.e.drake@dartmouth.edu
|
||
|
|
author_list:
|
||
|
|
- family: Drake
|
||
|
|
given: Robert E.
|
||
|
|
- family: Frey
|
||
|
|
given: William
|
||
|
|
- family: Bond
|
||
|
|
given: Gary R.
|
||
|
|
- family: Goldman
|
||
|
|
given: Howard H.
|
||
|
|
- family: Salkever
|
||
|
|
given: David
|
||
|
|
- family: Miller
|
||
|
|
given: Alexander
|
||
|
|
- family: Moore
|
||
|
|
given: Troy A.
|
||
|
|
- family: Riley
|
||
|
|
given: Jarnee
|
||
|
|
- family: Karakus
|
||
|
|
given: Mustafa
|
||
|
|
- family: Milfort
|
||
|
|
given: Roline
|
||
|
|
da: '2023-09-28'
|
||
|
|
doi: 10.1176/appi.ajp.2013.13020214
|
||
|
|
eissn: 1535-7228
|
||
|
|
files: []
|
||
|
|
issn: 0002-953X
|
||
|
|
journal: AMERICAN JOURNAL OF PSYCHIATRY
|
||
|
|
keywords-plus: 'INDIVIDUAL PLACEMENT; SUPPORTED EMPLOYMENT; CARE; PERFORMANCE; FIDELITY;
|
||
|
|
|
||
|
|
ILLNESS; PEOPLE; SCALE; COSTS; MODEL'
|
||
|
|
language: English
|
||
|
|
month: DEC
|
||
|
|
number: '12'
|
||
|
|
number-of-cited-references: '30'
|
||
|
|
pages: 1433-1441
|
||
|
|
papis_id: 2f71c9178680694adcaa52c28f56096c
|
||
|
|
ref: Drake2013assistingsocial
|
||
|
|
researcherid-numbers: Drake, Robert/AAS-3310-2020
|
||
|
|
times-cited: '76'
|
||
|
|
title: Assisting Social Security Disability Insurance Beneficiaries With Schizophrenia,
|
||
|
|
Bipolar Disorder, or Major Depression in Returning to Work
|
||
|
|
type: Article
|
||
|
|
unique-id: WOS:000327824900012
|
||
|
|
usage-count-last-180-days: '1'
|
||
|
|
usage-count-since-2013: '33'
|
||
|
|
volume: '170'
|
||
|
|
web-of-science-categories: Psychiatry
|
||
|
|
year: '2013'
|