2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Objective: This study examines the long-term effects of evidence-based
|
|
|
|
|
|
|
|
|
|
supported employment services on three vocational outcomes: tabor force
|
|
|
|
|
|
|
|
|
|
participation, earnings, and attainment of Social Security
|
|
|
|
|
|
|
|
|
|
Administration (SSA) non beneficiary status through suspension or
|
|
|
|
|
|
|
|
|
|
termination of disability cash payments due to work (NSTW).
|
|
|
|
|
|
|
|
|
|
Method: Data from 449 individuals with psychiatric disabilities who
|
|
|
|
|
|
|
|
|
|
participated in a multisite controlled trial of supported employment
|
|
|
|
|
|
|
|
|
|
were matched to SSA data over a 13-year period (2000-2012) following
|
|
|
|
|
|
|
|
|
|
supported employment services. Long-term outcomes were analyzed using
|
|
|
|
|
|
|
|
|
|
random effects regression models comparing participants in the
|
|
|
|
|
|
|
|
|
|
experimental and control conditions on measures of employment, earnings,
|
|
|
|
|
|
|
|
|
|
and attainment of NSTW. The authors adjusted for time, age,
|
|
|
|
|
|
|
|
|
|
race/ethnicity, gender, education, schizophrenia diagnosis, substance
|
|
|
|
|
|
|
|
|
|
abuse history, and geographic region.
|
|
|
|
|
|
|
|
|
|
Results: Overall outcomes were modest across the 13-year follow-up, with
|
|
|
|
|
|
|
|
|
|
32.9\% of participants having any earned income and 13.1\% ever
|
|
|
|
|
|
|
|
|
|
attaining NSTW. Supported employment recipients were almost three times
|
|
|
|
|
|
|
|
|
|
as likely as control subjects to be employed over 13 years (odds
|
|
|
|
|
|
|
|
|
|
ratio=2.89). Although earnings were low, supported employment
|
|
|
|
|
|
|
|
|
|
participants had significantly higher earnings per month than control
|
|
|
|
|
|
|
|
|
|
subjects over time (parameter estimate=\$23.82) and were more likely
|
|
|
|
|
|
|
|
|
|
than control subjects to attain NSTW (odds ratio=12.99). The supported
|
|
|
|
|
|
|
|
|
|
employment effect diminished and was completely attenuated over time.
|
|
|
|
|
|
|
|
|
|
Conclusions: The study''s findings indicate a small but significant
|
|
|
|
|
|
|
|
|
|
vocational advantage accruing to recipients of evidence-based supported
|
|
|
|
|
|
|
|
|
|
employment in the decade following service delivery, adding to the
|
|
|
|
|
|
|
|
|
|
evidence on the durability of supported employment effects. Results can
|
|
|
|
|
|
|
|
|
|
inform policies designed to help workers enhance economic security and
|
|
|
|
|
|
|
|
|
|
reduce dependence on Social Security disability benefits.'
|
|
|
|
|
affiliation: 'Cook, JA (Corresponding Author), Univ Illinois, Dept Psychiat, Chicago,
|
|
|
|
|
IL 60612 USA.
|
|
|
|
|
|
|
|
|
|
Cook, Judith A., Univ Illinois, Dept Psychiat, Chicago, IL 60612 USA.
|
|
|
|
|
|
|
|
|
|
Social Secur Adm, Off Res Demonstrat \& Employment Support, Washington, DC USA.'
|
|
|
|
|
author: Cook, Judith A. and Burke-Miller, Jane K. and Roessel, Emily
|
|
|
|
|
author-email: cook@ripco.com
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Cook
|
|
|
|
|
given: Judith A.
|
|
|
|
|
- family: Burke-Miller
|
|
|
|
|
given: Jane K.
|
|
|
|
|
- family: Roessel
|
|
|
|
|
given: Emily
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.1176/appi.ajp.2016.15101359
|
|
|
|
|
eissn: 1535-7228
|
|
|
|
|
files: []
|
|
|
|
|
issn: 0002-953X
|
|
|
|
|
journal: AMERICAN JOURNAL OF PSYCHIATRY
|
|
|
|
|
keywords-plus: 'SEVERE MENTAL-ILLNESS; OCCUPATIONAL ENGAGEMENT; SOCIAL-SECURITY;
|
|
|
|
|
|
|
|
|
|
FOLLOW-UP; PEOPLE; SCHIZOPHRENIA; WORK; UPDATE; DEPRESSION; BARRIERS'
|
|
|
|
|
language: English
|
|
|
|
|
month: OCT
|
|
|
|
|
number: '10'
|
|
|
|
|
number-of-cited-references: '37'
|
|
|
|
|
orcid-numbers: Burke-Miller, Jane/0000-0002-5480-9433
|
|
|
|
|
pages: 1007-1014
|
|
|
|
|
papis_id: 2f9677827202fbe00e08f3dfe488213e
|
|
|
|
|
ref: Cook2016longtermeffects
|
|
|
|
|
researcherid-numbers: 'Burke-Miller, Jane/V-5904-2019
|
|
|
|
|
|
|
|
|
|
'
|
|
|
|
|
times-cited: '22'
|
|
|
|
|
title: Long-Term Effects of Evidence-Based Supported Employment on Earnings and on
|
|
|
|
|
SSI and SSDI Participation Among Individuals With Psychiatric Disabilities
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000384158400012
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '14'
|
|
|
|
|
volume: '173'
|
|
|
|
|
web-of-science-categories: Psychiatry
|
|
|
|
|
year: '2016'
|
