2023-09-28 14:46:10 +00:00
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abstract: 'A major public policy problem is the extremely low labor force
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participation of people with severe mental illness coupled with their
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overrepresentation on the public disability rolls. This situation is
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especially troubling given the existence of evidence-based practices
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designed to return them to the labor force. This article reviews
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research from the fields of disability, economics, health care, and
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labor studies to describe the nature of barriers to paid work and
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economic security for people with disabling mental disorders. These
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barriers include low educational attainment, unfavorable labor market
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dynamics, low productivity, lack of appropriate vocational and clinical
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services, labor force discrimination, failure of protective legislation,
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work disincentives caused by state and federal policies, poverty-level
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income, linkage of health care access to disability beneficiary status,
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and ineffective work incentive programs. The article concludes with a
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discussion of current policy initiatives in health care, mental health,
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and disability. Recommendations for a comprehensive system of services
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and supports to address multiple barriers are presented. These include
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access to affordable health care, including mental health treatment and
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prescription drug coverage; integrated clinical and vocational services;
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safe and stable housing that is not threatened by changes in earned
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income; remedial and post-secondary education and vocational training;
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benefits counseling and financial literacy education; economic security
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through asset development; legal aid for dealing with employment
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discrimination; peer support and self-help to enhance vocational
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self-image and encourage labor force attachment; and active involvement
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of U.S. business and employer communities.'
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affiliation: 'Cook, JA (Corresponding Author), Univ Illinois, Ctr Mental Hlth Serv
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Res \& Policy, Dept Psychiat, 1601 W Taylor St,4th Floor M-C 913, Chicago, IL 60612
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USA.
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Univ Illinois, Ctr Mental Hlth Serv Res \& Policy, Dept Psychiat, Chicago, IL 60612
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USA.'
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author: Cook, Judith A.
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author-email: cook@ripco.com
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author_list:
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- family: Cook
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given: Judith A.
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da: '2023-09-28'
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doi: 10.1176/appi.ps.57.10.1391
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eissn: 1557-9700
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files: []
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issn: 1075-2730
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journal: PSYCHIATRIC SERVICES
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keywords-plus: 'SEVERE MENTAL-ILLNESS; VOCATIONAL-REHABILITATION; SUPPORTED EMPLOYMENT;
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HEALTH; WORK; POLICY; SCHIZOPHRENIA; DISORDERS; INSURANCE; OUTCOMES'
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language: English
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month: OCT
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number: '10'
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number-of-cited-references: '136'
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pages: 1391-1405
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papis_id: 56337c9494842cb08c908e082cc923f1
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ref: Cook2006employmentbarriers
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researcherid-numbers: Cook, Judith/B-9107-2013
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tags:
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- relevant
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- review
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times-cited: '170'
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title: 'Employment barriers for persons with psychiatric disabilities: Update of a
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report for the president''s commission'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000241046000006
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usage-count-last-180-days: '2'
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usage-count-since-2013: '62'
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volume: '57'
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web-of-science-categories: 'Health Policy \& Services; Public, Environmental \& Occupational
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Health;
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Psychiatry'
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year: '2006'
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