2023-09-28 14:46:10 +00:00
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abstract: 'Objective: To examine variation in employment and economic outcomes
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before, during, and after the great recession by disability and mental
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health status. Methods: Using a sample of adults in the 1999 to 2016
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National Health Interview Survey (N = 419,336), we examined changes in
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labor force and economic outcomes by mental health and physical
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disability status. We employed difference-indifferences analyses to
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determine whether the changes in these outcomes during and after the
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recession for each comparison group (those with moderate mental illness,
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serious psychiatric disability, or physical disability) were
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significantly different from the changes for persons with neither a
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mental illness nor a disability. Findings: While the recession impacted
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all groups, those with mental illnesses or physical disabilities were
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hardest hit. Persons with disabilities were disadvantaged on all
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outcomes at each period, but persons with mental illnesses were the most
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disadvantaged. Unemployment, poverty, and use of food stamps increased
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for all groups, but the increase was greatest for persons with mental
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health problems who also saw a more substantial decline in wage income.
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Conclusions and Implications for Practice: The effects of the recession
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persist well after the recovery period. Practitioners should be aware
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that although most persons with mental illnesses want to work, they face
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significant barriers to employment. Following economic shocks such as
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those brought on by the current coronavirus pandemic, interventions
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should focus on people who are the most vulnerable, especially those
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with mental health problems. Renewed focus on employment for people with
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mental disorders is important.'
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affiliation: 'Alang, SM (Corresponding Author), Lehigh Univ, Dept Sociol \& Anthropol,
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Program Hlth Med \& Soc, 31 Williams Dr 280, Bethlehem, PA 18015 USA.
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McAlpine, Donna D., Univ Minnesota, Div Hlth Policy \& Management, Sch Publ Hlth,
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Minneapolis, MN 55455 USA.
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Alang, Sirry M., Lehigh Univ, Dept Sociol \& Anthropol, Program Hlth Med \& Soc,
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31 Williams Dr 280, Bethlehem, PA 18015 USA.'
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author: McAlpine, Donna D. and Alang, Sirry M.
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author-email: sma206@lehigh.edu
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author_list:
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- family: McAlpine
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given: Donna D.
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- family: Alang
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given: Sirry M.
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da: '2023-09-28'
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doi: 10.1037/prj0000458
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eissn: 1559-3126
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files: []
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issn: 1095-158X
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journal: PSYCHIATRIC REHABILITATION JOURNAL
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keywords: mental illness; disability; employment; recession; economic status
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keywords-plus: 'PSYCHIATRIC-DISORDERS; LABOR-MARKET; HEALTH-CARE; JOB LOSS; STIGMA;
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WORK; UNEMPLOYMENT; COMORBIDITY; DEPRESSION; PREVALENCE'
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language: English
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month: JUN
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number: '2'
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number-of-cited-references: '51'
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orcid-numbers: Alang, Sirry/0000-0003-2049-5648
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pages: 132-141
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papis_id: 45246a0dfc13f9828a51add0cc39e3a3
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ref: Mcalpine2021employmenteconomic
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times-cited: '9'
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title: 'Employment and Economic Outcomes of Persons With Mental Illness and Disability:
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The Impact of the Great Recession in the United States'
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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:000657298500005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '8'
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volume: '44'
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web-of-science-categories: Psychiatry; Rehabilitation
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year: '2021'
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