2023-09-28 14:46:10 +00:00
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abstract: 'Objective: People with psychiatric impairments (primarily schizophrenia
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or a mood disorder) are the largest and fastest-growing group of Social
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Security Disability Insurance (SSDI) beneficiaries. The authors
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investigated whether evidence-based supported employment and mental
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health treatments can improve vocational and mental health recovery for
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this population.
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Method: Using a randomized controlled trial design, the authors tested a
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multifaceted intervention: team-based supported employment, systematic
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medication management, and other behavioral health services, along with
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elimination of barriers by providing complete health insurance coverage
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(with no out-of-pocket expenses) and suspending disability reviews. The
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control group received usual services. Paid employment was the primary
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outcome measure, and overall mental health and quality of life were
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secondary outcome measures.
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Results: Overall, 2,059 SSDI beneficiaries with schizophrenia, bipolar
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disorder, or depression in 23 cities participated in the 2-year
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intervention. The teams implemented the intervention package with
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acceptable fidelity. The intervention group experienced more paid
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employment (60.3\% compared with 40.2\%) and reported better mental
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health and quality of life than the control group.
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Conclusions: Implementation of the complex intervention in routine
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mental health treatment settings was feasible, and the intervention was
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effective in assisting individuals disabled by schizophrenia or
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depression to return to work and improve their mental health and quality
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of life.'
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affiliation: 'Drake, RE (Corresponding Author), Dartmouth Psychiat Res Ctr, Geisel
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Sch Med Dartmouth, Hanover, NH USA.
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Drake, Robert E., Dartmouth Psychiat Res Ctr, Geisel Sch Med Dartmouth, Hanover,
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NH USA.
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Univ Maryland, Sch Med, Dept Psychiat, Baltimore, MD 21201 USA.
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Univ Maryland, Dept Publ Policy, Baltimore, MD USA.
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Univ Texas San Antonio, Sch Med, Dept Psychiat, South Texas Vet Hlth Care Syst,
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San Antonio, TX USA.'
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author: Drake, Robert E. and Frey, William and Bond, Gary R. and Goldman, Howard H.
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and Salkever, David and Miller, Alexander and Moore, Troy A. and Riley, Jarnee and
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Karakus, Mustafa and Milfort, Roline
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author-email: robert.e.drake@dartmouth.edu
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author_list:
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- family: Drake
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given: Robert E.
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- family: Frey
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given: William
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- family: Bond
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given: Gary R.
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- family: Goldman
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given: Howard H.
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- family: Salkever
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given: David
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- family: Miller
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given: Alexander
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- family: Moore
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given: Troy A.
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- family: Riley
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given: Jarnee
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- family: Karakus
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given: Mustafa
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- family: Milfort
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given: Roline
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da: '2023-09-28'
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doi: 10.1176/appi.ajp.2013.13020214
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eissn: 1535-7228
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files: []
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issn: 0002-953X
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journal: AMERICAN JOURNAL OF PSYCHIATRY
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keywords-plus: 'INDIVIDUAL PLACEMENT; SUPPORTED EMPLOYMENT; CARE; PERFORMANCE; FIDELITY;
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ILLNESS; PEOPLE; SCALE; COSTS; MODEL'
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language: English
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month: DEC
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number: '12'
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number-of-cited-references: '30'
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pages: 1433-1441
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papis_id: 2f71c9178680694adcaa52c28f56096c
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ref: Drake2013assistingsocial
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researcherid-numbers: Drake, Robert/AAS-3310-2020
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times-cited: '76'
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title: Assisting Social Security Disability Insurance Beneficiaries With Schizophrenia,
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Bipolar Disorder, or Major Depression in Returning to Work
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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:000327824900012
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usage-count-last-180-days: '1'
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usage-count-since-2013: '33'
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volume: '170'
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web-of-science-categories: Psychiatry
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year: '2013'
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