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'