A randomized controlled trial comparing two vocational models for persons with severe mental illness.

The authors compared 2 approaches to vocational rehabilitation for individuals with severe mental illness: the individual placement and support (IPS) model of supported employment and the diversified placement approach (DPA), which emphasizes work readiness and offers a range of vocational options, including agency-run businesses and agency-contracted placements with community employers. In all, 187 unemployed participants with severe mental illness were randomly assigned to IPS or DPA. Over 2 years, IPS had significantly better competitive employment outcomes than DPA. Competitive employment rates over the 2-year follow-up were 75.0% for IPS and 33.7% for DPA. However, IPS and DPA did not differ on paid employment outcomes. The authors conclude that IPS is more effective than DPA in achieving competitive employment, but not paid employment.

Bond GR ，Salyers MP ，Dincin J ，Drake R ，Becker DR ，Fraser VV ，Haines M ... -  《JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY》

The Hartford study of supported employment for persons with severe mental illness.

The authors compared 3 approaches to vocational rehabilitation for severe mental illness (SMI): the individual placement and support (IPS) model of supported employment, a psychosocial rehabilitation (PSR) program, and standard services. Two hundred four unemployed clients (46% African American, 30% Latino) with SMI were randomly assigned to IPS, PSR, or standard services and followed for 2 years. Clients in IPS had significantly better employment outcomes than clients in PSR and standard services, including more competitive work (73.9% vs. 18.2% vs. 27.5%, respectively) and any paid work (73.9% vs. 34.8% vs. 53.6%, respectively). There were few differences in nonvocational outcomes between programs. IPS is a more effective model than PSR or standard brokered vocational services for improving employment outcomes in clients with SMI.

Mueser KT ，Clark RE ，Haines M ，Drake RE ，McHugo GJ ，Bond GR ，Essock SM ，Becker DR ，Wolfe R ，Swain K ... -  《-》

VR closure rates for two vocational models.

Fraser VV ，Jones AM ，Frounfelker R ，Harding B ，Hardin T ，Bond GR ... -  《-》

Three year follow-up study of an integrated supported employment for individuals with severe mental illness.

Tsang HW ，Fung KM ，Leung AY ，Li SM ，Cheung WM ... -  《-》

Vocational outcomes of an integrated supported employment program for individuals with persistent and severe mental illness.

Tsang HW ，Chan A ，Wong A ，Liberman RP ... -  《-》