The efficacy of supported employment for middle-aged and older people with schizophrenia.

Abstract:

OBJECTIVE:Supported employment is the evidence-based treatment of choice for assisting individuals with severe mental illness to achieve competitive employment, but few supported employment programs specifically target older clients with psychiatric illness. The purpose of this study was to evaluate the efficacy of supported employment for middle-aged or older people with schizophrenia. METHOD:Participants included 58 outpatients with schizophrenia or schizoaffective disorder aged 45 or older who were recruited from a community mental health clinic. Participants were randomly assigned to receive Individual Placement and Support (IPS; the manualized version of supported employment) or conventional vocational rehabilitation (CVR) for one year, and completed assessments at baseline, six months, and twelve months. RESULTS:IPS was superior to CVR on nearly all work outcome measures, including attainment of competitive employment, weeks worked, and wages earned. Fifty-seven percent of IPS participants worked competitively, compared with 29% of CVR participants; 70% of IPS participants obtained any paid work, compared with 36% of CVR participants. Within the IPS group, better baseline functional capacity (as measured by the UCSD Performance Based Skills Assessment) and more recent employment were modestly associated with better work outcomes. CONCLUSIONS:Middle-aged and older adults with schizophrenia are good candidates for supported employment services.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Twamley EW,Vella L,Burton CZ,Becker DR,Bell MD,Jeste DV

doi

10.1016/j.schres.2011.11.036

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

100-4

issue

1-3

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(11)00634-7

journal_volume

135

pub_type

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