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Implementing Supported Employment as an Evidence-Based Practice

Gary R. Bond, Ph.D.; Deborah R. Becker, M.Ed.; Robert E. Drake, M.D., Ph.D.; Charles A. Rapp, Ph.D.; Neil Meisler, M.S.W.; Anthony F. Lehman, M.D., M.S.P.H.; Morris D. Bell, Ph.D.; Crystal R. Blyler,

Abstract

Supported employment for people with severe mental illness is an evidence-based practice, based on converging findings from eight randomized controlled trials and three quasi-experimental studies. The critical ingredients of supported employment have been well described, and a fidelity scale differentiates supported employment programs from other types of vocational services. The effectiveness of supported employment appears to be generalizable across a broad range of client characteristics and community settings. More research is needed on long-term outcomes and on cost-effectiveness. Access to supported employment programs remains a problem, despite their increasing use throughout the United States. The authors discuss barriers to implementation and strategies for overcoming them based on successful experiences in several states.

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Contributed on 11/28/2012

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