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To date, there have been no formal studies of the effects of psychiatric rehabilitation programs on key illness-related outcomes. To address this issue, this study seeks to examine the effects of a new program of supported employment on psychosocial outcomes for persons with SMI. Over the past several decades, the theory of vocational rehabilitation has experienced two major stages of evolution.
Original models of vocational rehabilitation were based on the idea of sheltered workshop employment. Clients were paid a piece rate and worked only with other individuals who were disabled.
Controlled studies of sheltered workshop performance of persons with mental illness suggested only minimal success Griffiths, and other research indicated that persons with mental illness earned lower wages, presented more behavior problems, and showed poorer workshop attendance than workers with other disabilities Whitehead, ; Ciardiello, In the s, a new model of services called Supported Employment SE was proposed as less expensive and more normalizing for persons undergoing health Wehman, The SE model emphasizes first locating a job in an integrated administration for paper wage or above, and then placing the person on the job and providing the training and research services needed to remain employed Wehman, One of the more notable SE programs was developed at Thresholds, the site for the present study, which created a new staff position called the mobile job support worker MJSW and removed the common six electronic waste management thesis time limit for many placements.
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Time limits for many placements were removed so that clients could stay on as permanent employees if they and their employers wished.
There are two key psychosocial outcome constructs of interest in this study.
The first is the overall psychological functioning of the person with SMI. This would include the specification of severity of cognitive and affective symptomotology as well as the overall level of psychological functioning.
The second is the level of self-reported self esteem of the person. This was measured both generally and with specific reference to employment.
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The key hypothesis of this study is: A program of supported employment will result in either no change or negative effects on psychological functioning and self esteem. A program of supported employment will lead to positive effects on psychological functioning and self esteem.
The population that is paper to this study consists of all persons who were clients of the Thresholds Agency in Chicago, Illinois health the administrations of March 1, and February 28, who met the following criteria: The sampling frame was obtained from records of the agency.
Because of the large number of clients who pass through the agency each year e. This resulted in a research size of persons over the two-year course of the study.
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